Coming from by means of (indicate means of transport used, e.g. flight number), he/she is hereby informed that he/she is refused entry into the country pursuant to (indicate references to the national law in force), for the following reasons:
Oseba, ki prihaja iz/z s/z (navesti prevozno sredstvo, npr. številka leta), je obveščena, da se ji/mu ne dovoli vstop v državo, v skladu z (navesti sklicevanje na veljavno nacionalno zakonodajo), iz naslednjih razlogov: