Antrag auf Erteilung/Verlangerung eines Aufenthaltstitels D/GB/F
Application for the issue / renewal of a residence permit
Demande de délivrance / de prolongation d'un titre de séjour
‘Angaben zur Person des Antragstellers,
Personal data of the applicant
Renseignements concernant le demandeur
Name:/ Family name:/ Noms
Seburtsname Name a bith] Nom de nalance
Vorname Fist namels}/Prénom
Geburtsdatum und-ort /Date and place of birhe/ Date et leu de nalssance
Satsangehigheic/ National National
‘Aelle AnscheFe] Present adress Adresse actuelle
Telefon / EMail Adrese far mgiche Rucfragen /Angabefebwilg):/
Phone no. / email address (fo further inquites, f necessary / non-compulsory datal:/
Telephone / adresse email (pour d'éventuelles demandes de précsions renseignement facta)
‘agente T
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