Early Settler Form – Visa Request

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First name* Middle name(s) Surname* Surname at birth / previous surnames Date of birth* Place of birth* (e.g. Apatin, Serbia)* Country of birth* Current nationality* Nationality at birth (if different) Sex* Marital status*

Contact information:

Your email* Mobile number Street name and number* Postal code* City of residence (e.g. New York)* Country*

Passport details:

Type of passport (e.g. standard, diplomatic)* Passport number* Date of issue* Date of expiry* Issuing authority* Passport photo* (max 25mb)

Travel Details:

Intended date of arrival* How long do you plan to settle in Verdis? (e.g. permanent, semi-permanent, 2 weeks)

Additional information:

What skills and experience do you have that you would consider valuable as a first-settler?* What is your motivation to become a settler?* Do you have any criminal convictions? If so, please provide information Do you have any previous visa rejections? If so, please provide when and why Any relevant information you would like to provide I pledge that the information I have provided in this application is accurate, and I give consent for this information to be stored in Verdis' application database. Once you have submitted your settler visa application, we will reach out to you as soon as possible. A 2 Euro fee is required to submit this application. First-settlers will be accelerated for citizenship. By submitting this form you are aware that if your application is accepted, you will need to sign additional documents such as injury waivers and briefed on Verdis' situation before travelling to Verdis. You also pledge to respect the laws, sovereignty and territorial integrity of the Free Republic of Verdis.
Processing Fee Cost: 2 EUR