Biographic Information (Passport Application)

Full name (name, surname, patronymic) *

Email *

Have you ever changed your name? *

Yes

No

Date of birth *

Ethnicity *

Citizenship *

Are you a citizen of more than one country? *

Yes

No

Please explain why you want to obtain Armenian citizenship *

Have you ever resided (for an extended period) in a country other than the country of your citizenship? *

Yes

No

Please name the countries where you resided and the dates of your residence (start and end dates in DD/MM/YYYY format) *

Are you currently in Armenia? *

Yes

No

Please specify the date of your arrival to Armenia *

Please specify the purpose of your visit to Armenia

Have you been to Armenia in the past? *

Yes

No

Please specify the dates of your prior visits (start and end dates in DD/MM/YYYY format) and their purpose *

Your address in Armenia (if any) *

Your address in Armenia (if any)

City

State/Province

Zip/Postal

Country

Your address abroad *

Your address abroad

City

State/Province

Zip/Postal

Country

Please give details on your education and profession: which educational institution (including schools) did you graduate from and when? *

Please give the following information on your work experience: place of work, position, address, dates of starting and ending the work (start and end dates in DD/MM/YYYY format). Please specify all the places you have ever worked, including military service and education in higher education institutions *

Marital status *

Married

Divorced

Single

Widowed

Please give the following information for each of your family members (father, mother, sister(s), brother(s), spouse, child(ren): full name; date of birth; ethnicity; citizenship; place of work and position; place of residence *

Do you have any scientific degree or title? *

Yes

No

Have you authored scientific works or inventions? *

Yes

No

Have you ever been elected to representative authorities? *

Yes

No

Have you ever been subject to criminal or administrative penalties? *

Yes

No

When and why? *

Do you suffer from any of the following diseases: plague; cholera; tuberculosis; tropical malaria; atypical pneumonia; avian flu; AIDS? *

Yes

No

Have you ever participated in military conflicts? *

Yes

No

Do yo have state awards? *

Yes

No

Have you served in the military? *

Yes

No

Please give details of your military service and specify your military rank *

Other information you wish to provide in connection with your citizenship application (if any) *