Immigration Form

Immigration Form Application

Please complete all required fields marked with an asterisk (*). You can switch between languages using the language selector in the top-right corner.

Foreigner's Data

Passport/NIE

This field is required

First Last Name

This field is required

Second Last Name

First Name

This field is required

Gender

Male

Female

Other

This field is required

Birth Date

This field is required

Birth Place

This field is required

Birth Country

This field is required

Nationality

This field is required

Marital Status

This field is required

Father's Name

Mother's Name

Address

This field is required

Number

This field is required

Floor

City

This field is required

Postal Code

This field is required

Province

This field is required

Mobile Phone

This field is required

Legal Representative

Legal Representative ID

Legal Representative Title

I have a representative for this application

Representative Data

Representative Name/Business

Representative ID

Representative Address

Representative Number

Representative Floor

Representative City

Representative Postal Code

Representative Province

Representative Mobile Phone

Representative Email

Representative's Legal Representative

Representative's Legal Representative ID

Representative's Legal Representative Title

Use same address for notifications

Notification Address

Notification Name/Business

Notification ID

Notification Address

Notification Number

Notification Floor

Notification City

Notification Postal Code

Notification Province

Notification Mobile Phone

Notification Email

I consent that communications and notifications be made through the Single Enabled Electronic Address (Dehú), for which it will be mandatory to have a valid electronic certificate or cl@ve system

Application Details

Application Type

Initial Card

Card Renewal

Duplicate due to theft, loss, destruction or unusability

This field is required