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MVV (IssueForm)

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KASS
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14 views

MVV (IssueForm)

Uploaded by

KASS
Copyright
© © All Rights Reserved
Available Formats
Download as PDF or read online on Scribd
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1 1.4 Surname family name) +2 Suinameatbith (previous family name) 24 Firstname igven names) 54 Date of bith 25 Place bith 1 Nationality v7 Sex 18 Mantalstatus 19. Homeadéress 1.30 Telephone numbers 12 ait adeess 1.12 ithe appliant sa minor deta of person excercng parental Fesponsbityguardan 125 Areyouresicing na country other ‘than the country of yeurcurent atonal? Kingdom of the Netherlands Admission and Residence MVV issue form This forms free of charge Passport photo 35 by 45 mm (width by height) Personal details Pac Coury Crest atonal Natonatiyatbith Male Female Single Mawes Separated 5 Divorces Widow 1 other plesespeci 1! 1! Ll 1! 1 nets Natonatiy 1! 1 ne valde No Yes, Residence permit or equivalent L L naa nas a3 a4 2s 2s ar ae 2s Re a3 Type of rave document Dera of travel document Employment Family suey otner Date of intended departure forthe Netverlands Name and acéres ofyour hostin the Netherlands Has your host applied fer your MV with he immigration and Nsturalsation Service IND) In ‘he therlands? Fo, whe will pay the MV fees inte the IND's Duteh Danke account? If yourhestis neta Dutch nations Ishe/shean €U,E&Aor Swiss ctzen living the Netherland? Hove you previously applied for anmw? Ifso, are there any new fats} 3 Please ick the boxbelow Place and cate Signature Ice oppcant io minor the signature ofthe peso exerasing parencl responsiltyouardin 1 ocinary passport £1 Diplomaticpasspor F Sevicepassper: (1 Offialpassport 1 Specalpassper [2 Other taveléocument eee spa nb of ore deanet aati L [ | vate way L | L Purpose of stay in the Netherlands 1D Employment El Sell-emplayment Employment as highly sklled migrant High educated migrant seking employment EU Blue ard holder Bistup 1 Employments researcher [employments lergteacer frelon vei pater 1 Lvewih spouse orregsteredparier _F Uvewih parent FL Uvewih adoptive parents EI Uvewih ose parents 1 Famipieunderan. SECA C1 Other humanitarian grounes 1 suey Working halide orogrammescheme and YWEP, Aust, oad New eso Sut Koes 1 Work plcemenyeaminganchejod [1 Cutwal exchange. stony chal pups 1 Aupaie 1 Medial veatment 1 Weathy foreign national 1 Rcadmision tothe Netherlands, revs edn te Heteonds 1 Resetementiqvtaretugee bay month yer vane l aes \ ves 0 No 1 Iwilpaythereesmysef Cl My hostwitpay the fees NACo fees du) ves B Ne ves No Yes 1 No tfyoutovecnsured Yes plore enpan ting on osepace shee Signature [_thave completed ths form truthfully: 1am auare thatthe personal éetalls thave provided wll be passed onto official agences inthe Netherlands, which require this information n der to mplement the Aliens Ae 2000, Pace ay monty yest L [ |

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