Gender “H” for Male (Hombre) and “M” Female (Mujer)
Estado Civil:
Status S for single C for married. V for widow and D for divorced
País de nacimiento
Country of Birth
País de nacionalidad
Current Nationality
Nombre del Padre
Father's Name
Nombre de la Madre
Mother's Name
Domicilio en España
Address in Spain
Localidad
Town
CP
Post Code
Provincia
Province
Section 2
REGION FOR APPLICATION Espana, Fuera de Espana, Embajada/Consulado. (Tick Espana)
Section 3
REASONS FOR APPLICATION Economic, Professional or Social (Tick professional for work reasons or social for house purchase) DETALLE DEL MOTIVO (3) (Insert ¨Compra de Casa¨
Section 4 & 5 (Leave Blank)
Sign the form at the bottom, under 'firma de solicitante'.