Request Form

Fields marked with an * are required.

Name, last name (family name)  *
Your father's name  *
Your mother's name  *

Gender *

Status *

Citizenship  *
Occupation  *
Country of birth  *
City of birth  *

Identification document *

Number of document  *
Country of issue  *
Authority of issue  *
Contact information: residence address (street, zip code, city, country)  *
Contact information: email, phone number  *

Choose application request ground *

What are the application request ground? *

Period of time for which the residence is requested *

In which border crossing point have you entered Albania?  *
Information about your working institution, name and address  *
Fiscal code NUIS/ NIPT  *
Host name if you have one  *
Host institution  *

Do you have a working permit? *

Host contact number  *
Do you have a sponsor or have your own monetary means?  *
Have you ever been convicted of an offence and sentenced? If yes, specify  *
Do you suffer of any illness? If yes specify  *

Scanned copy of the passport

Scanned copy of photo (passport format)

Scanned copy of the Renting Contract or document of the residence address.

Scanned copy of the financial means from sponsor if you have one