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    MVV Issue Form

    Uploaded by

    Somendra
    This document appears to be an application form for a Dutch residence permit or visa (MVV). It requests personal details such as name, date of birth, passport information, contact details, and purpose of stay in the Netherlands. Applicants must provide their signature to confirm they completed the form truthfully and understand their information will be shared with Dutch immigration authorities.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    MVV Issue Form

    Uploaded by

    Somendra
    430 views2 pages
    This document appears to be an application form for a Dutch residence permit or visa (MVV). It requests personal details such as name, date of birth, passport information, contact details, and purpose of stay in the Netherlands. Applicants must provide their signature to confirm they completed the form truthfully and understand their information will be shared with Dutch immigration authorities.

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    © © All Rights Reserved

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    This document appears to be an application form for a Dutch residence permit or visa (MVV). It requests personal details such as name, date of birth, passport information, contact details, and purpose of stay in the Netherlands. Applicants must provide their signature to confirm they completed the form truthfully and understand their information will be shared with Dutch immigration authorities.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    430 views2 pages

    MVV Issue Form

    Uploaded by

    Somendra
    This document appears to be an application form for a Dutch residence permit or visa (MVV). It requests personal details such as name, date of birth, passport information, contact details, and purpose of stay in the Netherlands. Applicants must provide their signature to confirm they completed the form truthfully and understand their information will be shared with Dutch immigration authorities.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Admission and Residence

    MVV issue form


    This form is free of charge

    Passport photo
    35 by 45 mm
    (width by height)

    1 Personal details

    1.1 Surname (family name) |


    1.2 S urname 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 number(s) | |
    1.11 Email address |
    Surname First name
    1.12 If the applicant is a minor, details of
    person excercising parental | |
    responsibility/guardian Address Nationality

    | |
    No. Valid until

    1.13 Are you residing in a country other No Yes. Residence permit or equivalent | |
    than the country of your current
    nationality?

    13BUZ623121|E
    2 van 2

    1.14 Type of travel document Ordinary passport Diplomatic passport Service passport Official passport

    Special passport Other travel document (please specify)


    Number of travel document Date of issue

    1.15 Details of travel document |


    Valid until Issued by

    2 Purpose of stay in the Netherlands


    2.1 Employment Employment Self-employment Employment as highly skilled migrant

    Highly educated migrant seeking employment EU Blue card holder Start-up

    Employment as researcher Employment as cleric/teacher of religion

    2.2 Family Live with partner Live with spouse or registered partner Live with parents

    Live with adoptive parents Live with foster parents

    Family life under art. 8 ECHR Other humanitarian grounds

    2.3 Study Study Working holiday programme/scheme and YWEP

    Work placement/learning on the job Cultural exchange, secondary school pupils

    Au pair Medical treatment Wealthy foreign national


    2.4 Other
    Readmission to the Netherlands, previously lived in the Netherlands Resettlement/quota refugee

    Day month year


    2.5 Date of intended departure
    for the Netherlands
    Name
    2.6 Name and address of your
    host in the Netherlands |
    Address

    |
    2.7 Has your host applied for your Yes No
    MVV with the Immigration and
    Naturalisation Service (IND) in
    the Netherlands?

    2.8 If not, who will pay the I will pay the fees myself My host will pay the fees N/A (no fees due)
    MVV fees into the IND’s Dutch
    bank account?

    2.9 If your host is not a Dutch national, Yes No


    is he/she an EU, EEA or
    Swiss citizen living in
    the Netherlands?

    2.10 Have you previously applied for Yes No


    an MVV?

    2.11 If so, are there any new facts/ Yes No If you have answered Yes: please explain in writing on a separate sheet
    circumstances?

    3 Signature

    3.1 Please tick the box below I have completed this form truthfully. I am aware that the personal details I have provided will be passed on to
    official agencies in the Netherlands, which require this information in order to implement the Aliens Act 2000.
    Place Day month year

    3.2 Place and date |

    3.3 Signature |
    > If the applicant is a minor, the signature
    of the person exercising parental
    responsibility/guardian

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