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Application for EU Blue Card

Authority receiving the application:

File number: ‫׀_׀_׀_׀_׀_׀_׀_׀_׀_׀_׀‬

Office recording the data included in the application:
Photo

□ EU Blue Card issued for the first time
Place of entry:
Date of entry:
......... Year ........ Month ........ Day
Number and expiry date of residence visa
H □□□□□□□□ ......... Year ........ Month ........ Day

[Specimen signature of the applicant (legal representative)]
Please ensure your signature fits within the box.

□ renewal of EU Blue Card
Number and expiry date of residence visa
H □□□□□□□□ ......... Year ........ Month ........ Day

Place of receipt of the document:
Applicant will receive the document at the issuing authority.
Applicant will receive the document by postal mail.
1. Applicant's personal data
Family name (as per passport):____
Given name (as per passport): ____
Family name at birth: ____

Given name at birth: ____

Mother's family and given name at birth: ____

Sex:
Male
Female

Place of birth:

Place of birth (city): ____

____ Year ____ Month ____ Day
Citizenship: ____
Last permanent residence abroad: ____

Marital status:
single
widow
Country: ____

Nationality (optional): ____

married
divorced

qualification(s). Data of the applicant's residence in Hungary ZIP code: City/Town: ____ ____ Type of public domain: ____ House number: ____ Building: ____ ____ Year ____ Month ____ Day Name of public domain: ____ Staircase: ____ Floor: ____ Door: ____ Legal title of residence: owner tenant family member by courtesy of the owner other (please specify): ____ 5. Data of employer in Hungary: Name: ____ Address of the headquarters: ZIP code: ____ Type of public City/Town: ____ House number: Building: ____ Name of public domain: ____ Staircase: ____ Floor: ____ Door: ____ .Highest level of education: ____ Vocational qualification(s). skill(s): ____ Number of document certifying higher education qualification: ____ Occupation prior to arriving in Hungary: ____ Command of languages: Native language: ____ Do you speak Hungarian? yes no Did you work in Hungary with a work permit before? Other language knowledge: ____ yes/ no If yes. Applicant's passport data Passport number: ____ Place and date of issue: Type of passport: ____ Year ____ Month ____ Day date of expiry: private official diplomatic other ____ Year ____ Month ____ Day 3. please specify: Name of previous employer in Hungary: Name: ____ Address: ____ Previous work permit: Number: ____ Name of issuing labor centre: ____ date of expiry: ____ 2. Planned period and purpose of residence For what period and what purpose are you applying for residence permit? ____ 4.

Spouse. Data of costs of living in Hungary Expected amount of income from this activity: ____ Previous year's taxed income in Hungary: ____ Any additional income/asset: ____ Amount of available savings: ____ 7.: ____ 6. parent dependent on the applicant in Hungary Name/Relationship: Place and date of Citizenship: ____ Legal title of residence: ____ birth: ____ visa residence permit temporary residence permit EC permanent residence permit other Name/Relationship: Place and date of Citizenship: ____ Legal title of residence: ____ birth: ____ visa residence permit temporary residence permit EC permanent residence permit other Name/Relationship: Place and date of Citizenship: ____ Legal title of residence: ____ birth: ____ visa residence permit temporary residence permit EC permanent residence permit other 9. Other data Are you covered by full health insurance for the period of your stay in Hungary? yes no Has your application for residence permit ever been refused? no residence visa permanent residence permit national permanent residence permit immigration permit EU Blue Card residence visa permanent residence permit national permanent residence permit immigration permit EU Blue Card residence visa permanent residence permit national permanent residence permit immigration permit EU Blue Card . and the sum is: ____ 8. Conditions of return or onward travel Which country do you wish to return to or travel onward after the legal residence? ____ Do you have the necessary passport? yes no Position (FEOR number): ____ visa? yes no What means of transport do you want to use? ____ ticket? yes no financial means? yes. child.domain: ____ ____ Qualification needed for the position: ____ Tax No./ tax identification code: ____ Date of preliminary agreement with the employer: ____ Year ____ Month ____ Day Standard Sectoral Classification of Place of work: ____ Economic Activities (TEÁOR) No.

. typhoid or paratyphoid? yes no If you suffer from any of the above diseases............................................................. Signature Dated: ........ syphilis................ ........ Dated: ............................................... leprosy. or are you a carrier of HIV.................. until ______ Year ____ Month ___ Day..................... (Applicant's signature) In case of renewal............... (Signature......... Dated: ....................... hepatitis B......yes no Have you ever been convicted for a crime? If yes.. Date of rejection: ______ Year ____ Month ___ Day Reasons for rejection (briefly): ..... tuberculosis.... or you are contagious with or a carrier of them................................ date.................... .. I acknowledge that giving false information shall result in the rejection of my application.... ........................................................................... do you receive compulsory and regular medical treatment? yes no Permanent or habitual residence prior to arrival to Hungary: Country: ____ City/Town: ____ Name of public space: ____ What country do you wish to return to or travel onward after the expiry of your legal stay? Country: ____ I confirm that the above information is true and correct........... Duty stamp: For official use only! In case the application is approved I allow the applicant to stay in Hungary for the purpose of .......... please specify the country. please specify the date........................ the type of crime committed and the type of punishment imposed? yes no ____ Have you ever been expelled from Hungary? If yes....... do you suffer from HIV/AIDS......... the number of the residence permit revoked: □□□□□□□□□ In case the application is rejected Number of rejecting decision: ... yes no ____ Year ____ Month ____ Day To the best of your knowledge.. seal) Number of the residence permit issued: □□□□□□□□□ I have received the residence permit.... typhoid diseases... which need treatment........................ hepatitis B.........

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the applicant has to pay the related service fees to the aliens policy authority. If the aliens policy authority obtains the necessary data. for the purpose of establishing an employment relationship for a definite period of maximum four years • valid employment contract • preliminary agreement directed at the establishment of an employment relationship or the certified copy and certified translation of the document certifying the higher education qualification or vocational qualification. The applicant must present his/her valid passport when submitting the application form. One passport photo has to be attached to the application form. at the regional directorate competent over the accommodation. The passport must be valid for the duration of the residence permitted. if the conditions that have served as basis for issuing the EU Blue Card are unchanged. This part of the application is considered as an approval to manage and forward your personal data. . not later than 30 days before the expiry of legal stay. the applicant does not have to attach the documents certifying these circumstances again The applicant can ask the proceeding aliens policy authority to obtain the certificate concerning the data indicated by the applicant from another competent authority. together with all relevant documents. Annexes to be attached to the application form: ▪ document certifying the purpose of residence • preliminary agreement concluded between the employer and the third country national employee concerning a position requiring high qualification. if higher education qualification is required for the position in the employment contract • accommodation registration sheet signed by the person having right of disposition over the property ▪ document certifying financial background • income certificate issued by the tax authority concerning the previous year • employer's income certificate or preliminary agreement or employment contract • other document ▪ document certifying full health insurance The aliens policy authority has the right to ask for any further document during the process in order to clarify the circumstances! When applying for the renewal of the EU Blue Card.INFORMATION The application for residence permit can be submitted in person.

.............. Year .... Day Number and expiry date of residence visa H □□□□□□□□ .. Data of the minor's accommodation in Hungary ZIP code: City/Town: ____ ____ Type of public space: ____ House number: ____ Legal title of residence: owner tenant family member Building: ____ Name of public space: ____ Staircase: ____ by courtesy of the owner Floor: ____ other (please specify): ____ Door: ____ . The minor's personal data Family name (as per passport): ____ Given name (as per passport): ____ Family name at birth: ____ Given name at birth: ____ Mother's family and given name at birth: ____ Sex: Citizenship: ____ Male Female Place of birth: Place of birth (city): ____ Country: ____ ____ Year ____ Month ____ Day 2............... Year ... Day 1............ Month ...... Day [Specimen signature of the applicant (legal representative)] Please ensure your signature fits within the box. Year .. Month . □ Renewal of the residence permit Number and expiry date of residence visa H □□□□□□□□ ....INSERT “A” Data of minor child travelling with and entered into the passport of the applicant Authority receiving the application: File number: ‫׀_׀_׀_׀_׀_׀_׀_׀_׀_׀_׀‬ Office recording the data included in the application: Photo □ Residence permit issued for the first time Place of entry: Date of entry: ......... Month .....

..... ......... Other data To the best of your knowledge...... Dated: .. Dated: ..... hepatitis B.................. typhoid diseases...... until ______ Year ____ Month ___ Day... or is she/he a carrier of HIV........................... seal) Number of the residence permit issued: □□□□□□□□□ I have received the residence permit............................... (Applicant's signature) In case of renewal............ typhoid or paratyphoid? yes no If the child suffers from any of the above diseases... which need treatment................. or he/she is contagious with or a carrier of them....................................... the number of the residence permit revoked: □□□□□□□□□ In case the application is rejected Number of rejecting decision: .. tuberculosis...................... leprosy.. does the child suffer from HIV/AIDS... syphilis......3..................... does he/she receive compulsory and regular medical treatment? yes no For official use only! In case the application is approved I allow the applicant to stay in Hungary for the purpose of .... (Signature....................................... ...................... hepatitis B................ Date of rejection: ______Year ____ Month ___ Day Reasons for rejection (briefly): ...................................................