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To the Vienna City Administration Municipal Department 35

Application for a residence permit (Aufenthaltstitel) or documentation A. Type of application

first-time application application for extension of leave to remain (renewal) application to change official purpose of stay in Austria (Zwecknderungsantrag)

Submitted in person by a family member

application for extension of leave to remain /application to change official purpose of stay in Austria (Zwecknderungsantrag) application for a documentation

Indefinite leave to remain (Niederlassungsbewilligung) for: key employee employed key employee self-employed private not intending to take up employment restricted indefinite family member Residence permit (Aufenthaltstitel) for: family member of Austrian national family member of Austrian, EU or Swiss national permanent leave to remain (including permanent work permit) permanent leave to remain for family member (of Austrian national) Documentation confirmation of registration (for EU nationals) photo identification for EEA or Swiss nationals permanent residence permit

Limited leave to remain (Aufenthaltsbewilligung) for: purpose of stay excluding family posted worker pupil social service worker self-employed purpose of stay including family student job rotation employee researcher artist special case of gainful employment family member

B. Applicant
surname(s) (academic degree): former surname(s): first name(s): date of birth: nationality (nationalities): sex: marital status: male single female married father: height: divorced eye colour: widowed mother: place of birth, country of birth:

parents first name(s):

type of travel document: passport issuing authority: date of issue: type: valid until: valid until: issuing authority: Last type of residence permit (Aufenthaltsberechtigung) in Austria: no:

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C. Family member
The family members listed below hold a residence permit (Aufenthaltstitel) for Austria. The family members listed below do not hold a residence permit (Aufenthaltstitel) for Austria. I understand that we need to submit a separate application for each family member who moves to Austria. 1 Spouse: surname: date of birth: parents first name(s) Children: 2 surname: 3 surname: 4 surname: 5 surname: 6 surname: first name(s): first name(s): first name(s): first name(s): first name(s): date of birth: date of birth: date of birth: date of birth: date of birth: father: first name(s): nationality: mother:

D. Current place of residence (country, postcode, city, full street address) E. (Intended) place of residence (country, postcode, city, full street address)

Please note: If you move to a new address during the application procedure for a residence permit (Aufenthaltstitel), please inform the authority of your new address. The application procedure will be stopped if you fail to provide this information. Phone number E-mail address

F. Please specify your means of subsistence sufficient to support you during your stay in Austria:

(e.g.: amount of income, savings, maintenance claims or other claims)

Person in Austria with the responsibility to pay maintenance: surname: date of birth: place of residence:
(country, postcode, city, full street address)

first name(s): nationality:

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G. Details of your health insurance covering all risks in Austria for the duration of your stay:
valid from: issuing authority: until:

H. Previous convictions
(If you are filing a first-time application, please submit a police clearance certificate no more than three months old)

I. Integration Agreement
Third-country nationals who are older than nine (9) years of age are obliged to fulfil the requirements of the Integration Agreement once they have been granted a residence permit (Aufenthaltstitel) or their residence permit has been renewed.
(Third-country nationals are all persons other than EEA or Swiss nationals.) I declare that my stay shall not exceed a duration of 12 months and acknowledge that I hereby give up the right to file an application for extension of leave to remain. (The requirements of the Integration Agreement need not be fulfilled in this case.) I acknowledge that I need to fulfil the Integration Agreement once I have been granted a residence permit or my residence permit has been renewed.

J. Declaration
1. 2. 3. I acknowledge that the applicant must personally collect the leave to remain (Aufenthaltsbewilligung) (exception: legal representative). I acknowledge that I have to file an application for extension of residence permit (Aufenthaltstitel) before the expiry date of my residence permit. An application for a residence permit (Aufenthaltstitel) that is filed more than six months after the expiry date of the last residence permit is regarded as a first-time application. I acknowledge that it is an offence with a fine of up to 200 Euro if I fail to inform the authority in good time if my purpose of stay changes while my residence permit (Aufenthaltstitel) is still valid, or pursue any activities that are not covered by my purpose of stay. file an application for extension of residence permit (Aufenthaltstitel) more than once after the expiry date of my last residence permit. do not return any invalid residence permits (Aufenthaltstitel) to the authority. fail to meet the requirements of the Integration Agreement (if applicable) within five years after having been granted the residence permit (Aufenthaltstitel) for reasons that are entirely my own fault (exception: deferment according to Art. 14 (8) of the Law on Residence and Settlement in Austria). I acknowledge that it is a criminal offence to set up or engage in a marriage of convenience, to set up or be involved in an adoption of convenience, or to obtain a residence permit (Aufenthaltstitel) by fraud.

4.

Number of enclosures: ____________________________________ Place: Date:

Signature

Name and address of the legal representative (for minors or persons under guardianship)

____________________________________
Signature of legal representative

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Declaration by the employer (to be filled in by the employer only)
(Purpose of stay: key employee employed) In accordance with Art. 12 (2) of the Employment of Foreign Nationals Act, I agree to employ Ms/Mr surname(s) (academic degree): first name(s): nationality / nationalities: as key employee in my company for the following reasons: date of birth:

I acknowledge that I need to fill in the supplement for employers (Beiblatt fr Arbeitgeber) to facilitate processing of the application in due time. I declare and confirm that the information provided by me in the supplement is true and complete to the best of my knowledge and that I enclose the supplement as well as all other necessary documents.

Place: Date:

_______________________________________________
(company stamp / signature)

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