Declaration of no marriage of convenience


I,
Spouse / partner 1
dd/mm/yyyy
dd/mm/yyyy

Spouse / partner 2

dd/mm/yyyy

was not contracted with the objective of acquiring the right to residence in the Netherlands.

We declare that we have completed this form truthfully and without reservation.

dd/mm/yyyy
Signature of spouse / partner 1:

 
 
Please note: first print out the form. Only then do the signatures.
Signature of spouse / partner 2:

 
 
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