FORM 1

APPLICATION FOR ITALIAN CITIZENSHIP BY DESCENT - JURE SANGUINIS

This space for office use only

AMBASCIATA D’ITALIA IN SVEZIA PERCEZIONE ART. 07B RICONOSCIMENTO
STOCCOLMA CITTADINANZA IURE SANGUINIS

1) THE APPLICANT:
Last Name AT BIRTH First Name Middle name(s)

2) DATE OF BIRTH:
DAY MONTH YEAR

3) PLACE OF BIRTH:
City State Country

4) CURRENT ADDRESS:
Address Apt. #

City State Zip Code

5) TELEPHONE NUMBER(S):
Cell Home Business

6) EMAIL ADDRESS:

7) MARITAL STATUS: ☐ single – NEVER MARRIED ☐ single – DIVORCED

☐ married – NO PREVIOUS MARRIAGES ☐ separated – still married
☐ married – previously married ☐ widowed

 If you are SINGLE and NEVER MARRIED, skip to point n. 10 on PAGE 3,

 If you are SINGLE and/or DIVORCED or WIDOWED skip to point 9 on PAGE 3
 If you are MARRIED or SEPARATED AND STILL MARRIED, continue to point 8 below

8) CURRENT MARRIAGE INFORMATION:

 Date of Marriage (Day / Month / Year):
 City, State, Country of Marriage:
 Spouse’s Last name AT BIRTH:
 Spouse’s Current Last name (if different):
 Spouse’s First name and any middle name(s):
 Spouse’s Sex (Male or Female):
 Spouse’s Date of Birth (Day / Month / Year):
 Spouse’s City, State, and Country of Birth:

If you do NOT have any previous marriages, skip to point n. 10 on PAGE 3, OTHERWISE CONTINUE
TO POINT 9 ON PAGE 2.

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APPLICATION FOR ITALIAN CITIZENSHIP BY DESCENT - JURE SANGUINIS
9) ALL PREVIOUS MARRIAGE(S) - List all previous marriages below in chronological order, beginning
with your first marriage, then proceed to point 10 on PAGE 3

 Date of Marriage (Day / Month / Year):

 City, State, Country of Marriage:
 FORMER Spouse’s Last name AT BIRTH:
 FORMER Spouse’s First name and any middle name(s):
 FORMER Spouse’s Sex (Male or Female):
 FORMER Spouse’s Date of Birth (Day / Month / Year):
 FORMER Spouse’s City, State, and Country of Birth:
 Date Marriage Ended (Day / Month / Year ):
 Reason marriage ended (select one): ☐ Divorce ☐ Annulment ☐ Death

 Date of Marriage (Day / Month / Year):

 City, State, Country of Marriage:
 FORMER Spouse’s Last name AT BIRTH:
 FORMER Spouse’s First name and any middle name(s):
 FORMER Spouse’s Sex (Male or Female):
 FORMER Spouse’s Date of Birth (Day / Month / Year):
 FORMER Spouse’s City, State, and Country of Birth:
 Date Marriage Ended (Day / Month / Year ):
 Reason marriage ended (select one): ☐ Divorce ☐ Annulment ☐ Death

 Date of Marriage (Day / Month / Year):

 City, State, Country of Marriage:
 FORMER Spouse’s Last name AT BIRTH:
 FORMER Spouse’s First name and any middle name(s):
 FORMER Spouse’s Sex (Male or Female):
 FORMER Spouse’s Date of Birth (Day / Month / Year):
 FORMER Spouse’s City, State, and Country of Birth:
 Date Marriage Ended (Day / Month / Year ):
 Reason marriage ended (select one): ☐ Divorce ☐ Annulment ☐ Death

 Date of Marriage (Day / Month / Year):

 City, State, Country of Marriage:
 FORMER Spouse’s Last name AT BIRTH:
 FORMER Spouse’s First name and any middle name(s):
 FORMER Spouse’s Sex (Male or Female):
 FORMER Spouse’s Date of Birth (Day / Month / Year):
 FORMER Spouse’s City, State, and Country of Birth:
 Date Marriage Ended (Day / Month / Year ):
 Reason marriage ended (select one): ☐ Divorce ☐ Annulment ☐ Death

WHEN FINISHED WITH THIS PAGE, CONTINUE TO PAGE 3

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APPLICATION FOR ITALIAN CITIZENSHIP BY DESCENT - JURE SANGUINIS

10) ANY CHILDREN UNDER 18 YEARS OLD? (mark one)

☐ NO (if no, skip to PAGE 4) ☐ YES (if yes, list their information below)

 Last name(s):
 First name and any middle name(s):
 Date of Birth (Day / Month / Year):
 City, State, Country of Birth:
 Legally adopted by way of court order signed by a judge?: (Yes/no):
 Were you (the applicant) married to the other parent of this child at the moment of birth? (yes/no):

 Last name(s):
 First name and any middle name(s):
 Date of Birth (Day / Month / Year):
 City, State, Country of Birth:
 Legally adopted by way of court order signed by a judge?: (Yes/no):
 Were you (the applicant) married to the other parent of this child at the moment of birth? (yes/no):

 Last name(s):
 First name and any middle name(s):
 Date of Birth (Day / Month / Year):
 City, State, Country of Birth:
 Legally adopted by way of court order signed by a judge?: (Yes/no):
 Were you (the applicant) married to the other parent of this child at the moment of birth? (yes/no):

 Last name(s):
 First name and any middle name(s):
 Date of Birth (Day / Month / Year):
 City, State, Country of Birth:
 Legally adopted by way of court order signed by a judge?: (Yes/no):
 Were you (the applicant) married to the other parent of this child at the moment of birth? (yes/no):

 Last name(s):
 First name and any middle name(s):
 Date of Birth (Day / Month / Year):
 City, State, Country of Birth:
 Legally adopted by way of court order signed by a judge?: (Yes/no):
 Were you (the applicant) married to the other parent of this child at the moment of birth? (yes/no):

WHEN FINISHED WITH THIS PAGE CONTINUE TO PAGE 4

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APPLICATION FOR ITALIAN CITIZENSHIP BY DESCENT - JURE SANGUINIS
The applicant requests that his/her right to Italian citizenship be recognized,
and declares to be the descendant of the following:
Fill out the tables below with the requested information, beginning with your most recent ancestor born in ITALY.

GREAT GREAT GRANDFATHER GREAT GREAT GRANDMOTHER

Last Name: Last Name AT BIRTH:
First Name/s: First Name/s:
City of Birth: City of Birth:
Date of Birth (dd/mm/yyyy): Date of Birth (dd/mm/yyyy):
Date and City of Marriage: Date and City of Marriage:
Date and City of Death: Date and City of Death:
NATURALIZATION Date: NATURALIZATION Date:
Certificate No.: City: Certificate No.: City:
Supporting Documentation
□ Birth Certificate
□ Marriage Certificate (if ever married)
□ Divorce Decree (if ever divorced)
□ Naturalization paperwork
□ Death Certificate

GREAT GRANDFATHER GREAT GRANDMOTHER

Last Name/s: Last Name/s AT BIRTH:
First name/s First name/s
City of Birth: City of Birth:
Date of Birth (dd/mm/yyyy): Date of Birth (dd/mm/yyyy):
Date and City of Marriage: Date and City of Marriage:
Date and City of Death: Date and City of Death:
NATURALIZATION Date: NATURALIZATION Date:
Certificate No.: City: Certificate No.: City:
Supporting Documentation
□ Birth Certificate
□ Marriage Certificates of all marriages (if ever married)
□ Divorce Decrees for all divorces (if ever divorced)
□ Naturalization paperwork
□ Death Certificate
GRANDFATHER GRANDMOTHER
Last Name/s: Last Name/s AT BIRTH:
First Name/s: First Name/s:
City of Birth: City of Birth:
Date of Birth (dd/mm/yyyy): Date of Birth (dd/mm/yyyy):
Date and City of Marriage: Date and City of Marriage:
Date and City of Death: Date and City of Death:
NATURALIZATION Date: NATURALIZATION Date:
Certificate No.: City: Certificate No.: City:
Supporting Documentation Supporting Documentation
□ Birth Certificate □ Birth Certificate
□ Marriage Certificates of all marriages (if ever married) □ Marriage Certificates of all marriages (if ever married)
□ Divorce Decrees for all divorces (if ever divorced) □ Divorce Decrees for all divorces (if ever divorced)
□ Naturalization paperwork □ Naturalization paperwork
□ Death Certificate □ Death Certificate

CONTINUE TO PAGE 5

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APPLICATION FOR ITALIAN CITIZENSHIP BY DESCENT - JURE SANGUINIS
FATHER MOTHER
Last Name/s: Last Name/s AT BIRTH:
First Name/s: First Name/s:
City of Birth: City of Birth:
Date of Birth (dd/mm/yyyy): Date of Birth (dd/mm/yyyy):
Date and City of Marriage: Date and City of Marriage:
Date and City of Death: Date and City of Death:
NATURALIZATION Date: NATURALIZATION Date:
Certificate No.: City: Certificate No.: City:
Supporting Documentation Supporting Documentation
□ Birth Certificate □ Birth Certificate
□ Marriage Certificates of all marriages (if ever married) □ Marriage Certificates of all marriages (if ever married)
□ Divorce Decrees for all divorces (if ever divorced) □ Divorce Decrees for all divorces (if ever divorced)
□ Naturalization paperwork □ Naturalization paperwork
□ Death Certificate □ Death Certificate

I HAVE INCLUDED IN THIS APPLICATION THE FOLLOWING FORMS (mark each appropriate box):

□ FORM 2 – declaration that I have never renounced my Italian citizenship, listing all my places of residence
□ FORM 3 - declaration that my LIVING Italian ascendant(s) never renounced Italian citizenship, listing all places
of residence
□ FORM 4 – declaration that my DECEASED Italian ascendant never renounced Italian citizenship, listing all
places of residence

I DECLARE UNDER PENALTY OF PERJURY THAT ALL THE INFORMATION PROVIDED IN

THIS ITALIAN CITIZENSHIP APPLICATION IS TRUE AND CORRECT.

To be signed and dated in front of the consular official on the day of your appointment

DATE: ______________________________ SIGNATURE: ______________________________

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