I, [name and title of the Head of State, Head of Government or Minister for Foreign Affairs],
HEREBY DECLARE that the Government of [name of State] makes the following [reservation / declaration]
in relation to article(s)
[----] of the [title and date of adoption of the treaty, convention,
agreement, etc.]:
IN WITNESS WHEREOF, I have hereunto set my hand and seal.
WHEREAS the Government of [name of State] [ratified, approved, accepted, acceded to] the [title and date of adoption of the treaty, convention, agreement, etc.] on [date],
AND WHEREAS, upon [ratification, approval, acceptance of / accession to] the [treaty, convention, agreement, etc.], the Government of [name of State] made (a) reservation(s) to article(s) [----] of the [treaty, convention, agreement, etc.],
NOW THEREFORE I, [name and title of the Head of State, Head of Government or Minister for Foreign Affairs], declare that the Government of [name of State], having reviewed the said reservation(s), hereby modifies the same as follows:
IN WITNESS WHEREOF, I have hereunto set my hand and seal.
WHEREAS the Government of [name of State] [ratified, approved, accepted, acceded to] the [title and date of adoption of the treaty, convention, agreement, etc.] on [date],
AND WHEREAS, upon [ratification, approval, acceptance of / accession to] the [treaty, convention, agreement, etc.], the Government of [name of State] made (a) reservation(s) to article(s) [----] of the [treaty, convention, agreement, etc.],
NOW THEREFORE I, [name and title of the Head of State, Head of Government or Minister for Foreign Affairs], declare that the Government of [name of State], having reviewed the said reservation(s), hereby withdraws the same.
IN WITNESS WHEREOF, I have hereunto set my hand and seal.