How to complete your application:
PLACE OF BIRTH (city or town or village, district or county or province, country):
As "country," use the name of your country of birth as it is currently in use (for example, Slovenia rather than Yugoslavia; Kazakhstan rather than Soviet Union).
If you were born in an "eligible country," leave this space blank.
If YOU were NOT born in an "eligible country," but your spouse WAS born in an "eligible country," write the name of the country where your spouse was born.
Or, if YOU were NOT born in an "eligible country," but NEITHER of your parents was born in the country in which you were born, or resided in that country at the time of your birth, and at least one of your parents was born in an "eligible country," write the name of such an "eligible country" in which one of your parents was born.
Write full name, date of birth (number for day, word for month, number for year) and place of birth (city or town or village, district or county or province, country) of your spouse and all children under 21.
ENCLOSE (DO NOT attach) one recent (preferably less than 6 months old) photograph of the applicant. (DO NOT enclose any photographs of your spouse or children.) The photograph must be 37 mm x 37 mm in size, with the applicants full name PRINTED on the back.
The applicant must personally sign the application. (Your spouse or children should NOT sign.)