Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
A.
B.
1. My personal details
Surname (Family name) Previous surname, if any
Citizenship
Sex
Male
Place of birth Marital status Country of birth
Female
No
Yes
Mother tongue
Other languages
Single
Married*
Divorced
Cohabit
Engaged
Widowed
I have a passport
Type of passport
Passport number
I have no passport
Expiry date
I have the right to return to my native country or to the country where I now live
No
Yes, country:
No
Yes, country:
3. My address at present
c/o Street
Postal code
Place
Country
Postal code
Place
Country
5. My email address
No
No
7.
Sex
Male
Citizenship
Female
Email address
8.
Other information
9.
11. Assurance
I solemnly declare that the information that I have provided is true and that I have not knowingly omitted anything that could be of significance in an examination of this application. NOTE! This form is not valid without a signature.
Signature
A person who provides incorrect information in the application, or knowingly omits information that is of importance, can be fined or sentenced to imprisonment. See Chapter 20, section 6, paragraph 2 of the Aliens Act (2005:716).
Myndighetens anteckningar
Anskan granskad av Familjebilagan granskad tillsammans med den skande
Nej
Eventuella synpunkter
Ja, av
Avgiften r betald
MR/BR-stmpel
Ja
Nej
Undantagen