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Residence Permit Relationship Declaration

This document is a declaration of relationship form for an unmarried partner applying for a residence permit in the Netherlands. It collects details about both the sponsoring partner who lives in the Netherlands and the foreign national partner, such as name, date of birth, nationality, address and marital status. Both partners must declare that they have an exclusive relationship, live together or intend to live together at the sponsor's home address, and will notify immigration services if their relationship ends. They sign to confirm they have completed the form truthfully.

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Matheus Sousa
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346 views4 pages

Residence Permit Relationship Declaration

This document is a declaration of relationship form for an unmarried partner applying for a residence permit in the Netherlands. It collects details about both the sponsoring partner who lives in the Netherlands and the foreign national partner, such as name, date of birth, nationality, address and marital status. Both partners must declare that they have an exclusive relationship, live together or intend to live together at the sponsor's home address, and will notify immigration services if their relationship ends. They sign to confirm they have completed the form truthfully.

Uploaded by

Matheus Sousa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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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


 married
 registered partnership
 divorced
 widow/widower

1.8 Home address Street

Number

Postcode

Town

1
7608 - 02
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


 married
 registered partnership
 divorced
 widow/widower

2.9 Home address Street

Number

Postcode

Town

2
7608 - 02
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
7608 - 02
4
7608 - 02

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