Blbos 161011 en
Blbos 161011 en
Received by the Swedish mission abroad Received by the Swedish Migration Agency
Application for
residence permit to settle
in Sweden
Fylls i av Migrationsverket
Dossiernummer Signatur
wish to live with my partner* whom I have lived with outside of Sweden (BE)
have recently lived in another country together with a person who now lives in Sweden (BH)
live together with a family member who is also applying for permission to live in Sweden (BH)
1. My personal details
Surname (Family name) Previous surname, if any
Date of birth (year, month, day, number if any) Sex Applying together with other persons
Male Female No Yes
Place of birth Country of birth Mother tongue
I have the right to return to my native country or to the country where I now live I also have permission to live in other countries
No Yes, country: No Yes, country:
3. My address at present
c/o Street
5. My e-mail address
7. The person that I shall live with or currently live with (Referee /Reference person)
Surname (Family name) Previous surname, if any
8. Other information
Here you can provide information on whether you have any other special grounds to why you should be granted a residence permit to be reunited in
Sweden. It could for example relate to distressing circumstances such as disease, disability, a very close relationship or vulnerable circumstances in the
country of origin or where you are present now.
9. Address where I wish my decision to be sent
Swedish mission abroad/Address in Sweden
I am applying for a residence permit for the first time and therefor I enclose:
- Appendix – the form: Family details MIGR 239011
- Copy of passport pages that show my identity and my passport’s expiry date
- Other documents ……………………………………………………
- Form - Assurance of cohabitation when applying for extension of a residence permit, no.
243011B Completed and signed by myself and my partner.
- Copy of passport pages that show my identity and my passport’s expiry date.
- Copy of my partner's passport or ID, showing his/her personal data.
- Other documents ……………………………………………………
11. Assurance
I solemnly declare that the information that I have provided is true and that I have not knowingly omitted
anything that could be of significance in an examination of this application. NOTE! This form is not valid
without a signature.