Form

Required data is missing.

1. Personal data * - required field

Date of birth

2. Language skills * - required field
3. Documentation and visas * - required field

Do you have any identification documents?

Date of issue

Valid until

Date of issue

Valid until

Date of issue

Valid until

4. Health status * - required field

Do you consider yourself as a healthy person?

Are you pregnant?

5. Legal Status in Lithuania * - required field

Refugee status obtained

Type of protection

Residence permit valid until

Valid until

Date of issue


Valid until (date)

My stay in Lithuania is illegal

Obligation to depart Lithuania issued?

Date of issue

Valid until (date)

6. Transportation details (route to Lithuania) * - required field

Country of departure, transit countries, means of transport used:

7. Relatives in Lithuania * - required field
 
Add a relative
8. Travel information * - required field

Do you need IOM transit assistance?

Do you need IOM assistance upon arrival?

9. Family members returning with applicant * - required field

(a seperate application form must be filled in for each returnee)

Gender

Date of birth

 
Add a family member
10. Relatives in home country

(fill in only if you wish IOM to inform them about your return)

* - required field
 
Add a relative
11. Agreement * - required field
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