Short-term visits to Germany by unmarried partners of Germans, of EU citizens or of third-country

nationals with a right of residence in Germany, who are currently living in Germany:

Declaration of the existence of the relationship

The declaration is to be completed by the person living in Germany who is to receive the visit
from his/her partner. It must be accompanied by a copy of an identity document of the person
living in Germany. The declaration must be signed by both partners.

I,

last name, first name: Caushi Enver

date of birth: 27/01/1967
nationality: Albanes
living in Germany Goldbach Hosbacher Weg 4363773
(address):
telephone number: Nº: 01756423065

hereby declare that I am in a long-term relationship/partnership with

last name, fist name: Jara Benites Luz Margarita

date of birth: 23/07/1974
nationality: Peruana
living in the non-EU country mentioned below: Peru-Lima
(address) Micaela bastidasmz92lt9marquez-callao,lima

Our relationship is not based solely on communication by phone, by post or on

electronic communication.
We have previously met at least once in Germany. Enclosed is
suitable evidence of this previous meeting.

or

We shared a residence in another country.

Enclosed is suitable evidence of this shared residence.

Zustell- und Lieferanschrift: Ingeborg-Drewitz-Allee 4, 10557 Berlin

Verkehrsanbindung: S + U-Bahnhof Hauptbahnhof
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I hereby also declare that I will observe the applicable German health regulations (e.g.
maintaining a minimum distance to other persons/protection measures when in contact with
other persons, quarantine requirements). I confirm that the information in this declaration is
correct and complete and has been given truthfully and to the best of my knowledge and
belief.

Signature of the partner living in Germany:

place, date signature

Signature of the partner living in the non-EU country:

place, date signature