Transcription of APPLICATION FOR ITALIAN CITIZENSHIP
1 FORM 1 APPLICATION FOR ITALIAN CITIZENSHIP JURE SANGUINISTHE UNDERSIGNED Last/First/Middle Name: _____City of Birth: _____Date of Birth (DD/MM/YYYY): _____State/Province of Birth: _____Current Address: _____Telephone, Home: _____ Business: _____ Cell: _____Married? YES NO Divorced? YES NOCity and Date of Marriage _____Spouse s Full Name (please use maiden name): _____Spouse s City of Birth and Date of Birth: _____CHILDREN UNDER 18 YEARS OLDNameCity of BirthDate of Birth (DD/MM/YYYY)1) _____2) _____3) _____REQUESTS THAT HIS/HER RIGHT TO ITALIAN CITIZENSHIP BE RECOGNIZED AND, THEREFORE,DECLARES TO BE A DESCENDANT OF:GREAT GRANDFATHERGREAT GRANDMOTHERLast Name: _____Maiden Name: _____First Name/s: _____First Name/s: _____City of Birth: _____City of Birth: _____Date of Birth (DD/MM/YYYY): _____Date of Birth (DD/MM/YYYY): _____Date and City of Marriage: _____NATURALIZATIONC ertificate No: _____City: _____Date (DD/MM/YYYY): _____GRANDFATHERGRANDMOTHERLast Name: _____Maiden Name: _____First Name/s.
2 _____First Name/s: _____City of Birth: _____City of Birth: _____Date of Birth (DD/MM/YYYY): _____Date of Birth (DD/MM/YYYY): _____Date and City of Marriage: _____NATURALIZATIONC ertificate No: _____City: _____Date (DD/MM/YYYY): _____FATHERMOTHERLast Name: _____Maiden Name: _____First Name/s: _____First Name/s: _____City of Birth: _____City of Birth: _____Date of Birth (DD/MM/YYYY): _____Date of Birth (DD/MM/YYYY): _____Date and City of Marriage: _____NATURALIZATIONC ertificate No: _____City: _____Date (DD/MM/YYYY): _____Attached (please mark):FORM 2. DECLARATION THAT I NEVER RENOUNCED ITALIAN CITIZENSHIP , LISTING ALL MY PLACES OF RESIDENCE;FORM 3 AND/OR 4: DECLARATION THAT MY FATHER MOTHER GRANDFATHER GRANDMOTHER (PLEASE MARKAPPROPRIATE BOXES) NEVER RENOUNCED ITALIAN CITIZENSHIP , LISTING ALL PLACES OF _____/_____/_____SIGNATURE_____must be notarizedFORM 2 DECLARATION OF APPLICANTTHE UNDERSIGNED (last/first/middle name) _____,BORN IN (city and state/province) _____ON (date of birth) _____,AND CURRENTLY LIVING AT (current address)_____IN REFERENCE TO HIS/HER REQUEST FOR RECOGNITION OF ITALIAN CITIZENSHIP JURESANGUINIS,DECLARESTHAT HE/SHE HAS NEVER RENOUNCED ITALIAN CITIZENSHIP BEFORE ANY ITALIAN AUTHORITY,THAT HE/SHE, STARTING FROM THE AGE OF EIGHTEEN (18), HAS RESIDED IN:CITY, STATE/PROVINCEAPPROXIMATE TIME PERIOD (YEARS)1.
3 _____2. _____3. _____4. _____5. _____6. _____7. _____8. _____9. _____10. _____DATE _____/_____/_____SIGNATURE _____Signature must be notarized. Otherwise, this declaration must be signed before a consular 3 DECLARATION OF LIVING ITALIAN ASCENDANT BORN OUTSIDE OF ITALYTHE UNDERSIGNED (last/first/middle name) _____,BORN IN (city and state/province) _____ON (date of birth) _____,AND CURRENTLY LIVING AT (current address)_____(home telephone number)_____(check one) FATHER MOTHER GRANDFATHER GRANDMOTHER OF THE APPLICANT(applicant s last/first/middle name) _____,IN REFERENCE TO THE APPLICANT S REQUEST FOR RECOGNITION OF ITALIAN CITIZENSHIP JURESANGUINIS,AND BEING AWARE THAT THE UNDERSIGNED WILL ALSO OBTAIN HIS/HER OWNRECOGNITION OF ITALIAN CITIZENSHIP ,DECLARESTHAT HE/SHE HAS NEVER RENOUNCED ITALIAN CITIZENSHIP BEFORE ANY ITALIAN AUTHORITY,THAT HE/SHE, STARTING FROM THE AGE OF EIGHTEEN (18), HAS RESIDED IN:CITY, STATE/PROVINCEAPPROXIMATE TIME PERIOD (YEARS)1.
4 _____2. _____3. _____4. _____5. _____6. _____7. _____8. _____9. _____10. _____DATE _____/_____/_____SIGNATURE _____Signature must be notarized. Otherwise, this declaration must be signed before a consular 4 DECLARATION OF DECEASED ASCENDANTIf your ITALIAN ancestor was born outside of Italy, but is deceased, please fill out the following declaration. If alive,please have him/her fill out FORM UNDERSIGNED (last/first/middle name) _____,BORN IN (city and state/province) _____ON (date of birth) _____,IN REFERENCE TO HIS/HER REQUEST FOR RECOGNITION OF ITALIAN CITIZENSHIP JURESANGUINIS,DECLARES THAT(name of ancestor)_____BORN IN (city and state/province) _____ON (date of birth) _____,AND RELATED TO THE APPLICANT AS (check one) FATHER MOTHER GRANDFATHERGRANDMOTHER ,NEVER RENOUNCED ITALIAN CITIZENSHIP BEFORE ANY ITALIAN AUTHORITY,AND THAT, STARTING FROM THE AGE OF EIGHTEEN (18), RESIDED IN:CITY, STATE/PROVINCEAPPROXIMATE TIME PERIOD (YEARS)1.
5 _____2. _____3. _____4. _____5. _____6. _____7. _____8. _____9. _____10. _____DATE _____/_____/_____SIGNATURE _____Signature must be notarized. Otherwise, this declaration must be signed before a consular officer.
