Author: ostrovsk
Company: MV SR

(draft)
AGREEMENT
between 
the Slovak Republic and Ukraine 

on the local border traffic

The Slovak Republic
and
Ukraine

(hereinafter referred to as "Contracting Parties")

Desiring to enhance cross-border cooperation, good neighbourhood relations and mutual understanding between both countries in accordance with the Treaty between the Slovak Republic and Ukraine on good neighbourhood, friendly relations and cooperation, signed on 29 June 1993 in Kiev,

With a view to prevent the state border between the Slovak Republic and Ukraine, being an external border of European Union, from becoming a barrier to business, social, cultural and regional cooperation, 

Taking into account that the European Union recognises the introduction of a visa free travel regime for the citizens of Ukraine as a long term perspective,

Bearing in mind Regulation (EC) No 1931/2006 of the European Parliament and of the Council of 20 December 2006 laying down rules on local border traffic at the external land borders of the Member States and amending the provisions of the Schengen Convention,

Have agreed as follows:

Article 1
Subject of the Agreement

This Agreement establishes the implementation of the local border traffic regime between the Contracting Parties. 

Article 2
Definitions

For the purpose of this Agreement:
a)	local border traffic - the regular crossing of the common state border of the Contracting Parties by border residents in order to stay in a border area in particular for social, cultural, substantiated economic reasons, or for family reasons, for a period not exceeding the time limit laid down in this Agreement;
b)	border area - an area of administrative districts of the Contracting Parties which are situated no more than thirty (30) kilometres from the common state border; if part of such administrative district lies more than thirty (30) kilometres, but less than fifty (50) kilometres from the border line, it shall nevertheless be considered as part of the border area; the settlements of border area are listed in Annex 1;
c)	local border traffic permit - a document entitling his or her holder to cross the common state border of the Contracting Parties under the local border traffic regime in compliance with conditions established in this Agreement;
d)	border residents – nationals of the Contracting Parties, stateless persons and nationals of third countries who have permanent residence in the border area for a minimum period of three (3) years as well as spouse, minor or dependant major child  under the age of twenty one (21) years (including adopted or foster child) and minor or dependant major child under the age of twenty one (21) years (including adopted or foster child) of the spouse of the above mentioned persons, even if they have permanent residence in the border area for less than three (3) years;
e)	persons enjoying the Community right of free movement - citizens of the European Union within the meaning of Article 17(1) of the Treaty establishing the European Community, and nationals of third countries who are members of the family of a citizen of the European Union exercising his or her right of free movement to whom Directive 2004/38/EC of the European Parliament and of the Council of 29 April 2004 on the right of citizens of the Union and their family members to move and reside freely within the territory of the Member States amending Regulation (EEC) No 1612/68 and repealing Directives 64/221/EEC, 68/360/EEC, 72/194/EEC, 73/148/EEC, 75/34/EEC, 75/35/EEC, 90/364/EEC, 90/365/EEC and 93/96/EEC applies and nationals of third countries and members of their families, whatever their nationality, who, under Treaties between the Community and its Member States, on the one hand, and those third countries, on the other, enjoy rights to move freely equivalent to the right of citizens of the European Union.

Article 3
Entry conditions

	(1)	The border residents may cross the common state border of the Contracting Parties under the local border traffic regime, on condition that they:
a)	submit a valid local border traffic permit and a valid travel document;
b)	are not considered to be a threat to public policy, internal security, public health or the international relations of Ukraine and any of the EU Member States, and in particular where no alert has been issued in national databases of the Contracting Parties for the purposes of refusing entry on the same grounds.

(2)	Holder of local border traffic permit is exempted from visa requirement on the conditions of local border traffic regime.

(3)	No entry or exit stamps shall be affixed to the local border traffic permit and travel document when crossing the common state border under the local border traffic regime.

Article 4
Duration of stay in the border area

The maximum permissible duration of each uninterrupted stay under the local border traffic regime in the border area of the other Contracting Party shall not exceed thirty (30) days but the maximum duration of stay in border area of the other Contracting Party shall not exceed ninety (90) days within any one hundred and eighty (180) days.

Article 5
Points designated for crossing the common state border
under the local border traffic regime

The common state border of the Contracting Parties may be crossed under the local border traffic regime at border crossing points set out:
a)	in Annex of the Treaty between the Government of the Slovak Republic and the Government of Ukraine on border crossing points through common state borders, signed on 15 June 1995 in Kiev as amended by the Treaty between the Government of the Slovak Republic and the Government of Ukraine on amendment of the Treaty between the Government of the Slovak Republic and the Government of Ukraine on border crossing points through the common state borders, signed on 15 June 1995 in Kiev, arranged by the exchange of notes;
b)	in further Agreements between the governments of the Contracting Parties which will establish new border crossing points at the common state border.

Article 6
Local border traffic permit

(1)	The local border traffic permit entitles its holder for crossing the common state border of the Contracting Parties for the purpose of entry to the territory of the other Contracting Party, exit from its territory and stay in the border area of this Contracting Party during the period established in this Agreement in particular for social reasons, cultural reasons, substantiated economic reasons, or family reasons.

(2)	The application for issuing the local border traffic permit shall be submitted by the border resident personally on the official form set out in Annex 2 of this Agreement. Minor child under the age of sixteen (16) years shall be represented by his/her legal representative in the local border traffic permit procedure. The minor child without legal representative, and person deprived of legal capacity by final judicial decision are represented by the legal guardian designated by the court in the local border traffic permit procedure.

(3)	With the application for issuing the local border traffic permit the border resident is obliged to submit the following:
a)	travel document which expires, at time of the application receipt, after fifteen (15) months minimum;
b)	two identical photographs in format of 3 x 3.5 cm, displaying his/her current image;
c)	documents proving legitimate reasons frequently to cross the common state border within the local border traffic regime, while taking into account previous frequent crossings of the common state border;
d)	documents proving permanent residence in the border area, as laid down in Annex 3 to this Agreement.

(4)	All documents attached to the application by the border resident may not be older than ninety (90) days, except for the civil status documents and identification card. The competent authority for receipt of applications may require to present foreign language documents necessary for the local border traffic permit procedure in a sworn translation of the state language of other Contracting Party. The application for issuing the local border traffic permit without having attached all documents under paragraph 3 thereto shall not be accepted by the competent authority for applications receipt.

(5)	The competent authorities for receipt of applications for issuing the local border traffic permit and handing over the permit to the applicant shall be:
a)	for border residents in the territory of the Slovak Republic – The Consulate General of Ukraine in Prešov;
b)	for border residents in the territory of Ukraine – The General Consulate of the Slovak Republic in Uzhhorod.

(6)	The local border traffic permit shall be issued by:
a)	on the Slovak Contracting Party - The Border and Aliens Police Bureau of the Ministry of Interior of the Slovak Republic;
b)	on the Ukrainian Contracting Party The General Consulate of the Slovak Republic in Uzhhorod.

(7)	The competent authorities of the Contracting Parties mentioned in the paragraphs 5 and 6 thereto shall issue the local border traffic permit to the applicant within the shortest possible period of time, but not more than sixty (60) days from the date of submitting the application; as exception this period may be extended to maximum ninety (90) days in particularly complicated cases. 

(8)	The authority issuing the local border traffic permit shall not issue permit if the applicant does not prove reasons for issuing the permit under Article 2 (a) of this Agreement or he/she does not comply with conditions under Article 3 (1) (b) of this Agreement.

	(9)	The local border traffic permit shall contain particularly:
a)	title in Slovak language and Ukrainian language;
b)	number of the local border traffic permit;
c)	first name(s), surname(s), date of birth and sex of the holder;
d)	photograph of the holder of the local border traffic permit;
e)	nationality and place of the permanent residence;
f)	issuing authority, date of issue and period of validity;
g)	border area within which the holder of the permit is authorized to move;
h)	number (s) of valid travel document with which the local border traffic permit is valid;
i)	signature of holder;
j)	note that its holder is not authorized to move out of the border area and that any abuse shall be subject to penalties as provided for in national legislation of the Contracting Party which issued the local border traffic permit.

	(10)	The fee corresponding to the administrative costs of processing applications for the local border traffic permit is twenty (20) EUR and shall be paid when submitting the application. In case the local border traffic permit is not issued the fee is not refunded. Fee for the permit is waived for the following categories of persons:
a)	persons, whose only financial income is a disability pension;
b)	children under the age of fifteen (15) years;
c)	persons older than age of sixty (60) years.

(11)	The local border traffic permit shall be valid for a minimum of one (1) year and a maximum of five (5) years. The competent authority mentioned in the par. 6 thereto shall decide on the term of validity of the permit.

	(12)	The validity of the local border traffic permit shall not exceed the validity of travel document on which basis it was issued.

(13)	The territorial validity of the local border traffic permit shall be limited to the border area of the issuing Contracting Party.

(14)	The Contracting Parties will mutually exchange the specimen of the local border traffic permit without delay after this Agreement enters into force.

Article 7
Penalties 

(1)	In the case of abuse of the local border traffic regime the competent authorities of the Contracting Parties are entitled to cancel and revoke the local border traffic permit and its holder is subject to penalties as provided for in the national legislation.

(2)	The Contracting Parties shall inform each other on penalties under the national legislation, as well as on their amendments via diplomatic channels.

Article 8
Comparability of treatment

The Contracting Parties conclude to grant nationals of the other Contracting Party and the persons enjoying Community right of free movement as well as third countries nationals and stateless persons lawfully residing in the border area of that Contracting Party treatment at least comparable to that granted to the border residents of their State.

Article 9
General provision

(1)	Persons authorized to cross the common state border under the local border traffic regime are obliged to respect the national legislation of other Contracting Party.

(2)	This Agreement shall not affect the provisions of Community and national law applicable to third-country nationals relating to:
a)	long-term stays;
b)	access to and exercise of economic activity;
c)	customs and taxation matters.

(3)	Border residents under conditions of local border traffic regime are not allowed to be engaged in gainful activities on the territory of the other Contracting Party.

Article 10
Entry into force

(1)	This Agreement shall be subject to approval in accordance with the national legislation of the Contracting Parties and shall enter into force on the thirtieth (30th) day after the mutual written notification of the Contracting Parties on fulfilment the conditions for entry into force of the Agreement, as laid down in the national legislation of the Contracting Parties.

(2)	This Agreement is concluded for an unlimited period.

(3)	This Agreement may be modified and amended in written form by the Contracting Parties upon mutual consent and any modifications and amendments create an integral part of this Agreement. 

(4)	Each Contracting Party may temporarily suspend fully or partially the application of this Agreement, under the national legislation of the Contracting Parties, European Union legislation, or for reasons of violation or threat to sovereignty, internal security, and public order. The Contracting Parties shall forthwith inform each other on taking or cancelling such measure via diplomatic channels. The suspension of the application of the Agreement and its cancellation shall enter into force on the date specified in the notification.

(5)	Each Contracting Party may denounce this Agreement in written form via diplomatic channels. In that case the Agreement shall cease to apply on the sixtieth (60th) day after the receipt of such notification to the other Contracting Party.

Done at …………….. on …………………….. in two originals, each in Slovak, Ukrainian and English language, all texts being equally authentic. In case of any divergence in interpretation, the English text shall prevail.

	For the Slovak Republic                                                        For Ukraine 

Annex 1 to the Agreement between the Slovak Republic and Ukraine on the local border traffic

List of settlements according to Article 2 (b)
In the territory of the Slovak Republic

Region Snina (33)
Belá nad Cirochou | Pčoliné
Brezovec | Pichne
Čukalovce | Príslop
Dlhé nad Cirochou | Runina
Dúbrava | Ruská Volová
Hostovice | Ruský Potok
Hrabová Roztoka | Snina
Jalová | Stakčín
Kalná Roztoka | Stakčínska Roztoka
Klenová | Strihovce
Kolbasov | Šmigovec
Kolonica | Topoľa
Ladomirov | Ubľa
Michajlov | Ulič
Nová Sedlica | Uličské Krivé
Osadné | Zboj
Parihuzovce | Zemplínske Hámre

Region Sobrance (47)
Baškovce | Ostrov
Beňatina | Petrovce
Bežovce | Pinkovce
Blatná Polianka | Podhoroď
Blatné Remety | Porostov
Blatné Revištia | Porúbka
Bunkovce | Priekopa
Fekišove | Remetské Hámre
Hlivištia | Ruská Bystrá
Horňa | Ruskovce
Husák | Ruský Hrabovec
Choňkovce | Sejkov
Inovce | Sobrance
Jasenov | Svätuš
Jenkovce | Tašuľa
Kolibabovce | Tibava
Koňuš | Úbrež
Koromľa | Veľké Revištia
Krčava | Vojnatina
Kristy | Vyšná Rybnica
Lekárovce | Vyšné Nemecké
Nižná Rybnica | Vyšné Remety
Nižné Nemecké | Záhor
Orechová |

Region Michalovce (73)
Bajany | Oborín
Bánovce nad Ondavou | Oreské
Beša | Palín
Bracovce | Pavlovce nad Uhom
Budince | Petríkovce
Budkovce | Petrovce nad Laborcom
Čečehov | Poruba pod Vihorlatom
Čičarovce | Pozdišovce
Čierne Pole | Ptrukša
Drahňov | Pusté Čemerné
Dúbravka | Rakovec nad Ondavou
Falkušovce | Ruská
Hatalov | Senné
Hažín | Slavkovce
Hnojné | Sliepkovce
Horovce | Staré
Iňačovce | Strážske
Ižkovce | Stretava
Jastrabie pri Michalovciach | Stretavka
Jovsa | Suché
Kačanov | Šamudovce
Kaluža | Trhovište
Kapušianske Kľačany | Trnava pri Laborci
Klokočov | Tušice
Krásnovce | Tušická Nová Ves
Krišovská Liesková | Veľké Kapušany
Kusín | Veľké Raškovce
Lastomír | Veľké Slemence
Laškovce | Vinné
Lesné | Vojany
Ložín | Voľa
Lúčky | Vrbnica
Malčice | Vysoká nad Uhom
Malé Raškovce | Zálužice
Markovce | Závadka
Maťovské Vojkovce | Zbudza
Michalovce | Zemplínska Široká
Moravany | Zemplínske Kopčany
Nacina Ves | Žbince

Region Humenné(49)
Abidovce | Myslina
Baškovce | Nechválova Polianka
Brekov | Nižná Jablonka
Brestov | Nižná Sitnica
Černina | Nižné Ladičkovce
Dedačov | Ohradzany
Gruzovce | Pakostov
Hankovce | Papín
Hažín nad Cirochou | Porúbka
Hrabovec nad Laborcom | Ptičie
Hrubov | Rokytov pri Humennom
Hudcovce | Rovné
Humenné | Ruská Kajňa
Chlmec | Slovenská Volová
Jabloň | Slovenské Krivé
Jankovce | Sopkovce
Jasenov | Topoľovka
Kamenica nad Cirochou | Turcovce
Kamienka | Udavské
Karná | Valaškovce
Kochanovce | Veľopolie
Košarovce | Víťazovce
Koškovce | Vyšná Jablonka
Lackovce | Vyšná Sitnica
Lieskovec | Vyšné Ladičkovce
Ľubiša | Vyšný Hrušov
Lukačovce | Závadka
Maškovce | Zbudské Dlhé
Modrá nad Cirochou | Zubné

Region Trebišov (81)
Bačka | Nižný Žipov
Bačkov | Novosad
Bara | Nový Ruskov
Biel | Parchovany
Boľ | Plechotice
Borša | Poľany
Boťany | Pribeník
Brehov | Rad
Brezina | Sečovce
Byšta | Sirník
Cejkov | Slivník
Čelovce | Slovenské Nové Mesto
Čerhov | Solnička
Černochov | Somotor
Čierna | Stanča
Čierna nad Tisov | Stankovce
Dargov | Strážne
Dobrá | Streda nad Bodrogom
Dvorianky | Svätá Mária
Egreš | Svätuše
Hraň | Svinice
Hrčeľ | Trebišov
Hriadky | Trnávka
Kašov | Veľaty
Kazimír | Veľká Tŕňa
Klin nad Bodrogom | Veľké Ozorovce
Kožuchov | Veľké Trakany
Kráľovský Chlmec | Veľký Horeš
Kravany | Veľký Kamenec
Kuzmice | Viničky
Kysta | Višňov
Ladmovce | Vojčice
Lastovce | Vojka
Leles | Zatín
Luhyňa | Zbehňov
Malá Tŕňa | Zemplín
Malé Ozorovce | Zemplínska Nová Ves
Malé Trakany | Zemplínska Teplica
Malý Horeš | Zemplínske Hradište
Malý Kamenec | Zemplínske Jastrabie
Michaľany | Zemplínsky Branč

In the territory of the Ukraine

Населений пункт | Name of the settlement
Берегове | Berehove
Затишне | Zatyshne
Астей | Astei
Бадалово | Badalovo
Батьово | Bat'ovo
Батрадь | Batrad
Горонглаб | Horonhlab
Берегуйфалу | Berehuifalu
Боржава | Borzhava
Велика Бакта | Velyka Bakta
Великі Береги | Velyki Berehy
Велика Бийгань | Velyka Byihan
Мала Бийгань | Mala Byihan
Гать | Hat
Геча | Hecha
Гут | Hut
Дийда | Dyida
Запсонь | Zapson
Кідьош | Kid'osh
Косонь | Koson
Гуняді | Huniadi
Мочола | Mochola
Мужієво | Muzhiievo
Гетен | Heten
Мале Попово | Male Popovo
Попово | Popovo
Рафайново | Rafainovo
Бадів | Badiv
Бакош | Bakosh
Данилівка | Danylivka
Свобода | Svoboda
Чома | Choma
Каштаново | Kashtanovo
Шом | Shom
Балажер | Balazher
Яноші | Yanoshi
Буківцьово | Bukivts'ovo
Великий Березний | Velykyi Bereznyi
Верховина-Бистра | Verkhovyna-Bystra
Вишка | Vyshka
Волосянка | Volosianka
Луг | Luh
Забрідь | Zabrid
Жорнава | Zhornava
Загорб | Zahorb
Кострина | Kostryna
Костринська Розтока | Kostryns'ka Roztoka
Лубня | Lubnia
Люта | Liuta
Завосина | Zavosyna
Малий Березний | Malyi Bereznyi
Мирча | Myrcha
Бегендяцька Пастіль | Behendiats'ka Pastil
Костева Пастіль | Kosteva Pastil
Розтоцька Пастіль | Roztots'ka Pastil
Руський Мочар | Rus'kyi Mochar
Смереково | Smerekovo
Домашин | Domashyn
Сіль | Sil
Ставне | Stavne
Княгиня | Kniahynia
Стричава | Strychava
Стужиця | Stuzhytsia
Гусний | Husnyi
Сухий | Sukhyi
Тихий | Tykhyi
Ужок | Uzhok
Чорноголова | Chornoholova
Абранка | Abranka
Біласовиця | Bilasovytsia
Латірка | Latirka
Буковець | Bukovets
Верб'яж | Verbiazh
Завадка | Zavadka
Жденієво | Zhdeniievo
Збини | Zbyny
Задільське | Zadil's'ke
Нижні Ворота | Nyzhni Vorota
Верхня Грабівниця | Verkhnia Hrabivnytsia
Підполоззя | Pidpolozzia
Ялове | Yalove
Кічерний | Kichernyi
Перехресний | Perekhresnyi
Розтока | Roztoka
Котельниця | Kotel'nytsia
Тишів | Tyshiv
Пашківці | Pashkivtsi
Щербовець | Scherbovets
Мукачеве | Mukacheve
Бабичі | Babychi
Ділок | Dilok
Бистриця | Bystrytsia
Вільховиця | Vil'khovytsia
Бобовище | Bobovysche
Грибівці | Hrybivtsi
Ільківці | Il'kivtsi
Брестів | Brestiv
Лецовиця | Letsovytsia
Плоскановиця | Ploskanovytsia
Великі Лучки | Velyki Luchky
Верхня Визниця | Verkhnia Vyznytsia
Клочки | Klochky
Лісарня | Lisarnia
Буковинка | Bukovynka
Верхній Коропець | Verkhnii Koropets
Кучава | Kuchava
Куштановиця | Kushtanovytsia
Горонда | Horonda
Дерцен | Dertsen
Жнятино | Zhniatyno
Жуково | Zhukovo
Ромочевиця | Romochevytsia
Вінкове | Vinkove
Драгиня | Drahynia
Зняцьово | Zniats'ovo
Кінлодь | Kinlod
Червеньово | Cherven'ovo
Зубівка | Zubivka
Софія | Sofiia
Іванівці | Ivanivtsi
Клячаново | Kliachanovo
Старе Давидково | Stare Davydkovo
Кальник | Kal'nyk
Кузьмино | Kuz'myno
Медведівці | Medvedivtsi
Руська Кучава | Rus'ka Kuchava
Шкуратівці | Shkurativtsi
Ключарки | Kliucharky
Жборівці | Zhborivtsi
Кленовець | Klenovets
Кольчино | Kol'chyno
Коноплівці | Konoplivtsi
Копинівці | Kopynivtsi
Микулівці | Mykulivtsi
Ростов'ятиця | Rostoviatytsia
Щасливе | Schaslyve
Лавки | Lavky
Березинка | Berezynka
Лалово | Lalovo
Лохово | Lokhovo
Череївці | Chereivtsi
Барбово | Barbovo
Макарьово | Makar'ovo
Нижній Коропець | Nyzhnii Koropets
Нове Давидково | Nove Davydkovo
Дубино | Dubyno
Косино | Kosyno
Обава | Obava
Чабин | Chabyn
Павшино | Pavshyno
Пістрялово | Pistrialovo
Герцівці | Hertsivtsi
Грабово | Hrabovo
Крите | Kryte
Пузняківці | Puzniakivtsi
Тростяниця | Trostianytsia
Бенедиківці | Benedykivtsi
Домбоки | Domboky
Кайданово | Kaidanovo
Ракошино | Rakoshyno
Руське | Rus'ke
Чопівці | Chopivtsi
Баркасово | Barkasovo
Серне | Serne
Станово | Stanovo
Страбичово | Strabychovo
Форнош | Fornosh
Карпати | Karpaty
Синяк | Syniak
Чинадійово | Chynadiiovo
Чомонин | Chomonyn
Шенборн | Shenborn
Новоселиця | Novoselytsia
Яблунів | Yabluniv
Вільшинки | Vil'shynky
Ворочово | Vorochovo
Дубриничі | Dubrynychi
Пастілки | Pastilky
Зарічово | Zarichovo
Новоселиця | Novoselytsia
Перечин | Perechyn
Маюрки | Maiurky
Мокра | Mokra
Порошково | Poroshkovo
Сімерки | Simerky
Сімер | Simer
Свалявка | Svaliavka
Тур'я-Бистра | Turia-Bystra
Завбуч | Zavbuch
Раково | Rakovo
Тур'я Пасіка | Turia Pasika
Полянська Гута | Polians'ka Huta
Тур'я Поляна | Turia Poliana
Тур'ї Ремети | Turi Remety
Туриця | Turytsia
Липовець | Lypovets
Лікіцари | Likitsary
Лумшори | Lumshory
Турички | Turychky
1.	Голубине | Holubyne
2.	Оленьово | Oleniovo
3.	Павлово | Pavlovo
4.	Плоске | Ploske
5.	Плоский Потік | Ploskyi Potik
6.	Яківське | Yakivske
7.	Поляна | Poliana
8.	Уклин | Uklyn
9.	Родниківка | Rodnykivka
10.	Родникова Гута | Rodnykova Huta
11.	Драчино | Drachyno
12.	Свалява | Svaliava
13.	Солочин | Solochyn
14.	Пасіка | Pasika
15.	Сусково | Suskovo
Ужгород | Uzhhorod
Баранинці | Baranyntsi
Барвінок | Barvinok
Довге Поле | Dovhe Pole
Підгорб | Pidhorb
Великі Геївці | Velyki Heivtsi
Малі Геївці | Mali Heivtsi
Руські Геївці | Rus'ki Heivtsi
Велика Добронь | Velyka Dobron
Великі Лази | Velyki Lazy
Циганівці | Tsyhanivtsi
Батфа | Batfa
Галоч | Haloch
Палло | Pallo
Дубрівка | Dubrivka
Есень | Esen
Андріївка | Andriivka
Ірлява | Irliava
Чабанівка | Chabanivka
Гута | Huta
Кам'яниця | Kamianytsia
Гайдош | Haidosh
Кибляри | Kybliary
Лінці | Lintsi
Кінчеш | Kinchesh
Коритняни | Korytniany
Демечі | Demechi
Мала Добронь | Mala Dobron
Тисаагтелек | Tysaahtelek
Невицьке | Nevyts'ke
Оноківці | Onokivtsi
Оріховиця | Orikhovytsia
Малі Селменці | Mali Selmentsi
Паладь-Комарівці | Palad'-Komarivtsi
Пацканьово | Patskan'ovo
Ратівці | Rativtsi
Глибоке | Hlyboke
Нижнє Солотвино | Nyzhnie Solotvyno
Руські Комарівці | Rus'ki Komarivtsi
Вовкове | Vovkove
Середнє | Serednie
Петрівка | Petrivka
Соловка | Solovka
Соломоново | Solomonovo
Сторожниця | Storozhnytsia
Сюрте | Siurte
Ботфалва | Botfalva
Тарнівці | Tarnivtsi
Шишлівці | Shyshlivtsi
Тийглаш | Tyihlash
Тисаашвань | Tysaashvan
Холмець | Kholmets
Концово | Kontsovo
Минай | Mynai
Розівка | Rozivka
Холмок | Kholmok
Анталовці | Antalovtsi
Верхня Солотвина | Verkhnia Solotvyna
Ляхівці | Liakhivtsi
Худльово | Khudl'ovo
Чертеж | Chertezh
Часлівці | Chaslivtsi
Тисауйфалу | Tysauifalu
Червоне | Chervone
Стрипа | Strypa
Ярок | Yarok
Чоп | Chop

Annex 2 to the Agreement between the Slovak Republic and Ukraine on the local border traffic

The Application for the issuing the local border traffic permit according to Article 6 (2)

ČÍSLO ŽIADOSTI (vyplní MZV SR) | | ČÍSLO ŽIADOSTI (vyplní MV SR) | | ČÍSLO POVOLENIA | | PLATNÝ DO

ŽIADOSŤ O POVOLENIE NA MALÝ POHRANIČNÝ STYK | | **VLASTNORUČNÝ PODPIS | | FOTOGRAFIA 3 × 3,5 cm
                                                                                            
1. PRIEZVISKO                                                                                                                            2. TITUL

3. MENO

4. RODNÉ PRIEZVISKO A PREDCHÁDZAJÚCE PRIEZVISKÁ

5.  DEŇ, MESIAC A ROK NARODENIA   6. ŠTÁT NARODENIA                                       7. POHLAVIE

8.  MIESTO NARODENIA	                                                     9. ŠTÁTNA PRÍSLUŠNOSŤ     

10. RODINNÝ STAV           11. ZAMESTNANIE

12. CESTOVNÝ DOKLAD    13. DÁTUM VYDANIA  14. PLATNÝ DO              15. VYDAL

16. ADRESA TRVALÉHO POBYTU V CUDZINE                                              17. ŠTÁT

18.  DôVOD pre Časté prekračovanie štátnej hranice    19. ÚrADNÉ ZÁZNAMY                                                                                                                                

•	cestovný doklad (kópia biodátovej strany)

•	2 fotografie

•	preukázanie dôvodu

•	potvrdenie o trvalom pobyte

SPRÁVNY POPLATOK V SUME: | | ŽIADOSŤ PRIJAL: DŇA: | | PEČIATKA A PODPIS:

*  Údaje na žiadosti musia byť vyplnené písacím strojom alebo paličkovým písmom v slovenskom jazyku. 
**Svojim podpisom potvrdzujem úplnosť a správnosť svojich údajov.

ČÍSLO ŽIADOSTI (vyplní MZV SR) | | ČÍSLO ŽIADOSTI (vyplní MV SR) | | ČÍSLO POVOLENIA | | PLATNÝ DO

-	Som si vedomý a súhlasím aby všetky osobné údaje týkajúce sa mojej osoby, ktoré sú uvedené v tejto žiadosti, boli spracovávané príslušnými úradmi Slovenskej republiky. Tieto údaje môžu byť vložené do alebo uložené v databázach dostupných príslušným úradom Slovenskej republiky, ak medzinárodná zmluva, ktorou je Slovenská republika viazaná, neustanovuje inak.
-	Som si vedomý, že akékoľvek nepravdivé alebo chybné údaje uvedené v žiadosti budú mať za následok jej zamietnutie.  
-	Som si vedomý povinnosti dodržiavať právne predpisy Slovenskej republiky počas pobytu na jej území.
-	Som si vedomý, že povolenie na malý pohraničný styk neplatí na celé na územie Slovenskej republiky, ale len na pohraničnú oblasť definovanú v čl. 2 písm. b) Zmluvy, pričom každý neprerušený pobyt nesmie presiahnuť 30 dní.
-	Som si vedomý, že zneužitie podmienok malého pohraničného styku podlieha sankciám podľa zákona č. 48/2002 Z. z. o pobyte cudzincov a o zmene a doplnení niektorých zákonov v znení neskorších predpisov.

DÁTUM PREVZATIA POVOLENIA                                          PODPIS CUDZINCA

Potvrdenie o prevzatí žiadosti o povolenie na malý pohraničný styk
titul: | meno:
priezvisko:
dátum narodenia: | štátna príslušnosť: | číslo cestovného dokladu:
dátum podania žiadosti: | podpis pracovníka, ktorý žiadosť prijal a pečiatka:

Додаток 2
Заява про видачу дозволу на місцевий прикордонний рух, відповідно до пункту 2 статті 6

ЗАЯВА НА ВИДАЧУ ДОЗВОЛУ НА МІСЦЕВИЙ ПРИКОРДОННИЙ РУХ | | ** ПІДПИС ЗАЯВНИКА       (герб України або Словаччини) | | ФОТО 3 × 3,5 cm
                                                                                            
1. Прізвище (-а)                                                                                                    2. Tитул

3. Ім’я (Імена)

4. Прізвище (-а) при народженні (попередні прізвища)

5. Дата народження (день, місяць, рік)  6. Країна народження                    7. Стать

8.  Місце народження	                                                9. Громадянство (-а) 

10. Сімейний стан         11. Місце роботи

12. Проїзний документ    13. Дата видачі   14. Дійсний до           15. Орган видачі

16. Постійна  адреса							17. Країна

18. Причини для неодноразового перетину                  19. Офіційні позначки 
державного кордону                                                                                                                

•	проїзний документ (копія першої сторінки)

•	2 фото

•	засвідчення мети поїздки

•	підтвердження постійного проживання

СПЛАЧЕНО ЗБІР У СУМІ: | | ЗАЯВУ ПРИЙНЯВ: ДАТА: | | ПЕЧАТКА ТА ПІДПИС
*  Дані в заяві мають бути надруковані або заповнені великими літерами мовою держави видачі дозволу
**Підпис заявника засвідчує вірність та чесність наданих даних

-	Я обізнаний та погоджуюся з таким: будь-яка персональна інформація, що стосується мене та міститься в цій заяві, буде передана компетентним установам України/Словаччини. Така інформація може бути занесена та зберігатися в базах даних, до яких мають доступ компетентні установи України/Словаччини, якщо іншого не передбачено міжнародними договорами. 
-	Я обізнаний з тим, що будь-яке неправдиве повідомлення або неправильна інформація призводитиме до відхилення моєї заяви.
-	Я обізнаний з обов’язком поважати правила України/Словаччини під час перебування на її території. 
-	Я обізнаний, що дозвіл на місцевий прикордонний рух не дійсний на всю територію України/Словаччини, але тільки в межах прикордонної зони, визначеної в пункті b) Статті 2 Угоди та кожне безперервне перебування не перевищує 30 днів.
-	Я обізнаний, що порушення режиму місцевого прикордонного руху є предметом санкцій, у відповідності із законодавством про перебування іноземців.

ДАТА ОТРИМАННЯ ДОЗВОЛУ                      ПІДПИС ІНОЗЕМЦЯ

---------------------------------------------------------------------------------------------------------------------

Підтвердження про передачу дозволу на місцевий прикордонний рух
титул: | ім’я:
прізвище:
дата народження: | громадянство: | номер паспорта:
дата прийняття заяви: | підпис працівника, який прийняв заяву та печатка:

Annex 3 to the Agreement between the Slovak Republic and Ukraine on the local border traffic

The documents confirming permanent residence in border area according to article 6 (3) (d): 

On Slovak contracting party:
Certificate of permanent stay 

On Ukrainian contracting party:
Passport of the citizen of Ukraine
or
Certificate of permanent stay