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Get Italy Application for National Visa (D)

FOR CONSULATE USE ONLY 3. First name(s) Date of application: Visa application number: 4. Date of birth (year-month-day) 5. Place of birth 7. Current nationality: Application lodged at: 6. Country of birth 8. Sex Embassy/Consulate CAC Service provider Commercial intermediate Other Nationality at birth, if different: 9. Marital status Male Female Single Married Separated Divorced Widow(er) Other (please, specify) Name: File handled by: 10. In case of minors: Surname, first name, addr.

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