Formulários: Formulário de elegibilidade genealógica Article 7/23 Proposal Request Passo 1 de 2 50% Name* Nome Sobrenome Email* Phone*Do you have an unexpired passport?* Yes No In order to request a proposal you must have a valid, unexpired passport, as this is a requirement to sign up for our services. If you do not meet this identification requirement at this time, we invite you to submit your proposal request once you have a valid passport with which you can move forward.About Your ApplicationWhat is the name of your most recent Luxembourgish ancestor?*If possible, please also provide us with their date of birth and town of birth.Have any of your direct lineage relatives (parents, grandparents, etc)’s birth, marriage, or death events taken place in any of the following locations?*Please select all that apply to your family lineage back to Luxembourg. In some cases, additional support or paperwork may be required. Chicago or Cook, County, Illinois DuPage or Kane County, Illinois Illinois (Other Locations) Iowa (Statewide) Minnesota (Statewide) New York (Statewide) None of the above Are you requesting this proposal on behalf of other family members, as well as yourself?* Yes No Number of Additional Adult Applicants*This number should not include yourself.Number of Additional Minor Applicants*Este campo fica oculto ao visualizar o formulárioPlease list the relationship of each additional applicant to you.*Minors can be listed under their parent's name in exchange for their relationship to you. Additional Applicant InfoDo all of the additional adult applicants have unexpired US passports?* Yes No Have you or any other family members applying ever been convicted of a crime?* Yes No If so, please provide us with more information:*Have you or any other family member applying with you ever resided for 90 consecutive days abroad (study abroad programs do not count)* Yes No If so, please provide us with the names of the countries resided in, as well as approximate dates:*Do you or any other family members applying already possess another nationality or citizenship?* Yes No If so, please provide us with more information:*Do you think there are any special circumstances in your family tree that could potentially cause complications?* Yes No Please explain your family tree's special circumstances below:*Este campo fica oculto ao visualizar o formulárioPlease use the space below to answer the following, "I want to be a citizen of Luxembourg because..."*NameEste campo é para fins de validação e não deve ser alterado.