application for a ‘regular provisional residence permit ... · with this form you can submit an...

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Application for a ‘Regular Provisional Residence Permit -

persons making a journey in connection with family

reunification with an asylum seeker’ (647)

Read the explanation before you start to fill out the form.

For whom is this form intended? With this form you can submit an application for a Regular Provisional Residence Permit (mvv) under the scope of a

journey in connection with family reunification for your partner, spouse of (foster) child, who are staying abroad and

who want to join you in the Netherlands. It is a condition that you have a Dutch asylum residence permit. Are you a

unaccompanied minor holder of an asylum residence permit? Then you can use this form to submit an application for

an mvv for your parent(s).

In this form you are referred to as ‘sponsor’. Your family member is referred to as ‘foreign national’. The mvv

application is only granted if the partner, parent, spouse or (foster) child for whom the mvv is applied for:

• actually belongs to the family of the sponsor in the Netherlands; an

• the application has been submitted within 3 months after the asylum residence permit has been granted to the

sponsor (this is the period within which you can apply for family reunification).

Do you and/or the foreign national for whom you are applying for the mvv not comply with these conditions? Then

your family member cannot be granted an mvv for the purpose of family reunification and cannot be granted a

derivative asylum residence permit. In this case you must submit an application for a regular residence permit within

the context of ‘family members and relatives’. For this purpose you must use the application form ‘Application for the

purpose of residence of ‘family members and relatives’ (sponsor)’.

You do not have to pay any fees for an application for an mvv under the scope of a journey in connection with family

reunification. However, you do have to pay fees for an application for a regular residence permit.

How do you fill out this form? This form comprises different appendices. Which appendices you need to fill out depends on your own situation. Only submit your application once you have completed filling out this form, signed and you have gathered together all the requested documents and evidence. If your application is incomplete, the IND will be unable to assess your application properly.

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.

Would you like more information? Then visit the IND website at www.ind.nl. You can also contact the IND by telephone via 088 043 04 30 (normal

charges apply). From abroad you can call +31 88 043 04 30.

1 Who can submit this application?

> Please tick

The foreign national and the sponsor in the Netherlands can submit this application. Only the sponsor can use

this form. When the foreign national who remains abroad wants to submit an application for an mvv, he/she

must approach the Dutch diplomatic representation there.

You are the sponsor

2 Previous procedures

If the foreign national for whom you are applying for a mvv has already been through a mvv procedure, please

indicate this here.

2.1 Has an application previously been

submitted for an mvv for this foreign

national?

Yes

No > Continue to 3

If yes, for what purpose?

2.2 Have there been any new facts and

circumstances since then? Yes

No

If yes, which facts and

circumstances?

3 Means of evidence

You must collect means of evidence from abroad for your application. All this means of evidence must have been

translated into Dutch, English, French or German by a translator certified at a Dutch court. The means of

evidence does not have to be legalised. Which means of evidence you have to submit depends on which family

member wants to come to the Netherlands. Below you can read which means of evidence is requested for each

family member. Only submit an application when you have collected all the means of evidence.

Identity document

For each family member you must send a copy of the front and back of an identity document. An identity

document is an official document issued by the authorities of the country of origin, which shows the

personal data of the family member and a passport photo. For example, a passport, identity card or any other

document that meets the above requirements.

Document examination

It is possible that the IND wants to investigate certain documents. It is therefore important that you have the

original documents, issued by the authorities of the country of origin. The documents which have already been

examined during your asylum procedure do not have to be examined once again.

Is there a biological relationship?

Then the IND can start a DNA test. This only applies when the IND has established that you are unable to meet

the standard of proof. This is the case when you cannot have the required means of evidence at your

disposal through no fault of your own. This is why you have to complete, send and enclose the appendix

Application for DNA test in case of a family reunification. Will a biological parent remain behind? Then also

complete the details of this parent.

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Select the family member you want to bring. You can only tick one family member per application form. If you tick more than one family member, then your application will be no longer valid. For each family member, you submit an application form, the means of evidence requested below and an identity document from that family member. If you are in doubt, then contact the IND. If you have any doubts, please contact the IND.

Your statutory spouse or registered partner

When it concerns a marriage, enclose the following documents with your application:

• A copy of the marriage certificate issued by the authorities of the country of origin; and

• A copy of an extract from the register of births, deaths, marriages and registered partnerships, which shows

your family composition; and

• A completed appendix ‘Questionnaire (married) partner for asylum in connection with family reunification’.

When it concerns a registered partnership, enclose the following documents with your application:

• A copy of the certificate of the registered partnership, which was issued by the authorities of your country of

origin.


Your partner with whom you are married in a traditional/religious sense

Enclose the following evidence with your application:

• A copy of the religious/traditional marriage certificate; and

• A copy of the evidence which shows the religious/traditional marriage is registered in the registers of the

country of origin; and

• A copy of an extract from the register of births, deaths, marriages and registered partnerships in your

country of origin, which shows the family composition; and


Your unmarried partner



• Evidence to substantiate your relationship.

Your parent(s). You have a residence permit asylum and you were under the age of 18 when

you applied for asylum. You want to submit an application for your parent(s).


• A copy of your birth certificate issued by the authorities of your country of origin. You do not have a birth

certificate? Then enclose a family booklet or an extract from the register of births, deaths, marriages and

registered partnerships with your application; and

• A copy of the evidence which shows who your guardian is in the Netherlands. For example, the guardianship

order of the court.

Do you not have these documents? Then enclose the following document with your application:

• A completed and signed appendix ‘Application for DNA test in case of a family reunification’. Will a parent

remain behind? Then also complete the details of this parent.

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Your biological child

Enclose with your application a copy of the birth certificate of the child. Or if you do not have a birth certificate a

copy of evidence which shows the biological relationship between the child and the biological parents. For

example, a family booklet or an extract from the register of births, deaths, marriages and registered

partnerships.

Do you not have these documents? Then enclose the following document with yourapplication:

• A completed and signed appendix ‘Application for DNA test in case of a family reunification’.

If your child is 15 years or older, then also send:

• A completed and signed appendix ‘Questionnaire family relationship child’.

• The ‘Declaration of civil status’ appendix, completed and signed by the child.

When the other parent of your child remains abroad, also enclose the following evidence with your application:

• The ‘Declaration of consent of the parent remaining behind’ signed by the parent remaining behind. With

this declaration the parent gives permission for the child to travel to the Netherlands.

• A copy of the identity document (for example, passport) including the signature of the parent remaining

behind;

• A copy of evidence, issued by the authorities of the country of origin, which shows the biological relationship

between the child and the parent remaining behind (for example, a birth certificate or an extract from the

register of births, deaths, marriages and registered partnerships).

• If it is not possible to have the declaration of consent signed by the parent remaining behind, then complete

the ‘Statement regarding the absence of the ‘Declaration of consent of the parent remaining behind’. In this

declaration, you state what you did to come into contact with the parent remaining behind.

Attention! Is there no evidence which shows that the parent remaining behind is the biological parent of the

child? Or does the parent remaining behind not have an identity document with signature? Then the parent

remaining behind must go to a Dutch representation to yield DNA material for a DNA test. In this way it can be

examined whether the remaining parent is the biological parent of the child. The parent must also sign the

‘Declaration of consent of the parent remaining behind’.

If your child is 25 years or older, then also send

• A completed and signed declaration “more than normal emotional ties”.

Your foster child


• A copy of the birth certificate of the child. Or if you do not have a birth certificate a copy of evidence which

shows the biological relationship between the child and the biological parents. For example, a family booklet

or an extract from the register of births, deaths, marriages and registered partnerships.

• In case you and the child are related: a copy of evidence which shows the family relationship between you

and the child.

• Evidence to substantiate the relationship between you and your foster child.

If the biological parents are deceased, then also enclose with the application:

• A copy of the death certificates of the biological parents of your foster child. These certificates are issued by

the authorities of the country of origin; and

• A copy of evidence which shows that you are the guardian of your foster child (e.g. the custody papers);

and

• A completed and signed appendix ‘Questionnaire family relationship child’.

If a/the biological parents(s) remains abroad, then also enclose with the application:



register of births, deaths, marriages and registered partnerships).

• A completed and signed appendix ‘Application for Questionnaire family relationship child’.

• The ‘Declaration of consent of the parent remaining behind’ signed by the parent remaining behind. With

this declaration the parent gives permission for the child to travel to the Netherlands.

• A copy of the identity document (e.g. passport), including the signature of the parent remaining behind;




Attention! Is there no evidence that shows that the parent remaining behind is the biological parent of the child?

Or does the parent remaining behind not have an identity document with signature? Then the parent remaining

behind must go to a Dutch representation to yield DNA material for a DNA test. In this way it can be examined

whether the remaining parent is the biological parent of the child. The parent must also sign the ‘Declaration of

consent of the parent remaining behind’.

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The biological child of your (registered) partner

Choose this option if the child is a biological child of your spouse, registered partner, or traditionally/religiously

related partner, but not from yourself. Add to your application the following evidence:

• A copy of the child’s birth certificate, issued by the authorities of the country of origin; and

• A completed and signed appendix ‘Application for Questionnaire family relationship child’.

The other parent of the child (of your legal spouse), registered partner or traditional/religious partner) must give

permission for the arrival of the child in the Netherlands. Therefore, please add the following evidence for the

application:

• The ‘Declaration of consent of the parent remaining behind’ signed by the parent remaining behind and;

• A copy of the identity document (for example, passport) including the signature of the parent remaining

behind;



register of births).




Attention! Is there no evidence which shows that the parent remaining behind is the biological parent of the

child? Or does the parent remaining behind not have an identity document with signature? Then the parent

remaining behind must go to a Dutch representation to yield DNA material for a DNA test. In this way it can be

examined whether the remaining parent is the biological parent of the child. The parent must also sign the

‘Declaration of consent of the parent remaining behind’. In this way it can be examined whether the remaining

parent is the biological parent of the child. The parent must also sign the ‘Declaration of consent of the parent

remaining behind’.

You cannot have the required means of evidence at your disposal?

State below or in a separate letter why this is the case. Substantiate your statements with as many documents

as possible. In addition, in order to substantiate the identity of your family member and/or the family

relationship with you, you must submit as many other means of evidence as possible. These can be unofficial,

indicative documents.

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4 Your personal details Write in block letters

4.1 V-number (if known)

4.2 Citizen Service Number (if known)

4.3 Name

(as included in the Municipal

Personal Records Database)

Surname

First names

4.4 Sex Male Female

4.5 Date of birth Day Month Year

4.6 Place of birth

4.7 Country of birth

4.8 Nationality

4.9 Civil status unmarried

married (legally)

married (traditionally/religiously)

registered partnership

divorced

widow/widower

4.10 Home address Street

Number

Postcode

Town

4.11 Telephone number

4.12 E-mail

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5 Details of the foreign national Write in block letters


5.2 Name

(as stated in the passport)

Surname

First names

5.3 Sex Male Female


5.5 Place of birth


5.7 Nationality


married (legally)

married (traditionally/religiously)


divorced

widow/widower

5.9 Current residential address and

current contact details

> Provide as much details as

possible

The address and contact details are known

Street

Number

Postcode

Town

Country

The address and contact details are not known, because:

As soon as the address and contact details are known, I will send

these details.

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6 Details of the contact person Write in block letters

> Please tick the applicable situation

I do not receive any assistance from VluchtelingenWerk, NIDOS, an authorized representative or a lawyer.

I receive assistance from VluchtelingenWerk, NIDOS, an authorized representative or a lawyer

> Complete the details of the contact person.

6.1 Name Surname

First names

6.2 Name organisation

6.3 Address Street

Number

Postcode

Town


6.5 E-mail

6.6 Bereikbaarheid contactpersoon Monday

Tuesday

Wednesday

Thursday

Friday

6.7 > Please tick if you receive

assistance from Vluchtelingenwerk: I hereby allow for my contact person at Vluchtelingenwerk (as

mentioned above) to receive copies of all correspondence that theIND sends me while processing this application. I can revoke thispermission at any given moment.

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7 Place of collection of regular provisional residence permit (mvv) (if the regular provisional residence permit is granted)

At the Dutch embassy or consulate in the country of origin (or country of continuous residence). Continues residence is assumed, among others, when your family member resides in a country on the basis of a residence permit with a period of validity of 3 months or more. The continuous residence in that country must be substantiated with evidence. When there is no Dutch embassy or consulate, the mvv must be collected in the nearest country that has a Dutch representation. If your family member has to travel to the Dutch embassy because additional information is needed, the embassy has to be able to contact your family member to make further arrangements. This is why you must give a telephone number so that your family member can be contacted.

7.1 Town and Country Town

Country


8 Identification

Enclose the following documents with the application:

Your documents:

• A copy of the front and back of the residence permit asylum for a specific period.

Documents of the foreign national:

• A recent passport photo that reflects the current appearance of the foreign national. If the foreign national

does not have a recent passport photo, you can also submit a another recent and sharp photo in which the

face of the foreign national is clearly visible;

• A copy of the pages with identity details and period of validity of the passport. Also copy the pages with

travel stamps. Do not copy any empty pages; or

• A copy of the front and back of a different identity document issued by the authorities of the country of

origin. Enclose a Dutch translation of the front and back of the identity document.

If the foreign national does not have an (own) passport or other identity document, tick below what applies:

The foreign national does not have an own valid passport or other identity document. In that case you

enclose as much other evidence as possible, which shows the identity and nationality.

The foreign national is under the age of 18 and registered in the valid passport of his parent. You enclose

the copies of that passport with the application, including the pages with the identity details, period of

validity of the passport and the travel stamps. Do not copy empty pages.

For most Dutch embassies abroad an identity document with a passport photo is required to obtain access to the

embassy. The IND requests to enclose a copy of this identity document with this application.

9 Biometric information (fingerprints, passport photo) and signature,

Antecedents certificate and Declaration of civil status

• The foreign national must have his fingerprints and facial image (passport photo) taken at the Dutch

embassy or consulate to determine his identity. The biometric information is also required to create a

residence permit. For the residence permit the IND also needs a signature of the foreign national.

NB. No fingerprints are taken from children younger than 6 years of age, only a passport photo is required.

• Fill out the Antecedents certificate appendix and submit this appendix together with your application (only if

the foreign national is 12 years of age or older).

• Enclose the ‘Declaration of civil status’ appendix, completed and signed by the foreign national (only if the

foreign national is 15 years of age or older).

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10 Declaration of consent to provide special personal data

The IND requests your consent to provide the municipality with special personal data. Family reunification

migrants need a citizen service number (BSN) before they can use public services in the Netherlands.

Your family members will have a citizen service number (BSN) once they have been registered in the Personal

records database (BRP). Before registering your family members, the municipality checks if their names are

written correctly and if a marriage, for instance, is legally valid. For this purpose, the municipality needs special

personal data, such as data regarding a person’s religion, race, nationality and ethnicity. This information is in

the asylum interview report and the (digital) registration form.

The IND is not allowed to provide the municipality with special personal data without the consent of you and

your family members. You give your consent by completing the declaration of consent. Your family members will

give their consent upon arrival in the Netherlands.

The municipality and the IND do not record special personal data in their systems. The municipality only uses

the special personal data to establish a person’s surname and to check the legal validity of a marriage or

acknowledgement of a child, for instance.


I give my consent to the IND to provide the municipality with special personal data.

I do not give my consent to the IND to provide the municipality with special personal data.

Withholding your consent may cause the BRP registration to be delayed.

11 Signing


I submitted the application within the three-month-period (the period for family reunification).

I submitted the application outside the three-month-period (the period for family reunification).

> State below why this was.

Signing this form will give you rights and duties. If you do not know what these rights and duties are, check

www.ind.nl.


I have completed, signed and enclosed ‘Application for DNA test in case of a family reunification’.

I have completed, signed and enclosed ‘Questionnaire (married) partner for asylum in connection with

family reunification’.

I have completed, signed and enclosed ‘Questionnaire family relationship child’.

I have completed, signed and enclosed ‘Appendix Declaration of consent of the parent remaining behind’.

I have completed, signed and enclosed ‘Statement regarding the absence of the ‘Appendix Declaration of

consent of the parent remaining behind’.

I have completed, signed and enclosed ‘Declaration more than normal emotional ties’.

I have completed, signed and enclosed ‘Declaration by sponsor’.

I have enclosed the completed and signed ‘Antecedents Certificate’.

I have enclosed the completed and signed ‘Declaration of civil status’ appendix.

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I hereby state that I completed this form truthfully. I know that the personal details supplied will be processed in

connection with the Aliens Act 2000 and will be passed on to authorities that need these personal details for that

purpose. I will pass on any changes to my and/or the foreign national’s situation, which will affect the right of

residence, without delay to the IND. I am aware that if I do not do this, it may affect my position as sponsor or

the position of right of residence of my family member as foreign national. I know that I may incur an

administrative fine. I know what the rights and obligations are of the foreign national and the sponsor.

If you want to request the in-bound journey of your parents and you are under the age of 12, your guardian

must assign this application on behalf of you.

11.1 Name

11.2 Place and date Place

Day Month Year

11.3 Signature

12 Submitting the application

You have collected all required means of evidence that is necessary for the application. You then send the

application form, appendices and required means of evidence to the IND by post. Never send original evidence.

You must send readable and full copies of the original evidence. Do not use staples or paperclips. Do not send

USB sticks, CDs, DVDs and suchlike. Place all the evidence in an envelope with sufficient stamps.

Send your application with appendices to the following address:

Immigratie- en Naturalisatiedienst

Postbus 16

9560 AA Ter Apel

What happens to your application?

Once you have submitted your application to the IND, then the IND will assess your application. If your

application is incomplete, the IND will be unable to assess your application properly. You will be informed in

writing once your application has been handled. If your application is granted, you will also receive a letter

with information about the follow-up procedure.

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Appendix Antecedents Certificate

Who should complete this appendix?

Pursuant to Articles 3.77, paragraph 11 and 3.86, paragraph 18 of the Aliens Decree, every foreign national aged 12

years or older must complete this appendix.

Please note! This statement consists of 2 pages. You must complete both pages.

1 Declaration of the foreign national

On this form you fill in whether you have ever committed a crime or a criminal offence. These are crimes

committed in the Netherlands and criminal offences committed outside the Netherlands. You must answer the

questions with Yes or No. Not completing the form truthfully or failing to report is a criminal offence. This can lead

to a sanction. Your answers may have consequences for your application or for a residence permit that you have

previously received.


Are you currently being prosecuted for committing a crime in the Netherlands? Or for

committing a criminal offence abroad?

Yes No

Have you ever been sentenced to a fine, community service, penalty order by a public

prosecutor, custodial measure or imprisonment or have you accepted an out-of-court

settlement for committing a crime in the Netherlands? Or have you ever been convicted

of committing a criminal offence abroad?

Yes

No

Have you ever committed a crime, or have you been involved in a crime as referred to in

Article 1F of the 1951 Geneva Convention on Refugees? Like a murder, war crime,

genocide, terrorist crime or crimes against humanity?

Yes

No

Have you received an entry ban from one of the countries of the EU/EEA or Switzerland?*

Or a measure similar to an entry ban?

* This is a ban on travel to the Netherlands, the EU / EEA or Switzerland.

Yes

No

Have you submitted incorrect data during earlier residence procedures in the

Netherlands?

Yes

No

Have you ever stayed illegally in the Netherlands?

Yes

No

> Have you ticked Yes for one or more questions? Then explain why.

7601-02

2 Signature of the foreign national

I have completed this form truthfully.

I know that the IND can reject my application or withdraw my residence permit if I have ever been

convicted of committing a crime.

If something changes in my situation through which my statements on this form are no longer correct, I

will notify the IND as soon as possible. I do this within four weeks after the change in my situation.


2.2 Name

2.3 Date of birth

Day Month Year


Day Month Year

2.5

Signature

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.

http://www.ind.nl/

1 7609 - 02

Appendix Certificate of non-impediment

Only complete this certificate if you apply for a residence permit for residence as a child aged 15 or older with his/her

parent. Please note! I am aware of the fact that if this certificate is not based on the truth, this may have consequences

for the right of residence. Not completing this certificate truthfully is an offense of which in all cases a report will be made.

If your situation changes at any time during the processing of your application, you must report this to the IND.

1 Details of foreign national Write in block letters


1.2 Name


Surname

First names

1.3 Sex Male

Female

1.4 Date of birth

Day Month Year

1.5

Place of birth

1.6

Country of birth


1.7

Nationality


married


divorced

widow/widower

1.9 Non-registered partnership Yes

No

2 7609 - 02


Number

Postcode

Town

1.11 Details passport Number

Country

Valid from (date)

to

Day Month Year

Day Month Year

2 Declaration

> Please tick

I declare:

• that I am not married and have never been married or have never entered into a

registered partnership. Yes No

• that after the dissolution of my marriage to my former spouse I did not remarry nor

did I enter into a registered partnership. Yes No

Name of former spouse:

• that after the dissolution of my registered partnership with my former registered

partner I did not enter into a new registered partnership nor did I marry. Yes No

Name of former registered partner:

• that I do not have a long-term and exclusive relationship with a partner. A

relationship is long-term and exclusive if the relationship can be considered a

marriage.

Yes No

• that I do not have the care of any children. Yes No

• that I do not live independently; I live together with my (adoptive/foster) parent(s). Yes No

• that I do not provide for my own maintenance. Yes No

3 7609 - 02

Explanation (optional)

3 Signing

I have completed this form truthfully.

3.1

Name


Day Month Year

3.3

Signature

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.

http://www.ind.nl/

7623 - 02

Appendix Declaration by sponsor (family and relatives)

Please read the explanation on page 2

1 Details of sponsor Write in block letters

1.1 Name


Surname

First names

1.2 Sex Male

Female

1.3 Day Month Year

1.4

1.5

1.6

Date of birth

Place of birth

Country of birth

Address where you keep the

records of the foreign national

Street

Number

Postcode

Town

2 Details of the foreign national Write in block letters

2.1 Name


Surname

First names

2.2 Sex Male

Female

7623 - 02


2.4 Place of birth


3 Signing by sponsor

I declare that I present myself as sponsor as referred to in Article 2a of the Aliens Act for the following foreign

national for whom a residence permit is applied for.


Day Month Year

3.2 Signature

Explanation

If you apply for a residence permit for a foreign national, you are the sponsor. This comes with responsibilities. As a

sponsor, you must ensure that the foreign national meets the conditions for a residence permit. Not only when applying

for a residence permit, but also afterwards. If the foreign national can no longer lawfully reside in the Netherlands,

you, as sponsor, are responsible for the foreign national leaving the Netherlands.

Obligation to provide information

You are obliged to report changes to the IND within 4 weeks if they could have an effect on the residence permit. Please

use the ‘Notification form for family members and relatives’, which you can download from www.ind.nl. The form lists the

changes you need to report.

Duty to keep records

You are obliged to collect and store any relevant information about the foreign national. You can find the data you are

obliged to store in the Aliens Regulations. You must store this documentary evidence up to 5 years after you are no longer

the sponsor of the foreign national. The IND can request data at any time in order to assess whether you have

complied with your obligations.

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




1 7631 - 01

Appendix Application for DNA test in case of family

reunification

You applied for family reunification (whether or not within the context of a journey in connection with family reunification).

The person submitting such an application must demonstrate that a family relationship exists. This is usually done by

means of official (legalised) documents. If these documents are missing through no fault of your own, a DNA test could

offer a solution. Here, you can read how a DNA test works.

What is a DNA test? Each person has unique characteristics. These characteristics have been embedded in our DNA. This DNA can be found in

all our body cells. Everyone passes part of these unique characteristics on to his or her children. So father, mother and

children partly have the same DNA. A DNA test compares the DNA of your family members.

Possible results • A DNA test only provides certainty about the biological parent-child relationship. A DNA test has no use if it concerns

foster children or adopted children.

• A DNA test can establish (with certainty) that you are not the father or mother of a child.

• A DNA test can establish (with certainty) that you are the father or mother of a child.

• If the DNA test is performed on both parents, it could become clear that one of them is not the biological parent of the

child.

How does the test proceed? If you have applied for family reunification and it is impossible for you to obtain the necessary documents, the Immigration

and Naturalisation Service (IND) offers you a DNA test. In that case, you must complete this form in order to state that

you want to make use of a DNA test. The test means that a mouth swab is taken from you, your spouse and child(ren) and

examined. By comparing the DNA in these mouth swabs, it can be established whether you are the biological parent(s) of

the child or the children. Your family members must make an appointment to have their DNA taken at the Dutch embassy.

After they have done their DNA test, they must inform you immediately. Starting the next day you can make an

appointment online (for yourself and your biological family members in the Netherlands) for DNA collection at the IND desk

in Utrecht.

DNA test step by step The DNA test is not painful and not injurious to one’s health.

1. The identity is established.

2. A mouth swab is taken from the inside of your cheek. This is done by using a special swab.

3. All the DNA material is investigated by the Netherlands Forensic Institute (NFI).

4. The NFI sends the result of the DNA test to the IND.

What happens with the test results? The IND will involve the results of the DNA test in the decision on your application for family reunification. The DNA taken

and the pertaining data are destroyed after six months. These data will not be used for other purposes.

Countercheck With a negative result from the DNA test you can have a counter-inquiry carried out by a different laboratory. This is called

a countercheck. This countercheck must be carried out by a laboratory which has been recognised by the Dutch

Accreditation Council RVA for carrying out DNA relationship tests. You can check this through the search function on

the website of the Dutch Accreditation Council RVA (www.rva.nl/search). You must pay the costs of a countercheck

yourself.

2 7631 - 01

More information Do you still have any questions after reading this information? Then please contact the IND or the Dutch embassy or

consulate in the country where you live. Check www.ind.nl for the contact details of the IND. Keep the V-number of your

sponsor at hand. Do you have a complaint about the way in which the IND treated you? Then you can use the complaints

form at www.ind.nl.

To be completed by the IND

V-number of applicant

IND location

IND contact person

1 DNA test (to be completed by the sponsor) Write in block letters

1.1 Name of applicant


Surname

First names

1.2 Sex Male Female


1.4 Nationality


Number

Postcode

Town

1.6 Identity document

Number of passport, ID card, etc.

1.7 V-number

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1.8 Details family member 1

1.8.1 Name of family member


Surname

First names

1.8.2 Sex Male Female

1.8.3 Date of birth Day Month Year

1.8.4 Nationality

1.8.5 Relation to the sponsor Child

Parent

Spouse

1.8.6 V-number

> To be completed by the IND




Surname

First names



1.9.4 Nationality

1.9.5 Relation to the sponsor Child*

Parent

Spouse

Biological brother/sister **

* In the case of a child of the sponsor: This child is the biological child of?

Applicant

Family member no:

Applicant and family member no:

** Only applicable in the case of a brother/sister of a minor sponsor: does

this family member have the same mother and father as the sponsor?

Yes

No, child of family member:

1 2 3 4 5 6

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1.9.6 V-number





Surname

First names



1.10.4 Nationality




Applicant

Family member no:




Yes


1 2 3 4 5 6


1.10.6 V-number




Surname

First names



1.11.4 Nationality

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Applicant

Family member no:




Yes


1 2 3 4 5 6


1.11.6 V-number




Surname

First names



1.12.4 Nationality




Applicant

Family member no:




Yes


1 2 3 4 5 6


1.12.6 V-nummer

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Surname

First names



1.13.4 Nationality




Applicant

Family member no:




Yes


1 2 3 4 5 6


1.13.6 V-number

1.14 Details parent staying behind

1.14.1 Name of parent staying behind


Surname

First names



1.14.4 Nationality

1.14.5 Parent of family member:


1 2 3 4 5 6

1.15 Recent contact information of the family members

My family members can be

contacted via this telephone

number:

7 7631 - 01

2 Signing by applicant

I hereby allow DNA-samples to be taken of (the) aforementioned family member(s). I agree that the results of

the examination will only be used to assess the application for family reunification. My family member(s) will

report to the Dutch embassy or consulate in:

2.1 Country and town Dutch

representation


Signature (If you are applying for your parents to join you in the Netherlands

and you are younger than 12 years of age then your guardian must sign this

declaration on your behalf.)

Day Month Year

2.3 Signature


or request. This means that if Noded 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.

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Questionnaire (married) partner for asylum in connection with

family reunification

You have to fill in this questionnaire as extensive and detailed as possible.

1 Since when do you and your (married) partner know

each other? Give a date, month, year

Day Month Year

2 How and when did the relationship begin between

you and your (married) partner?

3 Did you and your (married) partner live together)? If

not, why did you not live together? If so, since when

and on which address(es)?

Yes

No

4 Are you currently in a relationship with someone

other than the person you are submitting this

application for? If so, with whom and how would

you define this relationship?

Question 5: only in case of a relationship that is considered to be a partnership relationship

5 How did you implement your relationship from the

start until the present?

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6a Did your (married) partner fulfill the compulsory

military service? Yes

No

6b If this is the case, when did your (married) partner

fulfill the compulsory military service and for

which part of the military? (enclose a copy of the

military booklet to this appendix)

Since when:

Which part of the military:

Day Month Year

7a Is or was your (married) partner a member of an

armed group? Yes

No

7b If this is the case, which armed group and since

when?

Since when:

Which armed group:

Day Month Year


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




7647 - 02

Questionnaire family relationship child

You have to fill in this questionnaire as extensive and detailed as possible.

You must fill in this questionnaire if it concerns:

• Your biological child of 15 years or older or your brothers and/or sisters

• Your foster child

• A biological child of your (married) partner, that is not your child

> Fill in 1.1 through 2.8> Fill in 1.1 through 2.13

> Fill in 1.1 through 2.8 and 2.14

1 Details of the family member

1.1 Name


Surname

First names


2 Questionnaire

2.1a Did your family member always belong to your

family? Yes

No

2.1b If not, for what reason?

2.2a Did your family member live on its own when you

left your family? Yes

No

2.2b If this is not the case, does your family member

live on its own at present?

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2.3a Did your family member provide for itself when you

left your family? Yes

No


your child provide for itself at present?

2.4a Was your family member married or in a

relationship when you left your family? Yes

No

2.4b If this is not the case, is your family member

currently married or in a relationship?

2.5a Did your family member have to care for an

extramarital child when you left your family? Yes

No


currently care for an extramarital child?

2.6a Did your family member have paid work? Yes

No

2.6b If this is the case, what kind of work did your

family member have and since when?

Since when:

What kind of work:

Day Month Year

2.7a Did your family member fulfill the compulsory

military service? Yes

No

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2.7b If this is the case, when did your family member

fulfill the compulsory military service and for which

part of the military? (enclose a copy of the

military booklet to this appendix)

Since when:

Which part of the military:

Day Month Year

2.8a Is or was your family member a member of an

armed group? Yes

No

2.8b If this is the case, which armed group and since

when?

Since when:

Which armed group:

Day Month Year

2.9a From which person is your family member

dependant?

2.9b Quote examples to demonstrate this dependancy.

2.10 Why did you adopt your foster child in your family?

2.11 How long has your foster child been living with you

and your family?

2.12a If the biological parents of your foster child are still

alive: Are the biological parents (father and

mother) involved in the upbringing and caretaking

of your foster child?

Yes

No

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2.12b If so, in which way does this involvement take

place?

2.13a Are the biological parents capable of taking care of

the foster child? Yes

No

2.13b If, not, why are they not capable?

If the application concerns a child of your (married) partner

2.14a Did the child of your (married) partner form part of

your family in your country of origin? Yes

No

2.14b If so, during which period did this occur?


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.

http://www.ind.nl/

7649 - 02

Appendix Statement regarding the absence of the ‘Declaration

of consent of the parent remaining behind’

To be completed by the sponsor.

1 Declaration

I hereby declare that the parent remaining behind, of the child:

1.1 Name parent

1.2 Date of birth parent

Day Month Year

1.3

Name child

1.4 Date of birth child

Day Month Year

Please tick the applicable situation:

was asked by me to sign the ‘Declaration of consent of the parent remaining behind’ through which he/she

agrees with the departure of this child to the Netherlands. This declaration will be sent as soon as possible.

is not able to sign the ‘Declaration of consent of the parent remaining behind’ through which he/she agrees

with the departure of this child to the Netherlands. Explain the reason below.

does not want to sign the ‘Declaration of consent of the parent remaining behind’. Explain the reason below.

Explain what you did to obtain the Declaration of consent of the parent remaining behind’. When did you do what?

Give concrete examples and explain what the results are of your attempts. Use a separate sheet of paper when

you need more space for your explanations.

7649 - 02


2.1

Name

2.2 Place and date

Place

Day Month Year

2.3

Signature


The Immigration and Naturalisation Service (IND) processes personal data when it processes your application,


persons.The IND also uses and stores data and shares them with other organisations. When doing so, the IND strictly





http://www.ind.nl/

7666 - 01

Appendix Declaration ‘More than normal emotional ties’

To be completed by the sponsor.

1 Declaration

I hereby declare that,

1.1 Name

belongs to my family and that there are more than normal emotional ties between us.

1.2 Explain how and to what extent the family member depends on you, or in what way and to what extent you

depend on the family member.

1.3 Are there any special circumstances, such as medical or psychological problems? Explain what these

circumstances are (please add copies of supporting documents).

7666 - 01


2.1 Name

2.2 Place and date

Place

Day Month Year

2.3

Signature


The Immigration and Naturalisation Service (IND) processes personal data when it processes your application,


persons.The IND also uses and stores data and shares them with other organisations. When doing so, the IND strictly





http://www.ind.nl/