Italian Citizenship Application Questionnaire

A pre-qualifying tool.

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
Month
Day
Year
City of Birth
State of Birth
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
Month
Day
Year
Child Name
Place of Birth
Date of Birth
Month
Day
Year
Child Name
Place of Birth
Date of Birth
Month
Day
Year
Child Name
Place of Birth
Date of Birth
Month
Day
Year
Ascendants:
Please provide a list of all relatives starting from the last ancestor born in Italy.
Hidden
Row
Hidden
Left Column Start
Great Grandfather
Last Name
First Name(s)
City of Birth
Date of Birth
Month
Day
Year
Date of Marriage
Month
Day
Year
City of Marriage
Date of Death (if applicable)
Month
Day
Year
City of Death (if applicable)
Date of Naturalization
Month
Day
Year
Place of Naturalization
Hidden
Left Column End
Hidden
Right Column Start
Great Grandmother
Last Name
First Name(s)
City of Birth
Date of Birth
Month
Day
Year
Date of Marriage
Month
Day
Year
City of Marriage
Date of Death (if applicable)
Month
Day
Year
City of Death (if applicable)
Date of Naturalization
Month
Day
Year
Place of Naturalization
Hidden
Right Column End
Hidden
Row
Hidden
Left Column Start
Grandfather
Last Name
First Name(s)
City of Birth
Date of Birth
Month
Day
Year
Date of Marriage
Month
Day
Year
City of Marriage
Date of Death (if applicable)
Month
Day
Year
City of Death (if applicable)
Date of Naturalization
Month
Day
Year
Place of Naturalization
Hidden
Left Column End
Hidden
Right Column Start
Grandmother
Last Name
First Name(s)
City of Birth
Date of Birth
Month
Day
Year
Date of Marriage
Month
Day
Year
City of Marriage
Date of Death (if applicable)
Month
Day
Year
City of Death (if applicable)
Date of Naturalization
Month
Day
Year
Place of Naturalization
Hidden
Right Column End
Hidden
Row
Hidden
Left Column Start
Father
Last Name
First Name(s)
City of Birth
Date of Birth
Month
Day
Year
Date of Marriage
Month
Day
Year
City of Marriage
Date of Death (if applicable)
Month
Day
Year
City of Death (if applicable)
Date of Naturalization
Month
Day
Year
Place of Naturalization
Hidden
Left Column End
Hidden
Right Column Start
Mother
Last Name
First Name(s)
City of Birth
Date of Birth
Month
Day
Year
Date of Marriage
Month
Day
Year
City of Marriage
Date of Death (if applicable)
Month
Day
Year
City of Death (if applicable)
Date of Naturalization
Month
Day
Year
Place of Naturalization
Hidden
Right Column End
Hidden
Row
Notes

303.733.4335

Italian Citizenship Application Questionnaire

A pre-qualifying tool.

Italian Citizenship Questionnaire

Applicant Data

Children Under 18 Years Old:

Ascendants:

Row

Left Column Start

Great Grandfather

Left Column End

Right Column Start

Great Grandmother

Right Column End

Row

Left Column Start

Grandfather

Left Column End

Right Column Start

Grandmother

Right Column End

Row

Left Column Start

Father

Left Column End

Right Column Start

Mother

Right Column End

Row

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LANGUAGE

TRAVEL

CITIZENSHIP