Get Italy Application for National Visa
Family name) (x) FOR OFFICIAL USE ONLY Spazio riservato all'amministrazione 2. Cognome alla nascita (cognome/i precedente/i) / Surname at birth (Former family name(s)) (x) Data della domanda: 3. Nome/i / First name(s) (Given name(s)) (x) 4. Data di nascita (giorno-mese-anno) Date of birth (day-month-year) .______/______/______ day /month / year 5. Luogo di nascita / Place of birth …………………………………….. 6. Stato di nascita / Country of birth 7. Cittadinanza attuale Nu.
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