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- Child's date of birth
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- Does the child have any other citizenship than Czech?
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- Date of acquisition of the child's foreign citizenship (if applicable)
- Method of acquisition of the child's foreign citizenship (if applicable)
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- Date of acquisition of another (2nd) foreign child's citizenship (if applicable)
- The method of acquisition another (2nd) child's foreign citizenship (if applicable)
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- Purpose of requesting the citizenship certificate
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- Expiration date of child's last Czech passport (if applicable)
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- I am child's
- Date applicant's birth
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- 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.
- Do you have any other citizenship than Czech?
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- Date of acquisition of the applicant's foreign citizenship (if applicable)
- Method of acquisition of the applicant's foreign citizenship (if applicable)
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- Date of acquisition of your other (2nd) foreign citizenship (if applicable)
- The method of acquisition your other (2nd) foreign citizenship (if applicable)
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- Date of marriage (linked to the acquisition of foreign citizenship)
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- Father's date of birth
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- Mother's date of birth
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- Date of application submission
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- Identification document was issued on
- Identification document expires on
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- Should be Empty: