Residence permit application form family member(s)
Please complete this form and upload the documents for your family member(s) their mvv and/or residence permit application. You can find the requirements for the documents in the checklist, which has been attached in the email Preparing the immigration of your family. The form must be filled in and sumbitted by the sponsor of the family member(s), which is the researcher or highly skilled migrant who has a contract or guest agreement with the University of Groningen/ UMCG.
Surname (according to passport) *
Given name(s) (according to passport)
E-mail address *
Faculty *
Select your faculty Campus Fryslân Faculty of Economics and Business Faculty of Behavioural and Social Sciences Faculty of Religion, Culture and Society Faculty of Arts Faculty of Law Faculty of Spatial Sciences Faculty of Science and Engineering Faculty of Philosophy PThU UMCG University College Groningen University Services
Nationality family member(s) *
Select country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belize Benin Bermuda Bhutan Bolivia Bonaire, Saint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote d Ivoire Cuba Curacao Democratic Republic of the Congo Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji French Polynesia French Southern Territories Gabon Gambia Georgia Ghana Greenland Grenada Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong India Indonesia Iran (Islamic Republic of) Iraq Isle of Man Israel Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic Peoples Republic of Korea, Republic of Kosovo Kuwait Kyrgyzstan Lao Peoples Democratic Republic Lebanon Lesotho Liberia Libyan Arab Jamahiriya Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Marshall Islands Mauritania Mauritius Mexico Micronesia (Federated States of) Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Puerto Rico Qatar Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (FR) Saint Pierre and Miquelon Saint Vincent and the Grenadines Saint-Barthélemy Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (NL) Solomon Islands Somalia South Africa South Georgia and the South Sandwich Island South Sudan Sri Lanka Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Syrian Arab Republic Taiwan, Republic of China Tajikistan Tanzania, United Republic of Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City State (Holy See) Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S) Wallis and Futuna Islands Western Sahara Yemen Zaire Zambia Zimbabwe
Country of residence of your family member(s) *
Select country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Saint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Canary Islands Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote d Ivoire Croatia Cuba Curacao Cyprus Czech Republic Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic Peoples Republic of Korea, Republic of Kosovo Kuwait Kyrgyzstan Lao Peoples Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia (Federated States of) Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (FR) Saint Pierre and Miquelon Saint Vincent and the Grenadines Saint-Barthélemy Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (NL) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Island South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Republic of China Tajikistan Tanzania, United Republic of Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City State (Holy See) Venezuela Viet Nam Virgin Islands (British) Virgin Islands (U.S) Wallis and Futuna Islands Western Sahara Yemen Zaire Zambia Zimbabwe
At which Dutch Embassy/Consulate General your family member(s) would like to collect their mvv (long-term visa)?
(please follow this link to find your embassy/consulate general)
Appendix Authorisation and sponsorship declaration *
Would you like to bring your partner? *
You and your partner are *
Would you like to bring your child(ren)? *
How many children would you like to bring? *
Have you paid the application fees for your family member(s)? *
Personal details partner
Surname (according to passport) *
Given name(s) (according to passport)
Date of birth *
Passport number *
Passport: Date of issue *
Passport: Date of expiry *
If you would like to bring more than five children, please send the personal details and required documents of your other child(ren) by email to isd-staff@rug.nl
Personal details child 1
Surname (according to passport) *
Given name(s) (according to passport)
Date of birth *
Passport number *
Passport: Date of issue *
Passport: Date of expiry *
Personal details child 2
Surname (according to passport) *
Given name(s) (according to passport)
Date of birth *
Passport number *
Passport: Date of issue *
Passport: Date of expiry *
Personal details child 3
Surname (according to passport) *
Given name(s) (according to passport)
Date of birth *
Passport number *
Passport: Date of issue *
Passport: Date of expiry *
Personal details child 4
Surname (according to passport) *
Given name(s) (according to passport)
Date of birth *
Passport number *
Passport: Date of issue *
Passport: Date of expiry *
Personal details child 5
Surname (according to passport) *
Given name(s) (according to passport)
Date of birth *
Passport number *
Passport: Date of issue *
Passport: Date of expiry *
Documents (only PDF files)
Please make sure that all uploaded documents should not exceed more than 20MB. If it is more than 20MB the form will not be received by the ISD.
Documents partner (married/ registered partnership)
Passport *
Appendix Antecedents certificate *
Appendix Declaration by sponsor *
Legalised marriage certificate/ registered partnership certificate *
Documents partner (unmarried)
Passport *
Appendix Antecedents certificate *
Appendix Declaration by sponsor *
Legalised unmarried status declaration of yourself *
Legalised unmarried status declaration of your partner *
Appendix Declaration of relationship *
Appendix Questionnaire for residence with partner *
Documents child 1
Passport *
Declaration by sponsor *
Legalised birth certificate *
Appendix Antecedents certificate (only mandatory for children aged 12 years and older)
Documents child 2
Passport *
Appendix Declaration by sponsor *
Legalised birth certificate *
Appendix Antecedents certificate (only mandatory for children aged 12 years and older)
Documents child 3
Passport *
Appendix Declaration by sponsor *
Legalised birth certificate *
Appendix Antecedents certificate (only mandatory for children aged 12 years and older)
Documents child 4
Passport *
Appendix Declaration by sponsor *
Legalised birth certificate *
Appendix Antecedents certificate (only mandatory for children aged 12 years and older)
Documents child 5
Passport *
Appendix Declaration by sponsor *
Legalised birth certificate *
Appendix Antecedents certificate (only mandatory for children aged 12 years and older)
IMPORTANT DECLARATION
By signing this agreement I, the scientific researcher/ highly skilled migrant, declare the following:
› I am aware that my legal stay in the Netherlands is based on my contract or (guest) agreement with the UG/UMCG.
› I am aware that I am the legal sponsor of the mvv and/or residence permit application(s) and the stay of my family member(s) in the Netherlands.
› I am aware I and my family member(s) have no recourse to public funds, specifically with regards to Dutch welfare benefits (Dutch: bijstand).
› I am aware it is my obligation and responsibility to have a valid healthcare insurance for me and my family member(s) during my entire stay; I have and will remain having a healthcare insurance with sufficient coverage in the Netherlands
› I am aware that as a (future) holder of a Dutch residence permit, I and my family member(s) are expected to have my main residence in the Netherlands, and I will not be out of the Netherlands for more than 6 months per year
› I will report any changes in my and my family member(s) their situation (e.g. amount of income, amount of working hours, emigration) to the ISD as soon as possible by sending an e-mail to isd-staff@rug.nl .
*