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Application Form
Please fill in the details below. Important:
You do not have to submit the form more than once.
Contact Details:
Title
Mr
Mrs
Ms
Dr
Name
Surname
Phone
Email
Country of Residence
--Select One--
Albania
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Argelia
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Burma
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Cook Islands
Costa Rica
Cyprus
Czech Republic
Democratic Republic of Congo (Zaire)
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France, Metropolitan
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Great Britain (UK)
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea (South)
Kuwait
Kyrgyzstan
Laos Peoples Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya (Arab Jamahiriya)
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Namibia
Nepal
Netherlands Antilles
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Republic of Congo
Reunion
Romania
Russia, Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Samoa
San Marino
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna Islands
Yemen
Zambia
Zimbabwe
General Information About Main Applicant:
Current Job
10 words maximum
Criminal Record
I Have a Clean Criminal Record
I have had disseases recently which require quarantine
Medical Record
I Have a Clean Medical Record
contact_not_clean_medical_record
Languages Spoken
Separate by commas (4 max)
Economic Information About Main Applicant:
Yearly Earnings
Under $30,000
Between $30,000-60,000
Between $60,000-90,000
More than $90,000
Available Funds
Under $30,000
Between $30,000-60,000
Between $60,000-90,000
More than $90,000
Funds to be deposited in a bank account
Preexisting Wealth
Under $100,000
Between $100,000-200,000
Between $200,000-350,000
More than $350,000
Sum of value of properties, bank deposits, etc.
Application Details:
Country Of Interest
Any Country
Austria
Belgium
Czech Republic
Denmark
Finland
France
Germany
Greece
Hungary
Iceland
Italy
Latvia
Lithuania
Luxembourg
Malta
Netherlands
Norway
Poland
Portugal
Spain
Sweden
Reason For Applying
To Live without having to work
To work self employed (start a business)
To retire as a pensioner
Other
Would you buy a property or business to suppor your application?
No
Yes
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