Beruflich Dokumente
Kultur Dokumente
3 Personal particulars
Surname (Family name)
Previous surname
Birth date (yr, mth, day, ID digits, if any) Sex Military service Co-applicant(s)?
Marital status
5 Passport etc.
Passport no.
National Other Copy of passport No
passport passport appended passport
Issued by Date Expiry date
MIGR 115021 rev. 1 2009-11
No Yes
Restricted right of return to the country of origin/domicile? Dates (inclusive):
No Yes, country:
Permission to reside in another country Dates (inclusive):
No Yes, country:
6 Latest address in country of origin/country of domicile
Street & no. Tel.
Postcode, City/town
District Region
Given names (in ful l) Sex Birth date (yr, mth, day, ID digits, if
any)
M F
Citizenship Previous citizenship, if any
Current address (street & no., postcode & district, country) Co-applicant(s)?
No Yes
Given names (in ful l) Sex Birth date (yr, mth, day, ID digits, if any)
M F
Place/Country of residence Child(ren)
Yes,
No (number):
Marital status
No Yes
Surname (Family name) Previous surname
Given names (in ful l) Sex Birth date (yr, mth, day, ID digits, if any)
M F
Place/Country of residence Child(ren)
Yes,
No (number):
Marital status
No Yes
Surname (Family name) Previous surname
Given names (in ful l) Sex Birth date (yr, mth, day, ID digits, if any)
M F
Place/Country of residence Child(ren)
Yes,
No (number):
Marital status
No Yes
Surname (Family name) Previous surname
Given names (in ful l) Sex Birth date (yr, mth, day, ID digits, if any)
M F
Place/Country of residence Child(ren)
Yes,
No (number):
Marital status
No Yes
9 Parents - personal particulars
Your father’s surname (Family name) Previous surname
Given names (in ful l) Birth date (yr, mth, day, ID digits, if any)
No Yes
Given names (in ful l) Birth date (yr, mth, day, ID digits, if any)
No Yes
Given names (in ful l) Sex Birth date (yr, mth, day, ID digits, if any)
M F
Place/Country of residence Child(ren)
Yes,
No (number):
Marital status
No Yes
Given names (in ful l) Sex Birth date (yr, mth, day, ID digits, if any)
M F
Place/Country of residence Child(ren)
Yes,
No (number):
Marital status
No Yes
11 Relatives in Sweden
Surname, given names Kinship relation Citizenship Living in Sweden
since (yr)
12 Further particulars
14 Signature
I am applying for a Swedish residence permit. I solemnly confirm that the information I have supplied in the application papers is
correct and that no deatils have been omitted that could be of decisive importance when the application is considered.
(Under Ch. 10, 2§ 3. of the Aliens Act, anyone applying for a permit who deliberately fails to provide information having an im portant
bearing on the case will be liable to a fine, or in the event of aggravated circumstances, imprisonment for a maximum six month s.)
Place and date Signature (for minors etc., signature of custodia n/guardian)
Myndighetens anteckningar
Mottagande tjänsteman
Övrig information
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MR-stämpel BR-stämpel