Appendix no. 9.
National Directorate-General for
Aliens Policing
Országos Idegenrendészeti
Főigazgatóság
APPENDIX ”A”
Particulars of the applicant’s minor child travelling together with the applicant, indicated in the
applicant’s passport
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.
Issuance of a first 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
1. Personal data of the minor child
surname (as shown in 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 citizenship:
date of birth: year month place of birth (locality): country:
day
2. Particulars of the minor child’s place of accommodation in Hungary
parcel identification/land postal code: locality: name of the public place:
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:
3. Other details
To your knowledge, does your child have any of the contagious diseases of HIV/AIDS, or tuberculosis, hepatitis B,
syphilis/lues, leprosy, typhoid fever that require medical treatment, or is (s)he a carrier of the infectious agent of HIV,
hepatitis B, typhoid or paratyphoid fevers in his/her body?
yes no
If the child suffers from any of the diseases specified above, or if (s)he is contagious or a carrier of infectious disease
pathogens, does (s)he receive compulsory and regular medical treatment with regard to the said diseases?
yes no
For completion by the authority.
If the application is approved
I hereby approve the applicant’s residence in Hungary for the purpose of family reunification until ______ year ____ month ___ day.
Date: ......................................... Signature, stamp: .....................................................
Document number of the residence permit 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 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: ______________________________
