An apostille prescribed by the Hague convention, as cited in 28 United States Code in annotations to rule 44 of the federal rules of civil procedure, shall be in the form of a square with sides at least nine centimeters long and shall contain exactly the following wording:

1. 1. Country: ___________________________________________

   This public document

2. 2. Has been signed by ___________________________________
3. 3. Acting in the capacity of ___________________________

4. 4. Bears the seal/stamp of ______________________________

   Certified

5. 5. At ____________________
6. 6. The ____________________
7. 7. By ___________________________________________________
8. 8. No. _________________________________________________
9. 9. Seal/stamp
10. 10. Signature _______________________

Apostille

(Convention de la haye du 5 Octobre 1961)