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Pleasetakenoticeoftheinstructionsforfillingouttheform! 
Thefollowinginformationsarerequiredsubjecttosect. 13,15,17and18oftheRegistrationLaws. 
APPLICATIONforderegistration- 
Dateofmove/relocation 
Day 
Month 
Year 
Gemeindeschlüssel 
Gemeindeschlüssel 
Dailystampoftheregistryoffice 
New residence (street/place, number, floor) 
(ZIP/Postal code) (ZIP/Postal code, town/community; if in a foreign country incl. country 
Previous residence (street/place, number, floor) 
The previous residence in Germany was 
Other residence in Germany (street/place, number, floor) 
Pos. Surname/last name Earlier names/maiden name/name of birth First name(s) 
1 
2 
3 
4 
Pos. Academic title Gender Place of birth (county, state, province, country) 
1 
2 
3 
4 
Marital status Date of birth 
Pos. Nationality(ies) Date and place of marriage/civil partnership 
1 
2 
3 
4 
Religion 
Legal representative (first name, surname, academic title, date of birth, address) 
Place, date 
Applicant'ssignature 
09.1.62.000 
ZIP/Postal code) (town, community) 
This residence is: 
This residence is: 
Personwhohaveadditionalordifferentmainorsecondresidenceshavetofilloutanownapplication 
Legal status of the registered children 
to the father to the mother 
Ifyouaremovinginaforeigncountry,youhavetoderegisteryourself. 
IfatthesametimeyougiveuponeorseveralresidencesinGermanyandyoudon'tmoveintoanewresidenceinGermanyyouhavetoderegistertheresidenceyougiveup.Youcandoitatanyregistryofficeyouareactuallyregistered. 
Inthesecasesthefilledoutandsignedapplicationhastobesubmittedinstantlyattheconcernedregistryoffice. 
PleaseprinttheGermanformbelow! 
Other residence in Germany (street/place, number, floor) 
ZIP/Postal code) (town, community) 
(town, community) 
Regardingyourightstoprotestagainstthetransferofprivateinformationincertaincases,pleasereadattachedapplicationintructions. 
theonlyresidence 
mainresidence 
secondresidence 
mainresidence 
secondresidence 
mainresidence 
secondresidence 
M 
F 
M 
F 
M 
F 
M 
F 
Check andprintGermanversion Clear 
München
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Deregistrationx

  • 1. Pleasetakenoticeoftheinstructionsforfillingouttheform! Thefollowinginformationsarerequiredsubjecttosect. 13,15,17and18oftheRegistrationLaws. APPLICATIONforderegistration- Dateofmove/relocation Day Month Year Gemeindeschlüssel Gemeindeschlüssel Dailystampoftheregistryoffice New residence (street/place, number, floor) (ZIP/Postal code) (ZIP/Postal code, town/community; if in a foreign country incl. country Previous residence (street/place, number, floor) The previous residence in Germany was Other residence in Germany (street/place, number, floor) Pos. Surname/last name Earlier names/maiden name/name of birth First name(s) 1 2 3 4 Pos. Academic title Gender Place of birth (county, state, province, country) 1 2 3 4 Marital status Date of birth Pos. Nationality(ies) Date and place of marriage/civil partnership 1 2 3 4 Religion Legal representative (first name, surname, academic title, date of birth, address) Place, date Applicant'ssignature 09.1.62.000 ZIP/Postal code) (town, community) This residence is: This residence is: Personwhohaveadditionalordifferentmainorsecondresidenceshavetofilloutanownapplication Legal status of the registered children to the father to the mother Ifyouaremovinginaforeigncountry,youhavetoderegisteryourself. IfatthesametimeyougiveuponeorseveralresidencesinGermanyandyoudon'tmoveintoanewresidenceinGermanyyouhavetoderegistertheresidenceyougiveup.Youcandoitatanyregistryofficeyouareactuallyregistered. Inthesecasesthefilledoutandsignedapplicationhastobesubmittedinstantlyattheconcernedregistryoffice. PleaseprinttheGermanformbelow! Other residence in Germany (street/place, number, floor) ZIP/Postal code) (town, community) (town, community) Regardingyourightstoprotestagainstthetransferofprivateinformationincertaincases,pleasereadattachedapplicationintructions. theonlyresidence mainresidence secondresidence mainresidence secondresidence mainresidence secondresidence M F M F M F M F Check andprintGermanversion Clear München