Uw gegevens

Name Boakye Boateng

First name Akosua Konadu

Nationality Ghana

Place of birth Accra

Country of birth Ghana

Date of birth 13/11/2011

Sex female

Telephone number 0492169457

Email address omenscabela5@gmail.com

Marital status single

Adresgegevens in Antwerpen

Street Lakborslei, 2100 Deurne

House number 469

Is this your first address in Belgium? Yes

When did you arrive in Belgium? 16/05/19

What is the purpose of your stay? family reunification with a Belgian or

European citizen

Gegevens van familielid

Name Kankam

First name Sheila

National identification number 85042255813

Grote Markt 1 2000 Antwerpen

college@stad.antwerpen.be
How many family members (not including 0
yourself) will come to Belgium?

Do you have a passport? Yes

Nummer van uw paspoort: G1710214

Heeft u een identiteitskaart: No

Visa family reunification

I completed this form correctly and accurately.

I understand that the electronic submission of
this form on the Internet has the same legal
status as a signed application.

Grote Markt 1 2000 Antwerpen

college@stad.antwerpen.be