Application Form Family Reunification

With this application form you can request IOM travel assistance or consultation service for family reunification to the Netherlands.
If you request IOM travel assistance you will receive a cost estimate after which you can decide if you would like to proceed with IOM assistance.

Please fill in this form completely to avoid delayed processing.
If you have any problems filling out or sending this form, please contact +31 887464444.

 

Request


I have read and understand the service conditions and exclusions. I hereby release IOM from all claims and liabilities that may arise relating to this Service.you have to check the box

Organization assisting the migrant

Name organization

Contact person

Phone number

Email Address

Address

A mobile phone number is required to ensure the contact person is reachable at all times

Name

Mobile phone number

Family members in the Netherlands

Full name

Address

Mobile phone number

Details of family moving to the Netherlands

Name of caretaker of family members

Current address of the family

Country

Phone number

Email

The family departs from city

The family departs from country

Spoken languagues

Status of the family members in the country of departure

The family members travel with a

Valid until

MVV

Provisional Residence Permit

MVV valid until

Details of the family members travelling

Family member 1

Full name

Date of birth

Gender

Nationality

Relationship to family member in NL

Family member 2

Full name

Date of birth

Gender

Nationality

Relationship to family member in NL

Family member 3

Full name

Date of birth

Gender

Nationality

Relationship to family member in NL

If more than 3 family members travel, please include their details in the text box below

Additional family members

Comments

Disclaimer

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