This form can be filled in on the computer screen. When you have done this, please
print out the form, sign it, date it and send it to your Swiss representation abroad.
APPLICATION FOR REGISTRATION WITH A SWISS REPRESENTATION
Applicant
Spouse / Partner
Last name
Maiden name
First and middle names
(please underline the
name by which you are
usually known)
Sex
male
female
male
female
Date of birth
Place of birth
Canton/Province
Country
Father’s last name and
first and middle names
Mother’s last name,
maiden name and first
and middle names
Place(s) of origin in
Switzerland (place and
canton)
For foreigners
(Nationality
Other nationality
Did you acquire Swiss
citizenship through
marriage?
Marital status
yes, please indicate country:
no
yes
no
single
married
date and place:
in registered partnership
date and place:
yes, please indicate country:
no
yes
no
separated
date and place:
divorced
date and place:
widowed
since:
in separated
partnership date and
place:
in dissolved partnership
(judicially)
date and place:
Language of choice for
correspondence
Profession
Last place of
residence
Have you given notice of change of address:
Have you given notice of change of address:
yes
Place:
no
If yes, when / date:
yes
Place:
no
If yes, when / date:
Address
Home address
Address used for correspondence and/or address of
representative
c/o
Street
Postal/Zip code / City
Country
Province / State
Home phone no.
Business phone no.
Cellular phone no.
Fax no.
E-mail address
In providing my e-mail address I accept that until further notice the Swiss representation abroad and the Federal Department of Foreign Affairs
(FDFA) may use this address to send official information intended for the Swiss Abroad (incl. newsletters from the representations). My e-mail
address will not be passed on to others. I furthermore agree to communicate any changes in my e-mail address to the appropriate Swiss
representation.
Address in case of emergency
Adress of parents
Business address
Telephone no.:
Telephone no.:
Telephone no.:
Children
Children
1st child
2nd child
3rd child
4th child
under age 18
Last name
First and middle
names
Sex
male
female
male
female
male
female
male
female
Date of birth
Place of birth
Canton/Province
Country
Nationality/ies
Mother’s last name,
and first and middle
names (if not the
same as either the
applicant’s or
spouse’s)
Father’s last name
and first and middle
names (if not the
same as either the
applicant’s or
spouse’s)
Would you like to vote
by mail?
(According to the Federal
Act of 19.12.1975, and
the Ordinance of
16.10.1991 concerning
the political rights of the
Swiss Abroad).
Swiss Review
(Online):
yes, voting at place of origin or
at former place of residence in Switzerland
(indicate):
yes, voting at place of origin or
at former place of residence in Switzerland
(indicate):
Where I lived from (year)
Where I lived from (year)
to (year)
to (year)
Desired language of the voting documentation:
German
French
Italian
Desired language of the voting documentation:
German
French
Italian
Standard form of delivery is the online
version to the e-mail address of the applicant
I wish to receive by email:
Information, if available,
regarding various topics,
e.g. culture, economy,
events.
(Please enter your e-mail address box on the first
page)
I would prefer paper version (not the online
version):
Yes:
Remarks:
By signing this form, you confirm that the above information is complete and correct and that you received the “Notice for Swiss
Abroad” electronically or in written form.
Place:
Signature(s):
Date:
Swiss citizens who intend to reside abroad for more than 12 months or who have acquired Swiss citizenship through descent,
reinstatement, naturalisation or adoption and already reside in a consular district will be entered in the database for the Swiss
Abroad. The entry provides information for processing official documents for the Swiss Abroad (i.e. passports, civil status
documents, consular protection, etc.). The personal data will be used by this representation in accordance with Art. 4 of the
Federal Act of 24.03.2000 on the Processing of Personal Data in the Federal Department of Foreign Affairs and Art. 11 of the
Swiss Diplomatic and Consular Service Regulations.
05/2010