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de/videx/visum-erfassung/videx-langfristiger-aufenthalt
VIDEX
Long term stay
New application Barcode scan Importing data
Tià ng ViÃat
Personal details Contact details Identity documents Travel dates Reference Living activities
Personal details Start assistant
Personal data of the applicant
* Surname: Birth name / earlier family name(s): * First name(s):
* Date of birth (DD.MM.YYY): * Birthplace: * Country of birth:
Cyprus
* Gender: * Marital status:
undefined Contract. Partnership
* Current nationality: Previous nationality: Do you have children?
(Please also consider adult or not
Cyprus Cyprus accompanying children at the
indication.)
Yes
Parents of applicant
* Family name of the father: * First name(s) of the father: Nationality of the father:
Cyprus
* Date of birth of the father: * Birthplace of the father: * The father's residence:
* Surname of the mother: * First name(s) of the Mother: Nationality of the Mother:
Cyprus
* Birth of the Mother: * Birthplace of Mother: * Place of residence of the mother:
Profession
* Learned profession: further information if necessary:
other professions
Current professional activity (if further information if necessary:
different):
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Contact details Start assistant
Current address and accessibility
* Street: * House number: Other address information:
* Postal code: * Location: * Country:
Cyprus
* Telephone/mobile phone number: E-mail:
Do you reside in a country other than the one you currently have a national?
Yes
Identity documents Start assistant
Identity documents
* Type of travel document: * Travel document number:
Other
* Date of issue (DD.MM.YYYY): * Valid to (DD.MM.YYY):
* Exhibiting state: Issued by: Exhibited in:
Cyprus
Travel dates Start assistant
Travel dates and purpose
* Purpose of stay in Germany: If applicable, intended employment:
Other (please explain)
Intentional duration of stay in Germany
* By (TT.MM.YYY): * Until:
I do not intend to stay in the Federal territory for longer than twelve months and apply for a visa with a validity for the entire
period of stay:
Yes
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Reference Start assistant
Educational institution/company/organisation
* Type of reference:
Accredited diplomat
* Name of educational institution, company or organisation:
Seat of the organization, place: Seat of the organization, country: Task / scope of the organisation:
Cyprus Other
Name of the register of the Location of the register: Registration number:
organization:
Other German or foreign registers
* Surname for contact persons: * First name(s) of the contact Gender:
person:
undefined
Date of birth (DD.MM.YYY): Nationality:
Cyprus
* Street: * House number:
* Postal code: * Location: * Country:
Cyprus
* Telephone/mobile phone number: E-mail:
Living and stay details Start assistant
Living and stay details
What means is the living in the Federal Republic of Germany disputed?
Is there a formal declaration of commitment?
No yes, from the reference yes, by different obligations(s)
Intended place of residence in the Federal Republic of Germany:
Street (if known): House number (if known):
* Postal code: * Location:
How will you be accommodated? Should family members enter?
Single room Yes
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Apartment with Rooms Is its permanent place of residence
outside the Federal Republic of
Collection accommodation
Germany to be retained?
Other (please explain)
Yes
Do you have health insurance (longer stay) for the Federal Republic of Germany?
Yes
Early stays in the Federal Republic of Germany
Have you been in the Federal Republic of Germany before?
Yes
Statement
* Have you been presented?
No Yes
* Have you ever been deported or deported from the Federal Republic of Germany, or have an application for a
residence permit been refused or entry into the Federal Republic of Germany were refused?
No Yes
* Do you suffer from one of the following diseases?
Smallpox, poliomyelitis, influenza influenza types not common in humans (e.g. B. "Vogelgripp", "Swine Flu"), influenza in the
event of an acute pandemic, severe acute respiratory syndrome (SARS), cholera, pneumonia, yellow fever, and viral
haemorrhagic fever (e.g. B. Ebola, Lassa, Marburg)
No Yes
* Required fields
**
The designation "Countries" in this list includes states, provinces and territories. It does not reflect the Federal Government's position on the status of a country or
region.
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