The person(s) mentioned below arrived in Denmark on Date Earlier registration in Denmark?

Arrival from foreign countries

Yes No

Arrived from
Country Address I’m in Denmark to: Study Work Expected duration of the stay
Other

New address in Denmark Other

Street Number Floor Side/Door number Postal code and city Will your name be on the mailbox? Yes No
If no, live with:

All arriving persons

Date of birth Last name All first and middle names Sex Country of birth Citizenship Member of an If arrived from another
(or CPR number) M/F Evangelical Lutheran Nordic country, please
community? (X) fill in your Nordic CPR
Yes No

Single Married Date and country of marriage Husbands/Wife’s name and date of birth (or CPR number)
Marital status
Divorced Widow(er)

If Child/children – Who has legal custody over the child/children? Mother

Do you know your departure date? Yes No
Sole custody Joint/shared custody Father If yes, when? / 20

Udfyldes af folkeregistret Opholdstilladelse udløber: Email:

Bopælssamling er gennemgået
Sagsnummer: Evt. vielse: Civ dok Civ ej dok Kommer med dok. Date and signature
ID-kontrol: Pas ID-kort Kørekort
Minimumstjek: Har du tjekket yderligere:
Dine initialer