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Secondary Applicant Intake Form

Complete this intake form to join your family’s application in applying for Luxembourg citizenship!

Step 1 of 11

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Comments
This field is for validation purposes and should be left unchanged.
Dear Applicant,
You’re at step one to the process of recovery of Luxembourg nationality.
Please fill out the following to the best of your ability. Names should be provided as indicated in official documents.

You must send in official, government-issued copies of birth, marriage and death certificates. Any intentionally false information recorded on this form or altered identity document if submitted risks to terminate your eligibility for Luxembourg nationality and could lead to criminal charges.
Luxembourg Citizenship Additional Applicant Information - Secondary Adult Applicant

Dear Applicant,
You’re at step one to the process of recovery of Luxembourg nationality.
Please fill out the following to the best of your ability. Names should be provided as indicated in official documents.

You must send in official, government-issued copies of birth, marriage and death certificates. Any intentionally false information recorded on this form or altered identity document if submitted risks to terminate your eligibility for Luxembourg nationality and could lead to criminal charges.
Important Notes:

1. Please make sure to use normal Title Case when filling out this intake form unless instructions state otherwise. Those who complete intake forms in all UPPERCASE or all lowercase will be asked to resubmit their intake form upon completion.

2. Please fill out applicant information using full legal names only (i.e. no initials, and as your name is written on your passport).

3. All dates should be filled out in European format (i.e. DD-MM-YYYY).
Instruction Review*
I confirm that I have reviewed the instructions above, and that I will fill out my intake form according to these instructions.

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Your Information
Name, Passport, and Contact Info
Extended Family - Primary Applicant Name
This is the person in your extended family who has the main contract with LuxCitizenship and who is coordinating communication with our team. If you are a Primary Applicant but a member of your family has worked with us previously, please list their name here.
Name*
First Middle Last
Please enter your full name as appears on your passport today. If you don't have a middle name write N/A in middle.
Maiden Name (If Applicable)
Gender
Do you have another name/nickname, other than your legal name, in which you would prefer that our team at LuxCitizenship uses when contacting you?*
- Yes
- No
Preferred Name / Nickname*
Please write any additional notes for our team here:
Email Address*
Telephone Number*
International format. For USA +1 XXX XXX XXXX
Mailing Address You Expect to Be Valid For 1 Year*
NO PO BOX.
Please note that the address provided must be able to receive mail for the next 1 year, even if it is someone else's address. Mail forwarding often does not pick up the certificates sent by Luxembourg. If LuxCitizenship needs to help replace any misdelivered mail from Luxembourg, there is a $100 fee.

Street Address Address Line 2 City State (ABBREVIATION ONLY) ZIP / Postal Code Country
Do you have a current, unexpired passport?*
- Yes
- No
If you currently do not have an unexpired passport, please be sure to contact a member of our team via email once obtained.
Expiration Date of Current Passport*
You and all applicants, both adults and children, must already have an unexpired passport to enter into contract with LuxCitizenship. If you only recently applied for a new passport and don't yet have it, enter 1/1/24.
Where and When Were You Born?
Date of Birth*
City of Birth*
State of Birth
If you were not born in the United States, please keep this line blank.
Country of Birth*

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About You
Education and Career
Highest Level of Education Obtained*
- High School
- Associates
- Bachelor
- Master
- PHD/MD/JD or Equivalent
Name of Last School Attended*
Field of Study*
Most Recent Employer*
Most Recent Job Title*

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IMMEDIATE PARENT IN THE FAMILY LINE
PLEASE TELL US WHO IS YOUR PARENT IN THE FAMILY LINE, NOT YOUR LUXEMBOURGISH ANCESTOR. Tell us who your parent in the family line is so we can tie you into the family tree. If you know for certain that someone in your immediate family has already provided the date/location of birth and marriage for your parents, you can just simply fill out your parent's first and last name.
Parent in the Bloodline's Name
First Middle Last
Parent's Date of Birth
Location of Birth
City, State
Parent Date Deceased (if applicable)
Parent Location of Death (If Applicable)
City, State
Your Other Parent's Name
First Middle Last
Parents' Date of Marriage (If Applicable, Even If Now Divorced))
Parents' Location of Marriage (If Applicable, Even If Now Divorced))

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Are you married?*

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D1. Your Spouse's Information
Spouse Name
First Middle Last
For last name, please provide the maiden name (if applicable)
Spouse's Date of Birth
Spouse Birth Location
If USA : City, State
Date of Your Marriage
Location of Your Marriage
If USA : City, State

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Number of Minor Children Applying with You Under 18 Years of Age
- 0
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8

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First Minor Applicant's Information
Minor #1 - Name
First Middle Last
Minor #1 - Gender
Minor #1 - Date of Birth
Minor #1 - City of Birth*
Minor #1 - State of Birth
If your child was not born in the United States, please keep this line blank.
Minor #1 - Country of Birth*
Second Minor Applicant's Information
Minor #2 - Name
First Middle Last
Minor #2 - Gender
Minor #2 - Date of Birth
Minor #2 - City of Birth
Minor #2 - State of Birth
If your child was not born in the United States, please keep this line blank.
Minor #2 - Country of Birth*
Third Minor Applicant's Information
Minor #3 - Name
First Middle Last
Minor #3 - Gender
Minor #3 - Date of Birth
Minor #3 - City of Birth
Minor #3 - State of Birth
If your child was not born in the United States, please keep this line blank.
Minor #3 - Country of Birth*
Fourth Minor Applicant's Information
Minor #4 - Name
First Middle Last
Minor #4 - Gender
Minor #4 - Date of Birth
Minor #4 - City of Birth
Minor #4 - State of Birth
If your child was not born in the United States, please keep this line blank.
Minor #4 - Country of Birth*
Fifth Minor Applicant's Information
Minor #5 - Name
First Middle Last
Minor #5 - Gender
Minor #5 - Date of Birth
Minor #5 - City of Birth
Minor #5 - State of Birth
If your child was not born in the United States, please keep this line blank.
Minor #5 - Country of Birth*
Sixth Minor Applicant's Information
Minor #6 - Name
First Middle Last
Minor #6 - Gender
Minor #6 - Date of Birth
Minor #6 - City of Birth
Minor #6 - State of Birth
If your child was not born in the United States, please keep this line blank.
Minor #6 - Country of Birth*
Seventh Minor Applicant's Information
Minor #7 - Name
First Middle Last
Minor #7 - Gender
Minor #7 - Date of Birth
Minor #7 - City of Birth
Minor #7 - State of Birth
If your child was not born in the United States, please keep this line blank.
Minor #7 - Country of Birth*
Eighth Minor Applicant's Information
Minor #8 - Name
First Middle Last
Minor #8 - Gender
Minor #8 - Date of Birth
Minor #8 - City of Birth
Minor #8 - State of Birth
If your child was not born in the United States, please keep this line blank.
Minor #8 - Country of Birth*

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D2. Qualifying Questions
During your life, have you ever jailed or imprisoned for a total duration equivalent to or longer than 365 days and/or have you ever been charged or convicted of a crime?*
Please provide us with more details regarding the charge(s) and specifically stipulate the corresponding conviction and/or imprisonment, if applicable.*
If you were convicted of a crime and served any form of custodial sentence, you must indicate for exactly which convicted charge and exactly what duration of time in days (both ordered in judgement and actually served out).

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About Your Interest in Luxembourg Citizenship
Help our team learn more about you and your interest in applying for Luxembourg dual citizenship so we can better adapt our website and plan our future content. This information is exclusively used internally and is never shared with any outside entity or individuals.
What factors are motivating you to look into and consider applying for Luxembourg Dual Citizenship?*
- I am proud of my Luxembourgish heritage
- I desire to reconnect with the land of my ancestors
- As a form of security or backup (in case it would be needed in the future)
- I am thinking about the future of my children / grandchildren
- I am interested in retiring in Luxembourg
- I am interested in retiring in another European country
- Recent political and social movements have motivated me to secure a second citizenship
- I am interested in working in Luxembourg
- I am interested in working in another European country
- I am interested in studying in Luxembourg
- I am interested in studying in another European country
- I would like to commemorate my relative / ancestor who was from Luxembourg
- Other
Please explain your "other" motivator here:*
Which of the following apply to you?*
- I have an unexpired US or Canadian passport
- I have travelled abroad in the last 5 years
- I am actively looking for a job or to study in Europe and need dual citizenship to accept an opportunity
- I am interested to move to Luxembourg or the EU in the next 1-3 years
- I have worked abroad
- I have lived abroad
- I have studied abroad
- I speak a foreign language fluently or bilingually
- I am interested in content and information about dual citizenship for members of the LGBTQIA+ community
- None of the above apply to me

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Passport
Drop files here or

Accepted file types: jpg, jpeg, pdf, Max. file size: 25 MB, Max. files: 10.
Please upload a scan of your passport if you or someone else has not already sent the file to us it. It should be a scan, not a photo. That means, no fingers visible. No paper weights. The full picture and signature page. The document absolutely must be signed if you are an adult. It cannot be cropped, we need to see the full two pages together at once. You can also upload your minor children's passports here. Only .pdf and .jpgs are allowed. These standards are based on standard's required in international immigration and the government.
Read the Terms of Service: https://www.luxcitizenship.com/terms-of-service-for-secondary-applicants/
I have read and agree to the applicable Terms of Service.*
- Yes
CONSENT
By inputting your full name below, you are electronically signing and affirming that you agree (1) to transfer this data to our company and (2) that all submitted information is true to the best of your knowledge.

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Your Path to Luxembourg Dual Citizenship Starts Here

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More Ways We Help You Succeed:

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Genealogical Research

Discover your Luxembourg ancestry and eligibility for citizenship through professional genealogical research.

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Luxembourg Relocation Services

Navigate the complexities of relocating to Luxembourg with expert guidance on everything from housing to healthcare.

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Not sure where to start? Contact our team to understand what opportunities lie ahead.

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Whether you’re seeking citizenship, community, or a deeper connection to your heritage, LuxCitizenship is here to help you every step of the way.

Headquarters:
500 7th Ave Floor 8
New York, NY 10018

Telephone: (917) 740-8908
Email: info@luxcitizenship.com

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