Application: Replacement or Renewal of A Foreign Nationals Document
Application: Replacement or Renewal of A Foreign Nationals Document
Application: Replacement or Renewal of A Foreign Nationals Document
replacement or renewal of
a foreign nationals document
Nederlandse versie Countries that belong to the European Union (EU) are: Belgium, Bulgaria, Cyprus,
Dit aanvraagformulier is ook verkrijgbaar in het Nederlands. Denmark, Germany, Estonia, Finland, France, Greece, Hungary, Republic of Ireland,
Kijk op www.ind.nl om dit formulier te downloaden. Italy, Croatia, Latvia, Lithuania, Luxembourg, Malta, the Netherlands, Austria,
Poland, Portugal, Romania, Slovenia, Slovakia, Spain, Czech Republic,
First read the notes on this page and the following page before you complete the form. United Kingdom and Sweden.
Countries that belong to the European Economic Area (EEA) are: Liechtenstein,
Why use this form? Norway and Iceland.
You can use this form to apply for a new foreign nationals document.
You can only use this form if: How do you complete this form?
• Your foreign nationals document, w-document or w2- document This form comprises several different appendices; which appendices
has been lost, stolen or damaged. You need to replace the foreign you need to complete depends on your situation. Only submit your
nationals document; application once you have fully completed this form, signed and collected
• You have a permanent regular residence permit or a Permanent together all the necessary documents and items of evidence. If your
Residence Document for Nationals of the Union and the period of application is incomplete then the Immigration and Naturalisation
validity of the current foreign nationals document is about to expire. Service (IND) will not be able to assess your application properly.
You need to renew the foreign nationals document;
• You have the nationality of one of the EU Member States, EEA Minor children
Member States or of Switzerland. You have a permanent residence If the foreign nationals document of a minor child needs to be replaced
permit of a Permanent Residence Document for Nationals of the or renewed, or if it is damaged, then you can complete this form on
Union and the period of validity of the current document is about to his/her behalf. Where reference is made in the form to ‘you’ or ‘the
expire. You can renew the foreign nationals document. However, this applicant’ then this refers to the child. Complete a separate form for
is not obligatory; each child. Answer all the questions on behalf of the child. If the child is
• Your foreign nationals document contains incorrect personal details, 12 years old or older, then he/she can sign the form him/herself. If the
for example the wrong name, date of birth, place of birth or child is younger than 12 years old, then the section ‘5: Previous history’
nationality. You first need to change the details in the Municipal does not require completing.
Personal Records Database in the municipality where you live;
• Your foreign nationals document contains other incorrect details. How do you submit this application?
Send the form to the Immigration and Naturalisation Service (IND).
In which cases can you not use this form? Only submit the application once this form is fully completed and
You cannot use this form in the following cases: signed, therefore not in parts. Send all the required documents together
• You have an EU document (other than the residence document with your application. If you are requesting the replacement of your
Permanent Residence Document for Nationals of the Union) and you foreign nationals document, then you should send your application as
have the nationality of one of the EU Member States, EEA Member soon as possible to the Immigration and Naturalisation Service (IND).
States or of Switzerland, except Croatia. You want to replace/renew If you are requesting renewal of the foreign nationals document, then
your EU document because the period of validity of the document you should send your application to the Immigration and Naturalisation
is about to expire. Do not use this form is such cases. You no longer Service (IND) at least 8 weeks before the date on which the foreign
need a residence document. Under certain conditions you may be nationals document expires. Assessment of the application and making
eligible for the residence document Permanent Residence Document the foreign nationals document takes several weeks to complete.
for Nationals of the Union. You can find further information about You are obliged to have a valid foreign nationals document with you
this on the website www.ind.nl. at all times in the Netherlands. If the police ask to see your foreign
• You have an EU document (other than the residence document nationals document, then you must be able to show it to them. If you
Permanent Residence Document for Nationals of the Union) and you are unable to do so, then you may incur a fine. If you do not have a valid
have Croatian nationality, or you are staying with someone with the foreign nationals document, then you may incur problems at your work
nationality of one of the EU Member States, EEA Member States or of or in relation to benefit payments.
Switzerland. You want to replace/renew your EU document because
the period of validity of the document is about to expire. Do not use Application costs (charges)
this form is such cases. Instead you should use the form ‘Application There may be costs attached to applications for replacement or renewal.
for Verification against EU Law (certificate of lawful residence)’. There is no information relating to these costs or the possible exemption
Under certain conditions you may be eligible for the residence from administrative charges included in this form. If you would like to
document Permanent Residence Document for Nationals of the know more about these costs before submitting a form, details of this
Union. You can find further information about this on the website can be found on the website www.ind.nl.
www.ind.nl.
6013 | 18c
2 of 4
Processing of personal data processes. You can also get information on why the IND does so and to
The Immigration and Naturalisation Service (IND) processes personal whom your data have been passed on. On www.ind.nl you can read how
data when it processes your application, notification, or request. the IND processes your data and which rights you have. You can also read
This means that if needed the IND will request data from you yourself how to use your rights.
and other organisations or persons. The IND also uses and stores data
and shares them with other organisations. When doing so, the IND Do you need more information?
strictly adheres to the stipulations of privacy legislation. For instance, Then visit the IND website at www.ind.nl. You can also contact the IND
the IND must treat data safely and with due care. The law also gives by telephone via 088 043 04 30 (normal charges apply). From abroad
rights. At your request, you are allowed to see which data on you the IND you can call +31 88 043 04 30.
1.1 V-number
1.3 Name |
First names
|
> Please tick the applicable situation Day Month Year
1.7 Nationality |
Street Number
| |
> Please tick the applicable situation
1.11 E-mail |
2 Replacement or renewal?
2.1 Indicate the reason why you want n Replacement of the foreign nationals document due to loss or theft (720)
a new foreign nationals document n Replacement of the foreign nationals document because it is damaged (721)
> Please tick the applicable situation n Replacement of the foreign nationals document because it contains incorrect personal details (721)
Please note! If there are changes to your personal details and you have not yet passed these on to your local municipality,
then you must do so as soon as possible. The IND always uses your personal details as they are registered with your local
municipality. It is very important therefore that your local municipality has your correct personal details. Indicate below
which details are incorrect.
n Replacement of the foreign nationals document because it contains incorrect details (721)
Indicate below which details are incorrect
n Renewal of the foreign nationals document (permanent residence permit or Permanent Residence
Document for Nationals of the Union) because the period of validity is about to expire (721)
6013
3 of 4
2.2 Indicate the type of n Regular residence permit > Continue further with 3 and complete the rest of the form
document you are n Evidence of legitimate stay (EU/EEA) (other than the residence document Permanent Residence Document
applying for for Nationals of the Union) ; do you have Croatian nationality or are you a family member of a person
> Please tick the applicable with an EU/EEA nationality or Swiss nationality? Please note! Only choose this option if you want to replace
situation your residence document in connection with theft, loss or incorrect details. On page 1 under “In which cases can
you not use this form?” you can read what you should do in other situations. > Continue further with 3 and complete the rest of the form
n Residence document
Permanent Residence Document for Nationals of the Union > Continue further with 3 and complete the rest of the form
n Asylum residence permit (721) > Continue further with 4 and complete the rest of the form
n W-document (782) > Continue further with 5 and complete the rest of the form
n W2-document (781) > Continue further with 5 and complete the rest of the form
5 Antecedents certificate
Please note! > Indicate the situation which applies to you since the issue of your current residence document
You do not have to complete this n I declare that:
antecedents certificate if you (the • I have never been sentenced to a term of imprisonment or measure restricting liberty due to committing a
permit holder): crime;
• submit an application for • I have never been sentenced to carry out unpaid work for public service or a community punishment order
replacement, or due to committing a crime;
• I have never had an unconditional fine imposed on me due to committing a crime;
• if you are 12 years or older, or • I have never accepted a fixed penalty notice due to committing a crime;
• if you are a national of the EU • I have never received a punishment order due to committing a crime;
or EEA or Switzerland, or • I am not subject to prosecution at the present time due to committing a crime;
• if you have Belgian or • I have never been responsible for one of the following categories of acts as meant in Article 1F of the
Geneva Convention on Refugees of 1951: a crime against peace, a war crime, a crime against humanity,
Luxembourgian nationality.
a serious non-political crime (for example, murder or terrorism), or acts contrary to the objectives and
principles of the United Nations (for example, acts of terror); and
In other cases if you do not • I understand that conviction of a crime may lead to refusal of residence or termination of residence.
complete this antecedents n I am unable to make the above declaration for the following reason(s):
certificate truthfully, then this
may have consequences for your
|
right of residence.
6013
4 of 4
> Please tick the applicable situation n I understand that IND needs my fingerprints, passport photo and signature for making a residence
document.
n I am a citizen of the EU, EEA or Switzerland. I understand that the IND needs my passport photo and
signature for making a residence document.
10.1 Name |
Place Day Month Year
10.3 Signature |
Immigratie- en Naturalisatiedienst
Postbus 5
9560 AA Ter Apel
In all other cases send the application to:
Immigratie- en Naturalisatiedienst
Postbus 9
9560 AA Ter Apel
6013
Do not enclose this appendix with the form! Appendix
Fingerprints, passport photo and
signature
In order to be able to make a residence document, the Immigration and Applying for a first residence permit in the Netherlands or changing
Naturalisation Service (IND) need the fingerprints, passport photo and the purpose of residence
signature of the foreign national. How can the foreign national submit
these? • The foreign national or sponsor submits the application in writing
(and sends the application by post to the Immigration and
In all cases, the foreign national must bring a valid passport (this can Naturalisation Service (IND)). The foreign national must go the
also be a foreign national passport or a refugee passport) or ID card of Immigration and Naturalisation Service (IND) desk within 2 weeks
the EU, EEA or Switzerland. after receiving a confirmation letter in order to have his/her
fingerprints and passport photo taken. Please check www.ind.nl to
This can be done while still abroad, by means of the Entry and make an online appointment. There, you will also find addresses
Residence procedure and opening hours of the IND desks. If the application form notes
that the foreign national will collect the residence permit at an expat
• The sponsor (in the Netherlands) will have submitted the application centre, then he/she can also have a passport photograph and his/her
for Regular Provisional Residence Permit for the foreign national fingerprints taken there. Please check www.ind.nl for how to make an
(who is still abroad). online appointment. There, you will also find addresses and opening
- If a positive decision is given, then the foreign national can collect hours of the IND desks. The addresses and opening hours of the Expat
the Regular Provisional Residence Permit from the Dutch Embassy Centres can be found at www.ind.nl.
or Consulate in his/her country of origin or long-term residence. • The foreign national must submit the application immediately at
When collecting the Regular Provisional Residence Permit, the the counter. A passport photo and the fingerprints will be taken at
foreign national must take a new (and not previously used) passport the counter. The foreign national will also be required to sign the
photo with him/her. This passport photo must comply with the document. Submitting an application to an Immigration and
requirements which also apply for Dutch passports. The Embassy Naturalisation Service (IND) counter is by appointment only.
can inform the foreign national where he/she is able to have Information about making appointments can be found on the
passport photos made locally, which comply with the relevant website www.ind.nl.
requirements. A photo that does not comply with the requirements
will cause unnecessary delay. Application for extension of a residence permit, a permanent
- The employee at the Dutch Embassy or the Consulate will take residence permit or an application for renewal or replacement of
fingerprints and the foreign national will also be required to sign a residence document
the document.
• The foreign national or sponsor submits the application in writing
• The foreign national has submitted the Regular Provisional Residence (and sends the application by post to the Immigration and
Permit to the Dutch Embassy or the Consulate in the country of origin Naturalisation Service (IND)). The foreign national must then go to
or long-term residence. the Immigration and Naturalisation Service (IND) counter within
- When submitting the application, the foreign national must take 2 weeks in order to have his/her fingerprints and passport photo
a new (and not previously used) passport photo with him/her. taken. You will have to make an online appointment first.
The employee at the Dutch Embassy or the Consulate will also take The addresses and opening hours of the Immigration and
the fingerprints and the foreign national will be required to sign the Naturalisation Service (IND) counters can be found on the website
document. www.ind.nl.
When abroad, application for temporary Regular Residence Permit N.B. From 1 March 2014, if the foreign national (e.g. in the context of
for persons who do not require a Regular Provisional Residence Permit a previous application) has had biometric features (10 fingerprints and
a passport photo) taken, the foreign national does not need to provide
• If an application is submitted in the Netherlands by a (recognised) these details (at an IND desk) again. This does not apply if the foreign
sponsor for a foreign national who does not require a Regular national has reached the age of 6, 12 or 18 in the intervening period.
Provisional Residence Permit, then the foreign national must go The IND could invite the foreign national for gaining biometric details
to an Immigration and Naturalisation Service (IND) counter again, if the previously used passport photo is an insufficient similarity
immediately after arrival in the Netherlands. The Immigration and of the foreign national or if the photo and/or fingerprints taken
Naturalisation Service (IND) employee will make fingerprints and a previously are of an insufficiently high quality.
passport photo and the foreign national will be required to sign the
document. You have to make an online appointment via the website
www.ind.nl.
b02
2 of 2
b02
This appendix may only be used for children younger than 6 years and
Union citizens and nationals of the EEA and Switzerland. Appendix
Passport photo form
The passport photo and signature Please note! No residence document can be issued to you if your
The passport photo and signature of the foreign national is stated on the passport photo does not meet the Dutch passport requirements.
residence document (card). Each person from the age of 12 must place
his or her own signature in this passport photo form. It is important for Instruction enter personal data and signature
the signature to be clearly visible. Any unclear signatures cannot be used. 1. Complete in this passport photo form the foreign national’s personal
details (1 to 5).
The foreign national’s passport photo, which you have to place in this Please note! Complete in capital letters
passport photo form, must meet the following requirements: 2. Have the foreign national place a signature in the signature box on
• The passport photo is in color. the lower left side (6). Use a pen with dark, preferably black ink.
• The passport photo may not have been used for a residence Please note! If the signature is not clearly visible, a residence
document before and must bear a clear resemblance; document can not be issued.
• The passport photo must meet the Dutch passport requirements. 3. Stick the passport photo with glue in the grey photo frame on
These requirements can be found at www.rijksoverheid.nl (Welke eisen the lower right side.
stelt de overheid aan mijn pasfoto voor mijn paspoort of identiteitskaart?) Please note! Never use paperclips or staples, the passport photo will
damage hereby.
2. Home address | |
Postcode Town
| |
Day Month Year
3. Date of birth
4. Nationality |
5. V-number
6. Signature
b30
2 of 2
b30