Application for Sephardic Origin Certificate From Congregation Or VeShalom
Please fill out the form below and submit payment of $36 USD to Congregation Or VeShalom to initiate your application for Spanish Citizenship. Questions on completing the form? Contact COngregation Or VeShalom at spanishcitizenship@orveshalom.org or 404-633-1737.
Email address *
First Name *
Your answer
Middle Name
Your answer
Last Name *
Your answer
Are you a Current Member of Congregation Or VeShalom *
Required
Street Address *
Your answer
City *
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State/Province *
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Zip/Postal Code *
Your answer
Country *
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Email *
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Phone *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Place of Birth *
Your answer
Nationality *
Your answer
Passport Number *
Your answer
Childhood Religion, Denomination, and Place of Worship *
Your answer
Current Religion, Denomination, and Place of Worship (if different from Childhood)
Your answer
Letter of Justification *
Please provide a summary of your genealogical or communal proof, being sure to end with the following line: “I hereby certify that this information is true and correct to the best of my knowledge.”knowlede
Your answer
Children of applicant also applying for the certificate of origin
If you would like to include children as part of your certification, please list their relation to you, First Name, Last Name, and Passport number below (i.e. Daughter Jane Sephardic, Passport #123456789, Daughter Janet Sephardic, Passport #123456789, Son Joe Sephardic, Passport #123456789)
Your answer
A copy of your responses will be emailed to the address you provided.
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