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