DIMAS/16-04-2021

Stamp DIMAS
Paardenbaaistraat 11
1 Color
Oranjestad, Aruba Tel.: (297) Plus submission date Passport
522-1500 Fax: (297) 522-1505 picture
[email protected]–www.dimasaruba.aw

APPLICATION FORM

A. LICENSES AND DECLARATION:

 Temporary Residency  Temporary Residency with work  Residency Indefinite Time
aalde Tijd

B. TYPE OF REQUEST:  First Request  Extension (New Request)  Change  Duplicate

C. PURPOSE OF THE STAY IN ARUBA:

Private Business Declarations

 Paid Employment  Director  LTU Declaration not subject to Admission Art. 1
 Domestic Employee  Investor  LTU Declaration Permitted by Law Art. 3
 Family reunification, Formation, Adoption or  Sport coach / Athlete
Acknowledgement  Short Term Project
 Continued residence (family/study)  International Event
 Temporary independent/special relationship to Aruba.  Adult Entertainment
 Living with your partner
 Retiree/ pensioner
 Interest rate earner
 Student
 Internship/ Trainee
 Stay for indefinite time (firma liber)
 Other

D. PERSONAL DATA OF THE APPLICANT

Last name (s):

Given Name (s): Sex:  Man  Woman  Other

Date of Birth: dd-mm–yyyy Place of Birth:

Country od Birth: 1 st Nationality: 2nd Nationality:

Passport number: Valid until: dd-mm–yyyy Country of issue:

Identity card number:

Marital Status:  Single  Married  Widow(er)  Divorced  Life partner

How many children:

Country/countries of residency /
(last 5 years):
Address: Residence:

Country of Residence:

Telephone-/mobile number: E-mail(required):

Function:

You will receive a CRV- number at submission of first application.

CRV-number 500-  No

E. SIGNATURE OF THE APPLICANT

The undersigned declares to be familiar with the conditions for residence in Aruba and to have completed this form truthfully. The undersigned is
aware that if this statement is not based on the truth this will have legal consequences and if necessary will be reported to authorities.

Signature: Place and date:

 F. PERSONAL DATA OF THE GARANTOR
Below please fill in all the details of the guarantor. The guarantor is the person with whom the foreign national wants to stay or the
employer/company/foundation, applying for residence for the foreign national. If the applicant would like to stay in Aruba, for example to work or
study or for family reunification, formation, adoption or recognition, fill in the details of the company / foundation or educational institution.

Only complete for paid employment or family re-unification, formation, adoption or recognition:

Name company/foundation:

Chamber of Commerce number:

Contact person: Telephone-/mobile number:

Authorized Representative:

Last Name (s): Relation to applicant:

Given Name (s): Sex:  Man  Woman  Other

Date of Birth: d d - m m – y y y yj Place of Birth:

Country of Birth: Nationality:

Marital Status:  Single  Married  Widow(er)  Divorced  Life partner

Passport number: Valid until: d d - m m – y y y y Country of issue:

Address: Residence:

Country of residence:

Telephone/mobile number:

E-mail(required):

Residence status:  Not subject to admission  Permit for an indefinite period

permit
 Other
 Rightfully admitted
 Temporary residence permit

G. SIGNING BY THE GUARANTOR

This guarantee declaration must only be completed if the request for a temporary residence permit is submitted on behalf of the applicant by
the prospective employer or by the spouse / parent / legal representative who will guarantee the residence of the applicant in Aruba.

The guarantor declares to have a gross income of at least Afl. 50,000 per year and to be able to submit the necessary proof thereof.
The guarantor guarantees the costs arising for the country of Aruba and for other public bodies during the applicant’s entire period of the
permitted stay. All costs, including the deposit and travel accommodation costs to the country of origin, can be recovered from the guarantor.
If the undersigned is the employer of the foreign national, the undersigned declares that he is aware of his/her responsibility for paying the
required social contributions and the relevant taxes. The undersigned guarantees the residence of the foreign national until (1) the day on
which the guarantee obligation is taken over by another person to the satisfaction of the DIMAS or (2) the residence status of the foreign
national has changed and he/she no longer needs a guarantor and (3) hereby grants permission to DIMAS to periodically check the
residence address of the foreign national .

Details of the Foreign National

Last Name(s):
Given Name(s):  Man  Woman  Other
Date of Birth: CRV-nr.: 500-
Address foreigner staying in Aruba: Personal number(DIMP):

Details of Guarantor / Employer

Last Name(s):

Given Name(s):  Man  Woman  Other

Address: CRV-nr.: 500-

Company Name (if applicable): Personal number(DIMP):

Name of the contact person (if applicable):  Man  Woman  Other

Signature: Place and Date: