Application Form For Mvv - Kingdom Of The Netherlands

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Applicationform for MVV
This application form is free of charge
Passport photo
size 35 by 45 mm
(width by height)
1
Personal
|
1.1 Surname (family name)
|
1.2 Surname at birth
(previous family name)
|
1.3 First name(s) (given name(s))
Day
month
year
1.4 Date of birth
Place
Country
|
|
1.5 Place of birth
Current nationality
Nationality at birth
|
|
1.6 Nationality
1.7 Sex
Male
Female
1.8 Marital status
Single
Married
Separated
Divorced
Widow(er)
Other, please specify
|
1.9 Home address
|
|
1.10 Telephone numbers
|
1.11 E-mail address
Surname
First name
|
|
1.12 In case of minors details of
parental authority / legal guardian
Address
Nationality
|
|
No.
Valid until
|
|
1.13 Residence in a country other
No
Yes. Residence permit or equivalent
then the country of current
nationality
10BUZ010063|E

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