Czech Citizenship Certificate ADULT APPLICANT

Before you begin:

Signatures must be provided during your consular appointment. If applying by mail, they must be notarized. For more information, please refer to the website of the consulate with jurisdiction over your state.

Each Czech consulate in the U.S. covers specific states. If you’re unsure which consulate serves your area, you can check the list of consulate jurisdictions here.
Czech Citizenship Certificate

Confirming Existing Czech citizenship - Adult Applicant
Applicant's email*
Email address to receive your completed form
CzechWay Citizenship Solutions
Full Applicant's Name
Enter first name, middle name, and last name.
Applicant's date of birth

DayMonthYear
Enter date in European format
Applicant's Czech birth number (if applicable)
Czech birth number is a unique number issued by Czech authorities. It is not the SSN. Leave blank if unknown. (You’ll find it on a Czech birth certificate, ID, or passport.)
Applicant's place of birth
Applicant's address
Czech address if available; otherwise enter your current foreign address
Do you have any other citizenship than Czech?

yesno
Applicant's Foreign Citizenship (if any)
Other than Czech (e.g., USA, SK, GB), if applicable. This form supports up to two foreign citizenships. If you have more than two, please add any additional ones manually.
Date of acquisition of the first foreign citizenship (if applicable)

DayMonthYear
Enter date in European format
The method of acquisition of the first foreign citizenship (if applicable)

through marriagethrough naturalizationby birthOther
Calculation
Date of acquisition of your other (2nd) foreign citizenship (if applicable)

DayMonthYear
Enter date in European format
The method of acquisition of your other (2nd) foreign citizenship (if applicable)

through marriagethrough naturalizationby birthOther
Calculation
Applicant's marital status at the time of submission

SingleMarriedDivorcedWidowed
Calculation
Applicant's last Czech address (if applicable)
Even if your Czech permanent residence has been terminated
Applicant's previous Czech address (before the last one, optional)
Your second-to-last address in the Czech Republic
Purpose of requesting the citizenship certificate

Czech birth certificateCzech marriage certificateCzech birth & marriage certificatesCzech passportOther
rodny
oddaci
rodny a oddaci
cesky pas
Expiration date of your last Czech passport (if applicable)

DayMonthYear
Enter date in European format, skip if unknown
Date of departure from the Czech Republic (optional if known)
If you’re unsure, approximate the year. You may leave this blank if it doesn’t apply.
Are you married?

YesNo
Spouse's full name
Enter first name, middle name, and last name.
Spouse's date of birth

DayMonthYear
Enter date in European format
Spouse's place of birth
City and state/country
Citizenship of your spouse at the time of marriage
You can list more citizenships in this field. E.g. USA, CZ, GER...
Date of marriage

DayMonthYear
Enter date in European format
Place of marriage
City and State/Country
Spouse's last Czech address (if applicable)
Even if their Czech permanent residence has been terminated
I declare that between January 1, 1969 and December 31, 1992, I acquired the citizenship of the Slovak Socialist Republic or the Slovak Republic by choice or by being granted it.

yesno
What was your spouse’s citizenship at the time you acquired any current foreign citizenship? (if you were married at the time)
This may refer to a different spouse than your current one, if applicable.
Date of marriage (linked to the acquisition of foreign citizenship)

DayMonthYear
May refer to a previous marriage if relevant.
Applicant's parents' information
Father of the applicant
Father's full name
Enter first name, middle name, and last name.
Father's last name at birth
If different from above
Father's date of birth

DayMonthYear
Ener date in European format
Father's place of birth
City and state/country
Father’s citizenship at time of applicant’s birth
E.g. USA, CZ...
Applicant's father's last Czech address (if applicable)
Even if his Czech residency has been terminated
Mother of the applicant
Mother's full name
Enter first name, middle name, and last name.
Mother's maiden name
If different from above
Mother's date of birth

DayMonthYear
Ener date in European format
Mother's place of birth
City and state/country
Mother’s citizenship at time of applicant’s birth
E.g. USA, CZ...
Applicant's mother's last Czech address (if applicable)
Even if his Czech residency has been terminated
Date of application submission

DayMonthYear
Enter date in European format
Which Czech consulate in the U.S. will you be applying at?
Each consulate has different jurisdiction, see link above.
For applications outside the U.S., select your city of submission.
Find the Czech consulate or Embassy worldwide. If you do not see your city, skip this field.
Applicant's identification document
Pas CR
ID CR
RP CR
PAS zahr
ID zahr
RP zahr
Applicant's identification document number
Identification document was issued on

DayMonthYear
Enter date in European formate
Identification document expires on

DayMonthYear
Enter date in European formate
Note: Fields No. 36 and 80 of the final PDF must be signed by hand by the applicant.

My Products*

Czech Citizenship Form §42 (adult)

Completed PDF form for submission at the Consulate

$50.00

Enter coupon

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Payment Methods

Credit Card

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Czech Citizenship Certificate

Applicant's parents' information

Father of the applicant

Mother of the applicant

Payment Methods