Main Applicant/Spouse/Child
1
If Spouse/Child, the Name of the Main
Applicant:
Family Name (as in passport):
First Name (
as in passport):
Family Name at birth:
First Name at b
irth:
Mother's Maiden Name (Mother’s Family and First
Names
at Birth):
Residing at (address):
Place and Date of Birth (as in passport):
Gender:
Marital Status
(unmarr
ied/married/widow/divorced):
Date & Place of Marriage
Citizenship (all i
n case of dual or multiple):
Nation
ality:
Passport Number (as in passport):
Date and place of passport issue (as in
passport):
Type of Passport
(private/official/diplomatic/other):
Expiry
Date (as in passport):
Occupation:
Highest Level of Education:
Occupation Prior to Arrival to Hungary:
Telephone Number:
E-mail Address:
For the period of stay in Hungary do you have full
health insurance? (yes/no)
2
Has your application for residence permit ever been
refused? (yes/no)
Have yo
u ever been convicted for a crime? If yes, in
which country, what kind of crime have you
convicted, and what kind of punishment was
imposed? (yes/no)
Have you ever been expelled from Hungary, if yes,
when? (yes/no)
To the best of your knowledge, do you suffer from
HIV/AIDS, hepatitis B, tuberculosis, leprosy, lues,
typhoid diseases, which need treatment, or are y
ou a
carrier of HIV, hepatitis B, typhoid or paratyphoid?
Place of Submission of TR App
lication
3
If outside of Hungary, at the
Hungarian consulate in
(country, city):
In Hungary:
1 Please underline if the Data Sheet is for the Main Applicant/Spouse or Dependent
2 There is no requirement to have health insurance but the information has to be indicated.
3 Please choose where you would like to submit your TR application and provide country and city if outside of Hungary
