Surname (Family name)
Surname at birth (Former family name(s))
First name(s) (Given name(s))
Date of birth (day-month-year)
Place of birth
Country of birth
Current nationality
Nationality at birth, if different:
In the case of minors: Surname, first name, address (if different from applicant’s) and nationality of parental authory/legal guardian
National identity number, where applicable
Type of travel document
Official passport