9. Date of birth*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
January
February
March
April
May
June
July
August
September
October
November
December
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
10. Country of birth*
- Select a country -
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegov.
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Is.
Central Afr. Rep.
Chad
Chile
China
Colombia
Comoros
Congo, DR
Congo, Rep.
Cook Is.
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Rep.
Denmark
Djibouti
Dominica
Dominican Rep.
Ecuador
Egypt
El Salvador
Equat. Guinea
Eritrea
Estonia
Ethiopia
Faeroe Is.
Falklands (Malvinas)
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See
Honduras
Hungary
Iceland
India
Indonesia
Iran, Islamic Rep.
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, DPR
Korea, Rep.
Kuwait
Kyrgyzstan
Lao People's DR
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab J.
Liechtenstein
Lithuania
Luxembourg
Macedonia, FYR
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Is.
Martinique
Mauritania
Mauritius
Mexico
Micronesia, FS
Moldova, Rep.
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Ant.
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
N. Mariana Is.
Norway
Occ. Palestinian Ter.
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Fed.
Rwanda
St. Helena
St. Kitts & Nevis
St. Lucia
St. Pierre & Miquelon
St. Vincent & Gren.
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia & Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Is.
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Svalbard & J. Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Rep.
Tajikistan
Tanzania, Utd. Rep.
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Turks & Caicos Is.
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Is., UK
Virgin Is., US
Wallis & Futuna Is.
Western Sahara terr.
Yemen
Zambia
Zimbabwe
11. Present nationality*
- Select a country -
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegov.
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Is.
Central Afr. Rep.
Chad
Chile
China
Colombia
Comoros
Congo, DR
Congo, Rep.
Cook Is.
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Rep.
Denmark
Djibouti
Dominica
Dominican Rep.
Ecuador
Egypt
El Salvador
Equat. Guinea
Eritrea
Estonia
Ethiopia
Faeroe Is.
Falklands (Malvinas)
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See
Honduras
Hungary
Iceland
India
Indonesia
Iran, Islamic Rep.
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, DPR
Korea, Rep.
Kuwait
Kyrgyzstan
Lao People's DR
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab J.
Liechtenstein
Lithuania
Luxembourg
Macedonia, FYR
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Is.
Martinique
Mauritania
Mauritius
Mexico
Micronesia, FS
Moldova, Rep.
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Ant.
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
N. Mariana Is.
Norway
Occ. Palestinian Ter.
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Fed.
Rwanda
St. Helena
St. Kitts & Nevis
St. Lucia
St. Pierre & Miquelon
St. Vincent & Gren.
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia & Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Is.
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Svalbard & J. Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Rep.
Tajikistan
Tanzania, Utd. Rep.
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Turks & Caicos Is.
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Is., UK
Virgin Is., US
Wallis & Futuna Is.
Western Sahara terr.
Yemen
Zambia
Zimbabwe
12. Second nationality
- Select a country -
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegov.
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Is.
Central Afr. Rep.
Chad
Chile
China
Colombia
Comoros
Congo, DR
Congo, Rep.
Cook Is.
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Rep.
Denmark
Djibouti
Dominica
Dominican Rep.
Ecuador
Egypt
El Salvador
Equat. Guinea
Eritrea
Estonia
Ethiopia
Faeroe Is.
Falklands (Malvinas)
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See
Honduras
Hungary
Iceland
India
Indonesia
Iran, Islamic Rep.
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, DPR
Korea, Rep.
Kuwait
Kyrgyzstan
Lao People's DR
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab J.
Liechtenstein
Lithuania
Luxembourg
Macedonia, FYR
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Is.
Martinique
Mauritania
Mauritius
Mexico
Micronesia, FS
Moldova, Rep.
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Ant.
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
N. Mariana Is.
Norway
Occ. Palestinian Ter.
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Fed.
Rwanda
St. Helena
St. Kitts & Nevis
St. Lucia
St. Pierre & Miquelon
St. Vincent & Gren.
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia & Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Is.
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Svalbard & J. Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Rep.
Tajikistan
Tanzania, Utd. Rep.
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Turks & Caicos Is.
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Is., UK
Virgin Is., US
Wallis & Futuna Is.
Western Sahara terr.
Yemen
Zambia
Zimbabwe