Annex no. 9 to Minister of Interior Decree no.9/2024 (of II.29.
                                            National Directorate-General for
                                                     Aliens Policing
                                              Országos Idegenrendészeti
                                                     Főigazgatóság
                                           Application form for a residence permit
For completion by the authority.
The authority receiving the application:
__________________
 Date of receipt of the application:
                ______ year ______ month ____ day
                                                                                      Area designated for the
                                                                                       placement of a facial
                                                                                           photograph
                                                                      [Handwritten signature specimen of the applicant (legal
                                                                                         representative)]
                                                                        The signature must be inside the box in its entirety.
                        PLEASE COMPLETE THE FORM LEGIBLY, IN LATIN BLOCK LETTERS.
    First time issuance of a residence permit: Border crossing point as place of entry, date of entry:                    ,            year
      month         day
   Extension of a residence permit: Document number of the residence permit, date of expiry:                         ,          year
month      day
Telephone number:                                                    Email address:
 Delivery of the document (in case the application is submitted by the applicant, unless the application is for a residence permit
 for the purpose of training or for a residence permit for the prupose of studies):
    The applicant requests delivery of the document by way of post.
            Postal delivery address:     place of accommodation of the applicant   contact address of the attorney-in-fact
                                                                 1
   The applicant will collect the document at the issuing authority.
1. Personal data of the applicant
surname (as shown in the passport):                                               forename (as shown in the passport):
surname at birth:                                                                 forename at birth:
mother’s surname at birth:                                                      mother’s forename at birth:
 sex:     male      female                              marital status:       unmarried         widow(er)     married      divorced
date of birth:       year          month                place of birth (locality):                                    country:
day
citizenship:                                                                      nationality/ethnicity (nonmandatory data):
professional qualification(s):                     educational attainment:           primary                        occupation before arriving in
                                                                                     secondary                      Hungary:
                                                                                     tertiary
2. Particulars of the applicant’s passport
passport number:                                        date and place of issuance:               year        month              day,
passport type:      ordinary       service/official      diplomatic       other          date of expiry:           year            month       day
3. Particulars of the applicant’s place of residence in Hungary
parcel                       postal code:               locality:                                        name of the public place:
identification/land
register reference
number (topographical
LOT no.):
type of the public place (i.e.   street number:         building:                        stairway:                      floor:             door:
street, road, square, etc.):
legal title of residence in the place of accommodation:          owner        (sub)tenant        family member        courtesy user of
accommodation          other, specifically:
4. Condition of full health insurance
Do you have full health insurance for the duration of your stay in Hungary?
    based on an employment relationship                               I have funds to cover the costs
    I have full health insurance             other, specifically:
5. Conditions for return or onward travel
When your legal stay expires, which country will you return or travel onwards to?                 By which means of transport?
Do you have the necessary        passport?                  visa?                  ticket(s)?             financial coverage?
                                    yes                         yes                    yes                   yes, amount:
                                    no                          no                     no                    no
6. Applicant’s dependent spouse, child, parent
name/degree of               place and date of        citizenship:            legal title of residence:          residence visa
relationship:                birth:                                              visa                            permanent residence permit
                                                                                 residence permit                national permanent
                                                                                 interim permanent residence residence permit
                                                                          2
                                                                      permit                             immigration permit
                                                                         EC permanent residence          EU Blue Card
                                                                      permit
                                                                                                      Residence document number:
                                                                         interim residence card
                                                                         EU residence card
                                                                         national residence card
                                                                                                            does not reside in Hungary
                                                                         other, specifically:
name/degree of            place and date of     citizenship:          legal title of residence:          residence visa
relationship:             birth:                                         visa                            permanent residence permit
                                                                         residence permit                national permanent
                                                                         interim permanent residence residence permit
                                                                      permit                             immigration permit
                                                                         EC permanent residence          EU Blue Card
                                                                      permit
                                                                                                     Residence document number:
                                                                         interim residence card
                                                                         EU residence card
                                                                         national residence card
                                                                                                         does not reside in Hungary
                                                                         other, specifically:
name/degree of            place and date of     citizenship:          legal title of residence:          residence visa
relationship:             birth:                                         visa                            permanent residence permit
                                                                         residence permit                national permanent
                                                                         interim permanent residence residence permit
                                                                      permit                             immigration permit
                                                                         EC permanent residence          EU Blue Card
                                                                      permit
                                                                                                     Residence document number:
                                                                         interim residence card
                                                                         EU residence card
                                                                         national residence card
                                                                                                         does not reside in Hungary
                                                                         other, specifically:
name/degree of            place and date of     citizenship:          legal title of residence:           residence visa
relationship:             birth:                                          visa                            permanent residence permit
                                                                          residence permit                national permanent
                                                                          interim permanent residence residence permit
                                                                      permit                              immigration permit
                                                                          EC permanent residence          EU Blue Card
                                                                      permit
                                                                                                      Residence document number:
                                                                         interim residence card
                                                                          EU residence card
                                                                          national residence card
                                                                                                          does not reside in Hungary
                                                                          other, specifically:
7. Other details
Permanent or habitual place of residence (prior to your arrival in Hungary):
 Country:                                  Locality:                                 Name of the public place:
Are you a holder of a valid residence permit document in another Schengen Member State?         yes    no
type and number of the permit:
date of expiry:       year         month         day
Have you ever had a rejected application for a residence permit before?
   yes    no
Have you ever been sentenced for a crime before? If yes, in which country and when, for what crime, and what was your punishment,
sentence?
   yes    no
                                                                  3
Have you ever been expelled from Hungary, if yes, when?
    yes     no
        year        month         day
To your knowledge, do you have any of the contagious diseases of HIV/AIDS, or tuberculosis, hepatitis B, syphilis/lues, leprosy,
typhoid fever that require medical treatment, or are you a carrier of the infectious agent of HIV, hepatitis B, typhoid or paratyphoid
fevers in your body?
    yes     no
If you suffer from any of the diseases specified above, or if you are contagious or a carrier of infectious disease pathogens, do you
receive compulsory and regular medical treatment with regard to the said diseases?
    yes     no
8. I hereby declare that the minor child of mine indicated in my passport is travelling to Hungary together with me.
    yes    no
Please note that if your minor child indicated in your passport is travelling to Hungary together with you, Appendix ”A” must
be attached to/enclosed with your application.
9. Planned duration of stay and reasons
Until when are you applying for a residence permit?              year         month          day
I hereby declare that the reason for my stay in Hungary is:
   Guest self-employment (Appendix no. 9.2)
   Guest investor (Appendix no. 9.3)
   Seasonal employment (Appendix no. 9.4)
   Employment for the purpose of investment (Appendix no. 9.5)
   Employment (Appendix no. 9.6)
   Residence permit for guest workers (Appendix no. 9.7)
   Hungarian Card (Appendix no. 9.8)
   EU Blue Card (Appendix no. 9.9)
   Intra-corporate transfer (Appendix no. 9.10)
   Research or (long-term) mobility of researchers (Appendix no. 9.11)
   National Card (Appendix no. 9.12)
   Pursuing studies or student mobility (Appendix no. 9.13)
   Seeking a job or starting a business (Appendix no. 9.14)
    Training (Appendix no. 9.15)
    Traineeship (Appendix no. 9.16)
    Official (Appendix no. 9.17)
    White Card (Appendix no. 9.18)
    Posted work (Appendix no. 9.19)
    Medical treatment (Appendix no. 9.20)
    Voluntary service (Appendix no. 9.21)
    Residence permit for reasons of Hungarian national interest (Appendix no. 9.22)
   Family reunification (Appendix no. 9.23)
10. I hereby declare that all data indicated in this application and in the appendix/appendices
attached/enclosed are true and correct. I understand that submission of false data or information shall result in the refusal of
the application.
Date: .....................................................                                 Signature: .....................................................
 11. I hereby declare that I undertake voluntarily departure from the territory of the Member States of the European Union
 in case a final decision is made on my application case for a residence permit. (to be completed if the application is submitted in
 Hungary)
 Date: .....................................................                                 Signature:.....................................................
                                                                   4
 12. I undertake to leave the territory of the Member States of the European Union and other Schengen States within 8 days of
 the date on which my residence permit ceases to be valid.
 In this context, I declare that I am going to undertake voluntary departure and fulfil my obligation to leave to
                    as a country which is considered a safe country of origin or a safe third country for me, where I will not be
 at risk of persecution on grounds of race, religion, nationality, membership of a particular social group or political opinion, or
 as defined in Article XIV(3) of the Fundamental Law of Hungary.
 The country of expulsion is:
      a state where I have my habitual place of residence and that I am allowed to enter with the following permit:
      type and number of the permit:                            ,
      the/a state of my citizenship,
       a state that I am allowed to enter with the following permit:
      type and number of the permit:                       ,
It is known to me that if I do not comply with the provisions of the decision of expulsion by the deadline specified in the
decision, the immigration authority will carry out the expulsion under law enforcement escort and impose a ban on my entry
and stay.
Date: .....................................................                                             Signature: .....................................................
Transaction number of payment if made by an electronic payment instrument or by a bank deposit:
                                                              For completion by the authority.
                                                               If the application is approved
    I hereby approve the applicant’s residence in Hungary for the purpose of _________________________ until ______ year ____
                                                            month ___ day.
Date: .........................................                                            Signature, stamp: .....................................................
Document number of the residence permit issued and handed over: ______________________________
I received the residence permit.
Date: .........................................                                             Signature of the applicant: ..........................................
In case of extension, the document number of the residence permit withdrawn: ______________________________
                                                                If the application is refused
Number of the resolution on refusal: ______________________________
Date of the refusal: ______ year _____ month ___ day
Legal basis of the refusal:
                                                               If the procedure is terminated
The number of the decision of termination: ______________________________
Date of the decision: ______ year _____ month ___ day
Legal basis of the decision: ______________________________