THIS TRANSLATION IS AN AID ONLY. PLEASE SUBMIT YOUR APPLICATION USING THE GERMAN FORMS.

Transcription

1 THS TRANSLATON S AN A ONLY. PLEASE SUBMT YOUR APPLCATON USNG THE GERMAN FORMS. Application for confirmation of German nationality (certificate of nationality) - for children under Surname: 1.2 Surnarlle afbirth: 11 ~frroii! suina~aj)ove 1.3 FirstnaiJ;le(s): c Plea$itglyjl ~Hirst narries-, 1.4 ate.ofbirth: : :.. ::. 1.s TowniOistrietofblrth: < Q female., j Omale 1.s Country of birth: 1.1 Currentaddr.ess: s Countr)iofr~sidence: fii'st Ji~:r~ ~Wifti P,~renf~t.. re~!>otisi~p!w.... s~~bn<:j ~t:~tsof'i Witb Parentat;:re~pot)sibllity (e;g.m~fl' ',... v " ' (~;g.::ti!tt:ier). ' uo Surname: 1.11 Firstname(s): Current address: - if dlffe.nmt lrom.chitd's.a~dress Telephone nuf;riger: -'incl~dlng lnll!mati011al dl~lllng:<:i>de; address: The child has been issued with a German certificate of nationality before. - Piease enc!ose a copy : :.. <.. ' :. :. ' ate lssued lsst.!iog authprity :.: "' The child possesses has possessed a German identification document. 2.4 valid from - until AntraQ FK '...:'.!ssumg authcmty Type ofdocome(lt g ldentity card 0 Passport 0 ldentity card 0 Passport Stand: April Other 0 Other

2 The family member's acquisition of German nationality (P1111se g!ve any addltiooal informatlon or explanations on a separat$ s~eet ot-paper.) 3.1 The tamily member named in section 1 acquired German nationality by throug_h his her tather 3.2 descent!j through his her mother 3.3 adoption through his her adaptive mother through his her adaptive tather 3.4 being born in Germany to non-german parents 3.5 naturalization 3.6 declaration certiticate ot repatriate status issued 3.7 under section 15 ot the Federal Expellees Act 3.8 Other ate Other nationalities held by the family member named in section 1 (Please g!ve any addiuomntormauon or explanatlons on aseparate sheet of paper.) Piease complete APPENX V. Authority Piease specity here in German (see the appendix ot the Notes on aqpiyin_g_ tor contirmation ot German nationality), 4.1 The tamily member holds held German nationality only_ 4.2 Alongside German nationality, the tamily member holds held has held the tollowing other nationalities: Nationality ate: from (- until} How this nationality was acquired 4.3. 'where tlie family memper n~med,;y section 'ft!ivea from birth has lived since birth ( Piease l:j!ve an9 addlt\ohal lntormati()h öt. explahations on a s~e 1ih&et öfpllper,),,,,,,,,, trom until town city country 5.1 Military service performed by the family member named in section 1 (Pleese glve any addltiomnformatlon or explanations on a separate sheet of paper.) 6.1 The tamily member (has) performed no military service_ 6.2 The tamily member (has) served in the German army 6.3 The tamily member (has) served as a conscript in the armed torces ot from until 6.4 country from until as a volunteer protessional member ot the armed torces ot 6.5 country trom until Anlaqe V - 2- Stand: April 2011

3 Applicant's military service ~ not applicable - German nationality documents of other members of the child's family 7.1 The followinq members of the child's family have been issued with certificates of nationality. -Piease enclose a copy.- Surname First name(s) lssuinq authority ate issued 7.2 Applicant's local German mission abroad Name and location of mission: Mission's reference number for this application: -if known A third party has been granted apower of attorney. All correspondence is tobe conducted via this person. Piease complete APPENX VOLLMACHT. the first person with parental responsibility. No third party has been granted a power of or attorney. All correspondence is to be conducted via the second person with parental responsibility. lhereby apply for conftrmation of the above-named child's German nationality (a certificate of nationality) and confirm that the information rovided here is correct and com lete. am aware that providing incorrect or incomplete information may ead to the certificate of nationality being revoked. must immediately inform the Federal Office of Administration of any changes to the child's personal details (name, address, marital status, etc.) or to any of the information provided in this application. an administration fee will be charged for confirmation of German nationality (including issue of a certificate of nationality) and for the refusal or withdrawal of this application. Enclosures: Appendix Vollmacht AppendixV additional enclosures Piease give details of any additional enclosures in the 'Additional information' section or on aseparate sheet of paper. Place, date, signature of first person with parental responsibility on behalf of child Place, date, signature of second person with parental responsibility on behalf of child AntraQ FK - 3- Stand: April 2011

4 - Additional information - for sectlon no. Place, date, signature of first person with parental responsibilitv on behalf of child Place, date, signature of second person with parental responsibilitv on behalf of child Mission's comments The mission had access to the original documents certified copies of the documents uncertified copies of the documents of which copies are enclosed here. The authenticity of the documents concerning civil status is proved confirmed by apostille issued under the Convention of 5 October 1961 Abolishing the Requirement of Legalisation for Foreign Public ocuments. by egaiisation certificate Or COnfirmation Of authenticity is not required under CCS Convention No. 16 of 8 September 1976 or bilateral agreements. The authenticity of the documents concerning civil status cannot be proved confirmed, because there is no apostille issued under the Convention of 5 October 1961 Abolishing the Requirement of Legalisation lor Foreign Public ocuments. the conditions for egaiisation are not given in this country. there are doubts as to the authenticity contents of the documents (give details below). Further comments: Place, date, signature and stamp Antraq FK -4- Stand: April 2011

5 THS TRANSLATON S AN A ONLY. PLEASE SUBMT YOUR APPLCATON USNG THE GERMAN FORMS. Appendix V: Family member relevant to the application for confirmation of German nationality submitted b (Appllcanl's sumame, flrst name(s) and date of blrth) \1 J Family member's pers~nal details' 1.1 Family member's relationship to the applicant: ln this section, indicate which member of the applicant's family this form is about by placing a cross on the family tree. Urgroßmutter = great-grandmother Großmutter= grandmether Mutter = mether ch (Antragsteller) = the applicant Urgroßvater= great-grandfather Großvater= grandtather Vater = tather 1.2 Surname: Surname at birth: if different from surname above First name(s): - Piease give all of his her first names. - ate of birth: Town istrict of birth: Country of birth: Profession: 1.9 Marital status: single 0 in a civil partnership married divorced widowed since: 0 0 civil partnership dissolved from (exact date, town and country) until (exact date, town and country) uo 1st marriage civil partnership: 2"d marriage civil partnership: German nationality documents identity cards/ passportsissued to the family member named in section 1 (Pieasa glve any additional nformation or explanations on aseparate aheet al paper.) 2.1 The family member has had been issued with a certificate of nationality native country. 2.2 ate issued lssuing authority 2.3 The family member possesses possessed a German identification document.- Piease enciose a copy.- valid from - until lssuing authority Type of document 2.4 ldentity card Passport 0 Other ldentity card Passport Other AnlaQe V Stand: April 2011

6 Child's acquisition of German nationality (P!lllse glve any addltional.loiformatlon or explanations ln.lhe 'Additional nformation' section or on a sepsrate sheet of psper.) 3.1 The child acquired German nationality by 3.2 descent g through his her mother through his her tather 3.3 adoption!:::j through his her adoptive mother throuqh his her adoptive tather 3.4 being born in Germany to non-german parents Piease complete APPENX V. 3.5 naturalization 3.6 declaration certiticate ot repatriate status issued 3.7 under section 15 ot the Federal Expellees Act 3.8 Other ate Authority Piease specity herein German (see the appendix ot the Notes on applyinq tor contirmation ot German nationality). Child 's other nationalities {Piaall& glve any additional nformation or explanations in the 'Additional infonnation' section or on a separate she&t of paper.) 4.1 The child holds German nationality only. 4.2 Alongside German nationality, the child holds has in the past held the tollowing other nationalities: Nationality ate: from (- until) How this nationality was acquired 4.3 trom until town city country 5.1 AntraQ FK - 2- Stand: April 2011