Portuguese Citizenship Eligibility Evaluation
Email *
Telephone *
Your Name is? *
Country of Birth *
Male or Female? *
Address *
Date of Birth *
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DD
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YYYY
Did your name change since birth? *
Profession *
Father full birth Name *
Father birth country *
Father birth date *
MM
/
DD
/
YYYY
Father death date
MM
/
DD
/
YYYY
Is your father Jewish? *
Mother full birth Name *
Mother birth country *
Mother birth date *
MM
/
DD
/
YYYY
Mother death date
MM
/
DD
/
YYYY
Is your mother Jewish? *
Father side Grandfather full birth name *
Father side Grandfather birth country *
Mother side Grandfather full birth name *
Mother side Grandfather birth country *
Father side Grandmother full birth name *
Father side Grandmother birth country *
Mother side Grandmother full birth name *
Mother side Grandmother birth country *
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