GOVERNMENT OF GUYANA
MINISTRY OF FOREIGN AFFAIRS
APPLICATION FOR REMIGRANT STATUS
Please read carefully the information in the attached document “Policy Guidelines on Remigrant
Scheme’’ before completing this application.
1. FAMILY NAME
FIRST NAME
OTHER NAMES
2. DATE OF BIRTH
3. GENDER
Male [ ]
Female [ ]
____ / ____ / ______ (DD/MM/YYYY)
4. PLACE AND COUNTRY OF
BIRTH
5. NATIONALITY
6. MARITAL STATUS
Single [ ] Married [ ] Widow [ ] Widower [ ]
Separated [ ] Common-Law [ ] Divorced [ ]
7. NAME OF
8. PLACE AND DATE OF
9. Number of
SPOUSE
BIRTH
Children
_______________________________
____ / ____ / ______ (DD/MM/YYYY)
Is your spouse remigrating with you? Yes [ ] No [ ]
Did your spouse make a separate application for remigrant status? Yes [ ] No [ ]