1. Full name:
Pan, Peter2.
Date of birth:
18 August 1965
3.
Gender:
Male
4.
City/Town of birth:
Munchen
5.
Country of birth:
Germany
6.
Applicant photograph:
Two recent photographs in JPEG-format
will be submitted.
(one of Peter Pan, and one of his wife Maria)
7.
Mailing address:
Wahler Strasse 32
D-40472 Dusseldorf
Germany
8.
Phone number:
Peter Pan's phone number will be included.
9.
E-mail address:
Peter Pan's e-mail address will be
included.
10.
Country of eligibility: Are
you claiming eligibility based on your Birth
Country?
Yes
11.
Marriage status:
Yes
12.
Number of children that are unmarried and under
21 years of age:
0 (zero)
13.
Spouse information:
Name of spouse: Pan, Maria
Date of birth of spouse: 15 July
1966
Gender of spouse: Female
City/Town of birth of spouse: Munchen
Country of birth of spouse: Germany
Photograph of spouse: (a photograph will
be submitted - see point 6 above)
14.
Children information:
Peter Pan doesn't need to answer this.
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