Application for family members via recognised sponsor of your

employee

It is also possible to submit and manage this application online. Start the online application on www.ind.nl/en. Choose
the button ‘Login Business Portal’ and login with eHerkenning.

1 Who can submit this application?

• You can only use this form if you have been recognised as sponsor by the IND or are the authorised
representative of the recognised sponsor.
• You use this form for the family members of your employee who you bring/brought to the Netherlands. If you
want to apply for a residence permit for family members of a holder of a European Blue Card, you should use
the form Application for family members of the holder of the European Blue Card (recognised referent/non-
recognised referent).
• If the family members and your employee enter the Netherlands simultaneously, you should submit all
applications to the IND simultaneously.
• The employee is the sponsor for his or her family members. The rights and obligations of the sponsor lie
with the employee with whom the family members will reside. The employee must therefore record the
evidence and inform the IND in case of any changes. For more information, you can refer the employee to
the brochure ‘Enabling a family-member or relative to come to the Netherlands’. If the family members and
the employee enter the Netherlands simultaneously, you must also pay the fees for these family members
via a direct debit collection.
• Here, you have to state the applicable procedure.

> Please tick the applicable situation

It concerns an application for the following procedure:

 Procedure for Entry and Residence: the family member of your employee still lives abroad and is obliged to
apply for a regular provisional residence permit.
 Procedure for a regular residence permit: the family member of your employee is not obliged to apply for a
regular provisional residence permit and resides in the Netherlands or still abroad.
 Extension of the validity of the residence permit.
 Changing the residence permit (together with extending the validity of the residence permit): the family
member of your employee already has a residence permit and wants to change his residence permit into
another purpose of residence.

Make sure that this application is received by the IND in time. Therefore, submit the application before the
validity of the family member's current residence permit expires. Please note! Do not submit the application later
than 4 weeks after the expiry date of the residence permit. This is important to prevent the family member
encountering a residence gap. A residence gap is an interruption in your residence. This has consequences for any
subsequent procedures, such as an application for a permanent residence permit or an application for
naturalisation. Do not submit an application for extension of the validity if the residence permit is still valid for
more than 3 months. The IND will disregard an application for extension which is submitted earlier than 3 months
before the expiration date of the residence permit.

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2 Details of the recognised sponsor Write in block letters

2.1 Company name

2.2 IND client number 1-

2.3 Name of contact person

2.4 Postal address Street Number

P.O. box (if applicable)

Postcode

Town

2.5 Telephone number of contact

person

2.6 E-mail of contact person

2.7 Chamber of Commerce number

3 Details of the authorised representative (if applicable) Write in block letters

3.1 Company name

3.2 Name authorised representative

3.3 Name of contact person

3.4 Postal address Street Number

P.O. box (if applicable)

Postcode

Town

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3.5 Telephone number

3.6 E-mail

4 Details of your employee (the principal person) Write in block letters

4.1 V-number (if known)

4.2 Citizen Service Number

(if known)
4.3 Name Surname
(as stated in the passport)

First names

4.4 Sex  Male

 Female

5 Details of the spouse/(registered) partner Write in block letters

5.1 V-number (if known)

5.2 Citizen Service Number

(if known)
5.3 Name Surname
(as stated in the passport)

First names

5.4 Sex  Male

 Female

5.5 Date of birth Day Month Year

5.6 Place of birth

5.7 Country of birth

(as stated in the passport)
5.8 Nationality

5.9 Civil status  unmarried (single or cohabiting)

 married
 registered partnership
 divorced
 widow/widower

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6.1 Details of minor child 1 Write in block letters

6.1 V-number (if known)

6.2 Citizen Service Number

(if known)
6.3 Name Surname
(as stated in the passport)

First names

6.4 Sex  Male

 Female

6.5 Date of birth Day Month Year

6.6 Place of birth

6.7 Country of birth

(as stated in the passport)
6.8 Nationality

6.9 Civil status  unmarried (single or cohabiting)

 married
 registered partnership
 divorced
 widow/widower

6.2 Details of minor child 2 Write in block letters

6.10 V-number (if known)

6.11 Citizen Service Number

(if known)
6.12 Name Surname
(as stated in the passport)

First names

6.13 Sex  Male

 Female

6.14 Date of birth Day Month Year

6.15 Place of birth

6.16 Country of birth

(as stated in the passport)

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6.17 Nationality

6.18 Civil status  unmarried (single or cohabiting)

 married
 registered partnership
 divorced
 widow/widower

6.3 Details of minor child 3 Write in block letters

6.19 V-number (if known)

6.20 Citizen Service Number

(if known)
6.21 Name Surname
(as stated in the passport)

First names

6.22 Sex  Male

 Female

6.23 Date of birth Day Month Year

6.24 Place of birth

6.25 Country of birth

(as stated in the passport)
6.26 Nationality

6.27 Civil status  unmarried (single or cohabiting)

 married
 registered partnership
 divorced
 widow/widower

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7 Statement on conditions

I state the following:

• The principal person has lasting and sufficient means of support.  Yes  No
• The family member(s) over 12 years of age has/have signed the antecedents  Yes  No
certificate.
> Please enclose the antecedents certificate with the application.
• The family member(s) intend(s) to undergo a TB test (if mandatory) within 3 months  Yes  No
after having arrived in the Netherlands (only applicable in case of first admission).
• The family member(s) has/have his/their principal residence in the Netherlands or will  Yes  No
establish the principal residence in the Netherlands.
In case of residence as a family member of a researcher within the meaning of Directive (EU) 2016/801
(inbound long-term mobility)
• The family member(s) is/are adequately insured for medical expenses  Yes  No

8 Entry date (if a regular provisional residence permit is required)

The entry date will be the start date of the residence permit. If the entry date is unknown the residence permit
starts the day after issuing the regular provisional residence permit. Please note! Issuing of the residence document
may take longer if no entry date has been provided.

> Please tick the applicable situation and fill in

8.1 Entry date  Entry date unknown

 Entry date:
Day Month Year

9 Family member of a researcher within the meaning of Directive (EU)

2016/801 (inbound long-term mobility) (if applicable)

Day Month Year

9.1 Indicate the period during which
your family member will stay in from
the Netherlands
Day Month Year
to

9.2 Expected date of departure from

Day Month Year
the Netherlands

10 Place of collection of regular provisional residence permit

(only if a regular provisional residence permit is required)

The entry date will be the start date of the residence permit. If the entry date is unknown the residence
permit starts the day after issuing the regular provisional residence permit. Please note! Issuing of the
residence document may take longer if no entry date has been provided.

10.1 Town

10.2 Country

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11 Evidence to be enclosed

> Please tick the applicable situation

 In case of a marriage/registered partnership (320)

Please enclose the following means of evidence with your application:
• A copy of the legalised marriage certificate or certificate of registered partnership. Please note: Is the marriage
or registered partnership registered with the municipality in the Netherlands (BRP)? If so, you do not have to
enclose a copy of a legalised certificate.

In case of marriage/registered partnership with a researcher within the meaning of Directive (EU) 2016/801
(inbound long-term mobility) please enclose:
• A copy of the front and back of a valid residence permit as a family member of the researcher, issued by the
first Member State.

 In case of a partner (322)

Please enclose the following means of evidence with your application:
• A copy of the legalised unmarried status declaration of the principal person. The unmarried status declaration
must come from the country of origin. If the principal person did not reside in the country of origin before
coming to the Netherlands, but in a country of continuous residence, please add a declaration of unmarried
status from the country of origin and an unmarried declaration from the sponsor's country of continuous
residence. If the principal person (in the meantime) has Dutch nationality, a permanent residence permit or an
asylum residence permit, then he does not need to add an unmarried status declaration;
• A copy of the legalised unmarried status declaration of the partner. The unmarried status declaration must
come from the country of origin. If the partner does not reside in the country of origin before coming to the
Netherlands, but in a country of continuous residence, please add an unmarried status certificate from the
country of origin and an unmarried certificate from the country of continuous residence.
• Appendix ‘Declaration of relationship’ completed and signed by your employee and his partner.
• A ‘Questionnaire for residence with partner’ that you have fully completed and signed.

In case of a partner with a researcher within the meaning of Directive (EU) 2016/801 (inbound long-term mobility)
please enclose:
• A copy of the front and back of a valid residence permit as a family member of the researcher, issued by the
first Member State.

 In case of a minor child (326)

Please enclose the following means of evidence with your application:
• A copy of a legalised birth certificate or, if the birth certificate does not show the family relationship
between the principal person and the children, other copies of legalised documents about this family
relationship, for example any adoption documents.
If the child’s other parent who also has custody remains in the country of origin, then also include:
• A signed declaration of consent from the parent staying behind. This declaration of consent states that this
parent gives his/her consent for the child to stay in the Netherlands; and
• A copy of legalised documents showing the legal authority of the principal person, spouse or partner over
the minor child; and
• A copy of the identity document (for example passport) of the parent staying behind.
If the child is 15 years of age or older, please also enclose:
• A ‘Certificate of non-impediment’ appendix, completed and signed by the child.
In case of a minor child of a researcher within the meaning of Directive (EU) 2016/801 (inbound long-term mobility)
please enclose:
• A copy of the front and back of a valid residence permit as a family member of the researcher, issued by the
first Member State.
If the child’s other parent who also has custody remains in the other Member State, then also include:
• A signed declaration of consent from the parent staying behind. This declaration of consent states that this
parent gives his/her consent for the child to stay in the Netherlands; and
• A copy of the identity document (for example passport) of the parent staying behind.
If the child is 15 years of age or older, please also enclose:
• A ‘Certificate of non-impediment’ appendix, completed and signed by the child.

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12 Location where the residence permit is collected

Please indicate below the IND Desk where the foreign national will collect the residence permit:

 Amsterdam  ’s-Hertogenbosch (Den Bosch)  Den Haag  Zwolle

The foreign national can also collect his residence permit at an Expatcenter:
(NB. Some Expatcenters charge a fee for this service. To collect the residence permit you must make an
appointment)

 Amsterdam  Den Haag  Eindhoven  Enschede

 Groningen  Maastricht  Nijmegen  Rotterdam
 Utrecht  Wageningen

13 Signing by the recognised sponsor

13.1 Name

13.2 Place and date Place

Day Month Year

13.3 Signature (by a person authorised

for this purpose)

14 Means of evidence and documents

Please enclose the following documents with this form:

• A copy of the passport of the family member(s) (only the identity details and stamped pages).
• The completed appendix antecedents certificate
• The completed appendix Authorisation and sponsorship declaration.
• The completed appendix direct debit collection
Procedure for a regular residence permit, the foreign national resides in the Netherlands and has a nationality
whereby he will need a Regular Provisional Residence Permit.
• A copy of a valid residence permit issued by another Schengen member state.

Schengen member state: Belgium, Croatia, Denmark, Germany, Estonia, Finland, France, Greece, Hungary, Italy,
Latvia, Liechtenstein, Lithuania, Luxembourg, Malta, Norway, Austria, Poland, Portugal, Slovenia, Slovakia, Spain,
Czech republic, Iceland, Sweden, Switzerland.

15 Biometric information (fingerprints, passport photo) and signature

The family member(s) of the employee must have his/her/their fingerprints and facial image (passport photo)
taken to determine their identity. The biometric information is also required to create a residence permit.
For the residence permit the IND also needs a signature. See the appendix Fingerprints, passport photo and
signature.
NB. Fingerprints are not taken from children younger than the age of 6.

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16 Submitting the application and payment

You have collected, copied and enclosed all the means of evidence necessary for the application.
Proceed to the appendix: “Submitting and paying for the application (by the sponsor)”.

Processing of personal data

The Immigration and Naturalisation Service (IND) processes personal data when it processes your application,
notification, or request. This means that if needed the IND will request data from you yourself and other
organisations or persons. The IND also uses and stores data and shares them with other organisations. When doing
so, the IND strictly adheres to the stipulations of privacy legislation. For instance, the IND must treat data safely
and with due care. The law also gives rights. At your request, you are allowed to see which data on you the IND
processes. You can also get information on why the IND does so and to whom your data have been passed on. On
www.ind.nl you can read how the IND processes your data and which rights you have. You can also read how to use
your rights.

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Appendix Antecedents Certificate

Who should complete this appendix?

Pursuant to Articles 3.77, paragraph 11 and 3.86, paragraph 18 of the Aliens Decree, every foreign national aged 12
years or older must complete this appendix.
Please note! This statement consists of 2 pages. You must complete both pages.

1 Declaration of the foreign national

On this form you fill in whether you have ever committed a crime or a criminal offence. These are crimes
committed in the Netherlands and criminal offences committed outside the Netherlands. You must answer the
questions with Yes or No. Not completing the form truthfully or failing to report is a criminal offence. This can lead
to a sanction. Your answers may have consequences for your application or for a residence permit that you have
previously received.

> Please tick the applicable situation

Are you currently being prosecuted for committing a crime in the Netherlands? Or for  Yes  No
committing a criminal offence abroad?

Have you ever been sentenced to a fine, community service, penalty order by a public  Yes  No
prosecutor, custodial measure or imprisonment or have you accepted an out-of-court
settlement for committing a crime in the Netherlands? Or have you ever been convicted
of committing a criminal offence abroad?

Have you ever committed a crime, or have you been involved in a crime as referred to in  Yes  No
Article 1F of the 1951 Geneva Convention on Refugees? Like a murder, war crime,
genocide, terrorist crime or crimes against humanity?

Have you received an entry ban from one of the countries of the EU/EEA or Switzerland?*  Yes  No
Or a measure similar to an entry ban?

* This is a ban on travel to the Netherlands, the EU / EEA or Switzerland.

Have you submitted incorrect data during earlier residence procedures in the  Yes  No
Netherlands?

Have you ever stayed illegally in the Netherlands?  Yes  No

> Have you ticked Yes for one or more questions? Then explain why.

7601-03
2 Signature of the foreign national

 I have completed this form truthfully.

 I know that the IND can reject my application or withdraw my residence permit if I have ever been
convicted of committing a crime.
 If something changes in my situation through which my statements on this form are no longer correct, I
will notify the IND as soon as possible. I do this within four weeks after the change in my situation.

2.1 V-number (if known)

2.2 Name

2.3 Date of birth Day Month Year

2.4 Place and date Place

Day Month Year

2.5 Signature

Processing of personal data

The Immigration and Naturalisation Service (IND) processes personal data when it processes your application,
notification, or request. This means that if needed the IND will request data from you yourself and other organisations or
persons. The IND also uses and stores data and shares them with other organisations. When doing so, the IND strictly
adheres to the stipulations of privacy legislation. For instance, the IND must treat data safely and with due care. The law
also gives rights. At your request, you are allowed to see which data on you the IND processes. You can also get
information on why the IND does so and to whom your data have been passed on. On www.ind.nl you can read how the
IND processes your data and which rights you have. You can also read how to use your rights.

7601-03
Appendix Fingerprints, passport photo and signature

Please do not enclose this appendix with the form!

For every new application you submit, the IND needs your photo, signature and fingerprints. The IND uses these
biometric details to establish your identity and make your residence document. We do not need new biometrics in the
following situations:
• Your biometrics have been taken at an IND desk or embassy abroad less than 6 months ago.
• You apply for a Foreign Nationals Identity Document (Type W and Type W2). Your biometrics have been taken
at an IND desk or embassy abroad less than 5 years and 3 months ago. With a Foreign Nationals Identity Document
you show that you are allowed to be in the Netherlands because you are waiting for a decision on your application.
The IND then reuses old biometric details.

In all cases, the foreign national must bring a valid passport (this can also be a foreign national passport or a refugee
passport) or ID card of the EU, EEA or Switzerland.

Situation: application starts when the foreign national is abroad

1. Entry and Residence procedure

• The sponsor (in the Netherlands) will have submitted the application for a residence permit for the foreign
national (who is still abroad).
 When taking the basic civic integration examination abroad, the employee of the Dutch embassy or consulate
will scan the passport photo of the foreign national and take his fingerprints. The foreign national must place
his signature. The passport photo must comply with the requirements which also apply for Dutch passports.
The embassy can inform the foreign national where he is able to have passport photos made locally, which
comply with the relevant requirements. A photo that does not comply with the requirements will cause
unnecessary delay.
 If the foreign national does not have to take a basic civic integration examination abroad, the employee of the
Dutch embassy or consulate will scan the passport photo of the foreign national and take his fingerprints when
collecting the Regular Provisional Residence Permit (mvv). The foreign national must place his signature. The
passport photo must comply with the requirements which also apply for Dutch passports. The embassy can
inform the foreign national where he/she is able to have passport photos made locally, which comply with the
relevant requirements. A photo that does not comply with the requirements will cause unnecessary delay.

2. Application for a Regular Provisional Residence Permit (mvv) by the foreign national
• The foreign national has submitted the application for a Regular Provisional Residence Permit to the Dutch embassy
or the consulate in the country of origin or long-term residence.
 When submitting the application, the employee of the Dutch embassy or consulate makes a scan of the
passport photo and takes the fingerprints. The foreign national must place his signature. The passport photo
must comply with the requirements which also apply for Dutch passports. The embassy can inform the foreign
national where he/she is able to have passport photos made locally, which comply with the relevant
requirements. A photo that does not comply with the requirements will cause unnecessary delay.

3. Application for temporary Regular Residence Permit for persons who do not require a Regular Provisional
Residence Permit
• If an application is submitted in the Netherlands by a (recognised) sponsor for a foreign national who does not
require a Regular Provisional Residence Permit, then the foreign national must go to an Immigration and
Naturalisation Service (IND) desk immediately after arrival in the Netherlands. The Immigration and Naturalisation
Service (IND) employee will make fingerprints and a passport photo and the foreign national will be required to
place his signature. You have to make an online appointment via the website www.ind.nl.

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 Situation: application starts when the foreign national is in the Netherlands

1. The application is submitted by post

• The foreign national or sponsor sends the application by post to the IND. He will then receive a letter from the
IND. This letter states whether the foreign national must have his fingerprints taken and that he must have a
passport photo taken and place his signature. For this, the foreign national makes an appointment online at an
IND desk. The addresses and opening times of the IND desks can also be found on www.ind.nl. If the application
form notes that the foreign national will collect the residence permit at an expat centre, then he can also have a
passport photo and his fingerprints taken there. Please check www.ind.nl for how to make an online
appointment. The addresses and opening hours of the Expat Centres can be found at www.ind.nl.

2. The foreign national submits the application in person

• The foreign national submits the application personally at the IND desk. A passport photo is made at the desk
and fingerprints are taken if necessary. The foreign national must also place his signature there. The application
can only be submitted to the IND desk by appointment. To make an appointment, visit www.ind.nl.

Processing of personal data

The Immigration and Naturalisation Service (IND) processes personal data when it processes your application,
notification, or request. This means that if needed the IND will request data from you yourself and other organisations
or persons. The IND also uses and stores data and shares them with other organisations. When doing so, the IND
strictly adheres to the stipulations of privacy legislation. For instance, the IND must treat data safely and with due
care. The law also gives rights. At your request, you are allowed to see which data on you the IND processes. You can
also get information on why the IND does so and to whom your data have been passed on. On www.ind.nl you can
read how the IND processes your data and which rights you have. You can also read how to use your rights.

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Appendix Declaration of relationship

Only complete this declaration if you apply for a residence permit for residence with or for your unmarried partner.
Please note! If the declaration of relationship is not completed truthfully, this will constitute an offence, which will be
reported in all cases.

1 Details of sponsor (the partner) Write in block letters

1.1 Name Surname

(as stated in the passport)

First names

1.2 Sex  Male

 Female

1.3 Date of birth Day Month Year

1.4 Place of birth

1.5 Country of birth

(as stated in the passport)
1.6 Nationality

1.7 Civil status  unmarried (single or cohabiting)

 married
 registered partnership
 divorced
 widow/widower

1.8 Home address Street

Number

Postcode

Town

1
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2 Details of foreign national Write in block letters

2.1 V-number (if known)

2.2 Name Surname

(as stated in the passport)

First names

2.3 Sex  Male

 Female

2.4 Date of birth Day Month Year

2.5 Place of birth

2.6 Country of birth

(as stated in the passport)
2.7 Nationality

2.8 Civil status  unmarried (single or cohabiting)

 married
 registered partnership
 divorced
 widow/widower

2.9 Home address Street

Number

Postcode

Town

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3 Declaration

The sponsor and the foreign national declare that they maintain an exclusive relationship and that they are
running (or will be running) a joint household, and that they have been (or will be) cohabiting at the address
mentioned under 1.8, from:

3.1 Date Day Month Year

If you are not living together because your partner does not yet live in the Netherlands, please provide the
expected date of arrival in the Netherlands).

The sponsor and the foreign national both declare that they will notify the Immigration and Naturalisation
Service within 4 weeks if their exclusive relationship ends. Please use the ‘Notification form for family members
and relatives’, which you can download from www.ind.nl.

4 Signing

 I have completed this form truthfully.

4.1 Name

4.2 Place and date Place

Day Month Year

4.3 Signature of foreign national

4.4 Signature of sponsor

Processing of personal data

The Immigration and Naturalisation Service (IND) processes personal data when it processes your application, notification,
or request. This means that if needed the IND will request data from you yourself and other organisations or persons. The
IND also uses and stores data and shares them with other organisations. When doing so, the IND strictly adheres to the
stipulations of privacy legislation. For instance, the IND must treat data safely and with due care. The law also gives
rights. At your request, you are allowed to see which data on you the IND processes. You can also get information on why
the IND does so and to whom your data have been passed on. On www.ind.nl you can read how the IND processes your
data and which rights you have. You can also read how to use your rights.

3
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 4
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Appendix Certificate of non-impediment

This statement only applies to children aged 15 years or older. With this statement you indicate whether you are (or
have been) married and whether you are in a relationship.

Please note! Not completing this Certificate of non-impediment truthfully is an offense of which in all cases a report will
be made.

This statement can be completed and signed by you (child aged 15 or older), your legal representative or sponsor.

1 Details of foreign national Write in block letters

1.1 V-number (if known)

1.2 Name Surname

(as stated in the passport)

First names

1.3 Sex  Male

 Female

1.4 Date of birth Day Month Year

1.5 Place of birth

1.6 Country of birth

(as stated in the passport)

1.7 Nationality

1.8 Civil status  unmarried (single or cohabiting)

 married
 registered partnership
 divorced
 widow/widower

1.9 Are you in a relationship (other  Yes

than marriage or registered  No
partnership)?

1
7609 – 04
1.10 Home address Street

Number

Postcode

Town

1.11 Details passport Number

Country

Valid from (date) Day Month Year

to Day Month Year

2 Declaration

Please note! Tick 'yes' or 'no' after each statement and do not skip any lines.

> Please tick

I declare that:
• I am married.  Yes  No
• I have entered into a registered partnership.  Yes  No
• I am divorced.  Yes  No
Name of former spouse or registered partner:

• I am a widow or widower.  Yes  No

Name of deceased spouse or registered partner:

• I have a long-term and exclusive relationship with someone (a relationship similar  Yes  No
to a marriage but you are not married).
• I do have the care of a child or children.  Yes  No
• I live independently (on my own).  Yes  No
• I live with my (adoptive or foster) parent(s).  Yes  No
• I provide for my own livelihood. This means, among other things, that you are  Yes  No
financially able to buy food and clothing yourself.

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7609 – 04
 Explanation (optional)

3 Signing

 I have completed this form truthfully.

 I know that not being honest about my marital status, this could have negative consequences for my
application.
 I know that if something changes in my situation as a result of which my statements on this form are no
longer correct, I must report this to the IND as soon as possible.

3.1 Name

3.2 Place and date Place

Day Month Year

3.3 Signature

Processing of personal data

The Immigration and Naturalisation Service (IND) processes personal data when it processes your application,
notification, or request. This means that if needed the IND will request data from you yourself and other organisations
or persons. The IND also uses and stores data and shares them with other organisations. When doing so, the IND
strictly adheres to the stipulations of privacy legislation. For instance, the IND must treat data safely and with due care.
The law also gives rights. At your request, you are allowed to see which data on you the IND processes. You can also
get information on why the IND does so and to whom your data have been passed on. On www.ind.nl you can read
how the IND processes your data and which rights you have. You can also read how to use your rights.

3
7609 – 04
 4
7609 – 04
Appendix Submitting and paying for the application by the
sponsor

Do not enclose this appendix with the form!

Below, you can read how you can submit and pay for the Entrance and Residence Procedure (TEV procedure), the
application for a residence permit (without a regular provisional residence permit) or a change to the restriction on the
residence permit. Please note! If the foreign national relies on an exemption from the requirement to apply for a regular
provisional residence permit you cannot send the application by post. In that case, the foreign national must always
submit the application to the IND Desk in person. Please visit www.ind.nl for the ways you can contact the IND.

Submitting the Entrance and Residence Procedure (TEV procedure), a residence permit without a regular
provisional residence permit or a change to the restriction on the residence permit
You send the application form, the appendices and the requested evidence to the IND by post. Never send any original
evidence. You must send clearly readable and full copies of the original evidence. Do not use any staples or paperclips.
Do not send any USB sticks, CDs, DVDs and suchlike. Put all evidence in a sufficiently stamped envelope. Send your
application to the following address:

Application for an economic purpose of residence (work, study, Immigratie- en Naturalisatiedienst

for example) Postbus 5
9560 AA Ter Apel
Application for a social purpose of residence (family formation Immigratie- en Naturalisatiedienst
or family reunification, for example) Postbus 16
9560 AA Ter Apel

How do you pay?

An application is not free of charge. The costs depend on the purpose of the residence applied by you. After the IND has
received your application, you will receive a letter stating the amount and the manner in which you have to pay (unless
you use a direct debit collection) (direct debit collection is not available for private persons, non-recognised sponsors,
recognised sponsors relating to 'exchange'established in another Member State of the EU, EEA or Switserland and
applications for recognition as sponsor). Here, you can find no information about the costs or any exemption from
having to pay fees. Please visit www.ind.nl if you want to know the costs beforehand. If the assessment of your
application shows that you do not qualify for the residence permit applied for, you will not receive a refund.

What happens with your application?

If you have submitted your application to the IND and paid the related costs, the IND will assess your application. If
your application is incomplete, the IND will be unable to properly assess your application. If you fail to make a payment
or timely payment or submit an incomplete application, the handling of your application will be delayed. You will be
informed in writing once your application has been handled. If your application is granted, you will also receive a letter
with information about the follow-up procedure.

Providing correct information

Providing incorrect information or withholding relevant information may lead to withdrawal of the permit. If punishable
offences are observed, the IND reports this to the police.

V-number
A V-number is a unique number, which is used for identification of a foreign national by the IND and cooperating
organisations (such as the Aliens Police). The number is listed in the correspondence which the foreign national or
sponsor receives from the IND and other organisations and is also printed on the residence document itself.

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Processing of personal data
The Immigration and Naturalisation Service (IND) processes personal data when it processes your application,
notification, or request. This means that if needed the IND will request data from you yourself and other organisations
or persons. The IND also uses and stores data and shares them with other organisations. When doing so, the IND
strictly adheres to the stipulations of privacy legislation. For instance, the IND must treat data safely and with due care.
The law also gives rights. At your request, you are allowed to see which data on you the IND processes. You can also
get information on why the IND does so and to whom your data have been passed on. On www.ind.nl you can read how
the IND processes your data and which rights you have. You can also read how to use your rights.

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Appendix Authorisation and sponsorship declaration

This declaration must be completed by the foreign national who submits an application for his family members using a
recognised sponsor. This application is submitted by the recognised sponsor.
Please note! I am aware of the fact that if this declaration is not based on the truth, this may have consequences for the
right of residence.

1 Details of foreign national Write in block letters

1.1 Name Surname

(as stated in the passport)

First names

1.2 Sex  Male

 Female

1.3 Date of birth Day Month Year

1.4 Place of birth

1.5 Country of birth

(as stated in the passport)
1.6 Authorisation and declaration > Please tick and fill in

 Declare that I present myself as sponsor as referred to in Article 2a of

the Aliens Act for my family members for whom a residence permit is
applied for through the intervention of my recognised sponsor.
 I hereby authorise:
Name of company, institution or educational institution

to submit the application for a residence permit for my dependent family

members.

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2 Signing

2.1 Place and date Place

Day Month Year

2.2 Signature

Processing of personal data

The Immigration and Naturalisation Service (IND) processes personal data when it processes your application, notification,
or request. This means that if needed the IND will request data from you yourself and other organisations or persons. The
IND also uses and stores data and shares them with other organisations. When doing so, the IND strictly adheres to the
stipulations of privacy legislation. For instance, the IND must treat data safely and with due care. The law also gives
rights. At your request, you are allowed to see which data on you the IND processes. You can also get information on why
the IND does so and to whom your data have been passed on. On www.ind.nl you can read how the IND processes your
data and which rights you have. You can also read how to use your rights.

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Appendix Questionnaire for residence with partner

The questions must be answered by the partner (the sponsor) who lives in the Netherlands.

What is important in this questionnaire?

You must answer the following list of questions extensively and in detail. The IND can then assess whether your
relationship is lasting and exclusive. Use separate sheets of paper when answering the questions. Mention the number of
the question and your answer on the sheet. You must place your signature and the date of signing on each sheet of
paper. You must substantiate your answers with as much documentary evidence as possible. For example , letters,
photographs, e-mails and aeroplane tickets. You may submit copies. If you do not answer the questions in extensive
detail and do not submit documentary evidence, the IND cannot assess your relationship properly. Your application can
then be rejected.

Questions
1 Since when do you know your partner? Name the day, month and year.
2 How did you come in contact with your partner?
3 Where did you get to know your partner? Name the place and exact location.
4.1 If you got to know each other via internet or family: have you already met each other in person?
4.2 If so, when and where did you meet? If not, why not?
5 Since when have you had a love affair with each other? Name the day, month and year. How did this happen?
6 How have you maintained the relationship since the beginning until now? Submit as much documentary
evidence as possible, such as letters, e-mails, photographs and aeroplane tickets.
7.1 Has your partner ever been in the Netherlands?
7.2 If so, when was that? Name the day, month and year.
7.3 What was the reason for that stay?
7.4 In what place and with whom did your partner stay?
8 Have you previously had a relationship with someone who came from abroad to the Netherlands for
you? If so, with whom and when was that?
9 Has your partner previously had a relationship with someone in the Netherlands? If so, with whom and when
was that?
10.1 Does your partner have minor-aged children?
10.2 If so, what are those children’s names, how old are they and where do they live now?
11.1 Will the children travel together with your partner to the Netherlands?
Please be aware that if your children will not travel immediately with your partner there may be a
waiting period of 1 year.
11.2 If not, why not? Who will take care of the children after your partner’s departure to the Netherlands?
12 Are you related to your partner? If so, what is the family relationship?

Please note!
 Have you signed and dated all the pages?
 Have you attached all the documentary evidence (as copies)?

Processing of personal data

The Immigration and Naturalisation Service (IND) processes personal data when it processes your application,
notification, or request. This means that if needed the IND will request data from you yourself and other organisations or
persons. The IND also uses and stores data and shares them with other organisations. When doing so, the IND strictly
adheres to the stipulations of privacy legislation. For instance, the IND must treat data safely and with due care. The law
also gives rights. At your request, you are allowed to see which data on you the IND processes. You can also get
information on why the IND does so and to whom your data have been passed on. On www.ind.nl you can read how the
IND processes your data and which rights you have. You can also read how to use your rights.

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7625 - 01
 Please note! If you do not agree with this withdrawal, you can have it
reversed. Please contact your bank for this within 8 weeks. Ask your bank Appendix
for the conditions. The IND does not accept a form that is not filled out
completely or illegibly. (Version 2018b) Direct debit collection
(One time authorisation - SEPA)

Complete and sign the form. Do so for each foreign national separately. (Debit collection takes place per foreign national and per procedure).
(Direct debit is only available for recognised sponsors and their authorised If assessment of the application shows that the foreign national does not
representatives. This paying method is not available for applications for recognition qualify for the requested residence permit, you will not be reimbursed.
as sponsor.) IND debits your account for legal fees to be paid within three See for current fees: www.ind.nl/fees
months stating the ID and reference of the collecting officer.

1 Details of collecting officer

1.1 Name Immigration and Naturalisation Service

1.2 Postal address PO Box: 5 Postcode: 9560 AA Town: Ter Apel Country: Netherlands

1.3 ID Collecting Officer NL77ZZZ507204570001

1.4 Authorisation Reference (future) invoice number of the application

2 Details of the bank account from wich the fees are debited
> The IND only accepts authorisations for Euro accounts (SEPA).
Fill in the details of the paying party and not the details of the bank.

2.1 Name account holder |

Street Number

2.2 Postal address | |

Postcode Town

| |

2.3 IBAN

2.4 BIC

3 Details of the foreign national

Surname as stated in the passport

3.1 Name |
First names

|
Day Month Year

3.2 Date of birth

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 2 of 2

4 Signing
By signing this form, you authorise IND to send a once only direct debit collection order to your bank to debit
your account for the legal fees to be paid. By signing this form you also authorise the bank to debit your
account once only according to the order by IND.

4.1 Name |
Place Day Month Year

4.2 Place and date |

Signature account holder Stamp (optional)

4.3 Signature account holder (by a

person authorised for this purpose) | |
and company/organisation stamp

Processing of personal data

The Immigration and Naturalisation Service (IND) processes personal data when it processes your application, notification,
or request. This means that if needed the IND will request data from you yourself and other organisations or persons.
The IND also uses and stores data and shares them with other organisations. When doing so, the IND strictly adheres to the
stipulations of privacy legislation. For instance, the IND must treat data safely and with due care. The law also gives rights.
At your request, you are allowed to see which data on you the IND processes. You can also get information on why the IND
does so and to whom your data have been passed on. On www.ind.nl you can read how the IND processes your data and
which rights you have. You can also read how to use your rights.

b29