Fill in carefully all the fields
of the form:
Surname at birth: (mandatory
field).
Current surname:
indicate it if it is different of the surname at birth.
Forename: (mandatory
field).
Address: (mandatory
field) Number, street, box, etc.
Example: 15 Peace Street Appartment 2 15° floor.
The postal code and the city do not have to be indicated in
this field.
Post code :
(mandatory field) Do not add the country code to the
postal code. Example: 75008, 1000, etc.
Place: (mandatory
field) City/Town of residence.
Example: PARIS, BRUSSELS, etc.
Country: (mandatory
field) Country of residence.
Date of birth :
(mandatory field) Indicate the date
of birth following the format dd/mm/yyyy. Example: 10/06/1954.
Sex: (mandatory
field) Indicate "M" for male and "F"
for female.
Citizenship: (mandatory
field) Select your nationallity in the list menu.
Other nationality:
Add your second nationality, if applicable, using the list menu.
Phone number: Only
the first of the three fields is mandatory. The last one concerns
the mobile phone number. Do not forget to include each time
the international prefix and the regional prefix between brackets,
both of them connected by a hyphen. Example for a number in
Brussels: (32-2) 299 11 11.
Fax number: Do
not forget to include the international prefix and the regional
prefix between brackets, both of them connected by a hyphen.
Example for a number in Brussels: (32-2) 299 11 11.
E-mail: Your electronic
address is already indicated.
Personal web site:
Indicate the address of your web site (URL).
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