MVV Issue Form
MVV Issue Form
MVV Issue Form
Passport photo
35 by 45 mm
(width by height)
1 Personal details
1.6 Nationality | |
1.7 Sex Male Female
| |
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
2.2 Family Live with partner Live with spouse or registered partner Live with parents
|
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?
2.11 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
3.3 Signature |
> If the applicant is a minor, the signature
of the person exercising parental
responsibility/guardian