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Immigratie- en Naturalisatiedienst Postbus 245 7600 AE ALMELO

Application for extension of a regular residence permit for a partner/spouse of a highly skilled migrant
VVR Verlenging 320/322/342/340

About the form Using this form the partner or spouse of the highly skilled migrant can submit a request for extension of a regular residence permit. Important: complete this form, print it and sign it. Keep a copy for your administration. More information For more information about the procedures for processing the application, please visit www.ind.nl. For specific information about your situation, you can call the IND info line (0900 1234561 0.10/ min.) on weekdays between 9.00 and 17.00 or send an e-mail to arbeid@ind.minbzk.nl. New passport photo requirements Visit www.paspoortinformatie.nl to learn more about the requirements for passport photos. Foreign documents All official foreign documents must be translated (into Dutch, English, French or German) by a sworn translator and legalised or provided with an apostille by the authorities of the issuing country. You can find more information by country on www.minbuza.nl. Application fee per person Partner/spouse of the highly skilled migrant Family members of Turkish employees 375 40

The following supplementary documents should be submitted along with this application the signed health insurance declaration; the signed passport declaration; the signed Declaration of Circumstances; the signed Declaration criminal record; the signed photo form.

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1.1 Name 1.2 Name of organisation and organisation number 1.3 Telephone number 1.4 Postal address Street and Number Postal code and City/Town

Name of contact/authorised representative (contact person for the IND)

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2.1 Surname and given name(s) 2.2 Date of birth 2.3 Nationality 2.4 Contact Telephone number and E-mail

Information as it appears in passport of the partner/spouse of the highly skilled migrant

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Passport declaration
Please note! You will be asked to present your passport when collecting your new residence document. You will not receive your new document if you cannot present your passport. n I declare that my passport is valid.

3.1 Number of my passport 3.2 Date of expiry

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Declaration criminal record > Tick the situation that applies to you. Failing to fill in this declaration truthfully could have consequences for your residence status
n I hereby declare that: 1. no prison sentence or other custodial measure has ever been imposed on me for a criminal offence; 2. I have never been sentenced to unpaid community service or an alternative sanction for committing a criminal offence; 3. I have never been required to pay a fine for a criminal offence; 4. I have never accepted an offer of a settlement penalty for committing a criminal offence; 5. I have never had a penalty imposed on me by the Public Prosecution Service for a criminal offence; 6. I am not currently facing prosecution for a criminal offence; 7. I have never been responsible for an act in any of the following categories as referred to in article 1F of the 1951 Convention relating to the Status of Refugees: a crime against the peace, a war crime, crimes against humanity, a serious non-political crime (e.g. murder or terrorism), an act contrary to the purposes and principles of the United Nations (e.g. terrorist acts); and 8. I am aware that being convicted of a serious offence may result in the rejection of this application or a termination of rights of residence. n I am unable to make this declaration because:

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5.1 Name of my insurance company

Health insurance declaration

n declare that I have health insurance coverage for this calander year. I When asked for documentation concerning my insurance, I will provide this.

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3 of 3 for extension of a regular residence permit for a partner/spouse of a highly skilled migrant Immigration and Naturalisation Service Ministry of the Interior and Kingdom Relations

Declaration of circumstances > Below please indicate which situation(s) applies/apply to you (the applicant) since your regular residence permit was issued. This concerns any changes that may affect your
right of residence and, where applicable, the right of residence of your family members. Please enclose the requested documentation with your application. n Since my regular residence permit was issued there has been no change to the facts or circumstances that may affect my right of residence. n My income situation has changed. Enclose statements or documentary evidence. n Other, namely:

Signature
I have completed this form truthfully. I am aware that the personal data provided on this form will be processed in implementation of the Aliens Act 2000 and will be passed on to authorities that require these data for this purpose. I will immediately inform the IND in the event of any changes to my situation that relate to my right of residence. I am submitting this form along with (number of) additional documents

7.1 Name 7.2 File number 7.3 V-number 7.4 City/Town 7.5 Date 7.6 Signature of the partner/spouse of the the highly skilled migrant

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Bijlage fotokaart Appendix Passport Photo Form

The Passport Photo Stick a new and unused passport photo on the designated frame at the bottom of this page. If the application is meant for your child, please use a new and unused passport photo of your child. Your passport photo has to meet the Dutch passport requirements. Always have your passport photo made by a professional photographer who is acquainted with the Dutch passport requirements. No residence document can be issued to you if your passport photo does not meet the Dutch passport requirements. It is therefore very important to supply a good passport photo with this form. How to append a photo to this form? Pull away the paper cover, start at the arrow; Place your photo straight on the grey area below; Tightly press the photo on the paper; Place your signature within the frame on the lower left side. Use a pen with dark, preferably black ink. If your signature is not clearly visible, a residence permit can not be created. De pasfoto Onder aan deze pagina moet u een nieuwe, nog niet eerder gebruikte pasfoto van uzelf plakken. Als de aanvraag bedoeld is voor uw kind, dan moet u een nieuwe, nog niet eerder gebruikte pasfoto van uw kind plakken. Uw pasfoto moet voldoen aan de Nederlandse paspoorteisen. Laat daarom altijd een nieuwe pasfoto maken door een beroeps fotograaf die bekend is met de eisen die in Nederland aan pasfotos worden gesteld. Als uw pasfoto niet aan de Nederlandse paspoorteisen voldoet, kan er geen verblijfsdocument aan u worden uitgereikt. Het is dus belangrijk dat u een goede pasfoto meestuurt. Hoe plakt u de foto op dit formulier? Trek het niet-plakkende vel papier los, begin bij de pijl; Leg uw foto recht op het grijze kader; Plak de foto en druk stevig aan; Zet uw handtekening in het vak linksonder. Doe dit met een pen met een donkere kleur inkt, het liefst zwarte inkt. Als uw handtekening niet duidelijk is, kan geen verblijfsdocument worden gemaakt.

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1. 2. Voorna(a)m(en) en achternaam First name(s) and surname Woonadres Home address

Invullen in blokletters Complete in capital letters

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Straat Street Nummer Number

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Postcode Postcode Plaats City/Town

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3. 4. 5. 6. Geboortedatum Date of birth Nationaliteit Nationality V-nummer V-number Handtekening Signature
Dag Day maand month jaar year

> Plak hier uw pasfoto

Your passport photo here

IND4014_BE04/11A