Reporting form for family members and relatives (sponsor)
You can only use this form if you are a sponsor of a foreign national and the foreign national has a residence permit for
family members and relatives.
You can use this form to submit any changes that you have to report to the IND under your obligation to provide
information. A change must be reported to the IND within 4 weeks after the commencement of the change.
1 Details of the sponsor Write in block letters
1.1 V-number (if known)
1.2 Citizen Service Number (if known)
1.3 Name Surname
(as stated in the passport)
First names
1.4 Sex Male
Female
1.5 Date of birth Day Month Year
1.6 Telephone number
1.7 E-mail
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2 Details of the foreign national Write in block letters
2.1 V-number (if known)
2.2 Citizen Service Number (if known)
2.3 Name Surname
(as stated in the passport)
First names
2.4 Seks Male
Female
2.5 Date of birth Day Month Year
2.6 Telephone number
2.7 E-mail
3 Please state the change you want to submit
> Please tick the applicable situation. If multiple conditions are true then please tick several boxes. In the
‘Comments’ box, indicate which situations apply and indicate the date for each situation.
The foreign national no longer wants to come to the Netherlands. > Proceed to 5
The foreign national no longer resides in the Netherlands and this change has not been > Proceed to 5
reported in time (within 4 weeks) to Basisregistratie personen (BRP) of the municipality
where the foreign national is registered.
The foreign national is about to leave the Netherlands permanently. > Proceed to 5
The family relationship with the foreign national has ended. > Proceed to 4
The foreign national has died. > Proceed to 5
The foreign national and the sponsor no longer live together and this change was not > Proceed to 4
reported in good time (within 4 weeks) to the Municipal Personal Records Database (BRP) of
the municipality where the foreign national is registered.
> Please indicate below why you and the foreign national are no longer living together.
Comments
I wish to report another change in the foreign national's situation, namely....
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4 New address
4.1 New address in the Netherlands Street
Number
Postcode
Town
4.2 The new address belongs to the sponsor
the foreign national
4.3 It is a secret address Yes
No
5 New address
From which date the change takes
or will take place? Day Month Year
6 Signing
6.1 Name
6.2 Place and date Place
Day Month Year
6.3 Signature
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7 Submitting the reporting form
Send the form to:
Immigratie- en Naturalisatiedienst
Postbus 16
9560 AA Ter Apel
Please note! If the validity of the residence permit of the foreign national expires within 4 months, you will receive
a confirmation of receipt. If you do not wish to receive a confirmation of receipt or if you prefer to receive it at a
different address, you can indicate this below.
I do not want to receive a confirmation of receipt.
I want to receive a confirmation of receipt at another address, namely:
Street
Number
Postcode
Town
Processing of personal data
The IND records your data in the IND systems to be able to carry out legal tasks. The IND uses and secures
your personal data carefully and on the basis of the requirements of the privacy legislation. Read how the IND
handles your personal data on ind.nl/en/privacy.
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