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Italian Citizenship Application Questionnaire
Home
Citizenship
Italian Dual Citizenship
Italian Citizenship Application Questionnaire
Italian Citizenship Questionnaire
Pre-qualifying Questionnaire for Italian Citizenship. Please fill this form out to the best of your knowledge.
Applicant Data
Applicant's Name
*
First
Middle
Last
Date of Birth
MM
DD
YYYY
City of Birth
State of Birth
Choose a State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Current Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Email
*
Home Phone
Cell Phone
*
Married
Yes
No
Divorced
Yes
No
Children Under 18 Years Old:
Child Name
Place of Birth
Date of Birth
MM
DD
YYYY
Child Name
Place of Birth
Date of Birth
MM
DD
YYYY
Child Name
Place of Birth
Date of Birth
MM
DD
YYYY
Child Name
Place of Birth
Date of Birth
MM
DD
YYYY
Ascendants:
(please fill only from the last Ascendant born in Italy)
Great Grandfather
Last Name
First Name(s)
City of Birth
Date of Birth
MM
DD
YYYY
Date of Marriage
MM
DD
YYYY
City of Marriage
Date of Death (if applicable)
MM
DD
YYYY
City of Death (if applicable)
Date of Naturalization
MM
DD
YYYY
Place of Naturalization
Great Grandmother
Last Name
First Name(s)
City of Birth
Date of Birth
MM
DD
YYYY
Date of Marriage
MM
DD
YYYY
City of Marriage
Date of Death (if applicable)
MM
DD
YYYY
City of Death (if applicable)
Date of Naturalization
MM
DD
YYYY
Place of Naturalization
Grandfather
Last Name
First Name(s)
City of Birth
Date of Birth
MM
DD
YYYY
Date of Marriage
MM
DD
YYYY
City of Marriage
Date of Death (if applicable)
MM
DD
YYYY
City of Death (if applicable)
Date of Naturalization
MM
DD
YYYY
Place of Naturalization
Grandmother
Last Name
First Name(s)
City of Birth
Date of Birth
MM
DD
YYYY
Date of Marriage
MM
DD
YYYY
City of Marriage
Date of Death (if applicable)
MM
DD
YYYY
City of Death (if applicable)
Date of Naturalization
MM
DD
YYYY
Place of Naturalization
Father
Last Name
First Name(s)
City of Birth
Date of Birth
MM
DD
YYYY
Date of Marriage
MM
DD
YYYY
City of Marriage
Date of Death (if applicable)
MM
DD
YYYY
City of Death (if applicable)
Date of Naturalization
MM
DD
YYYY
Place of Naturalization
Mother
Last Name
First Name(s)
City of Birth
Date of Birth
MM
DD
YYYY
Date of Marriage
MM
DD
YYYY
City of Marriage
Date of Death (if applicable)
MM
DD
YYYY
City of Death (if applicable)
Date of Naturalization
MM
DD
YYYY
Place of Naturalization
Notes