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JAMHUURIYADA FEDERAALKA FEDERAL REBUPLIC OF SOMALIA

EE SOMAALIYA Directorate of Immigration and


Hogaanka Socdaalka iyo Jinsiyada Naturalization

‫ﺟﻣﮭورﯾﺔ اﻟﺻوﻣﺎل اﻟﻔدراﻟﯾﺔ‬


‫ﻣدﯾرﯾﺔ اﻟﮭﺟرة واﻟﺗﺟﻧﯾس‬

Foomka Codsiga Baasaboorka iyo ‫اﺳﺗﻣﺎرة طﻠب ﺟواز اﻟﺳﻔر وﺑطﺎﻗﺔ‬ Application Form for Passport and
Warqadda Aqoonsiga Qaranka ‫اﻟﮭوﯾﺔ اﻟوطﻧﯾﺔ‬ National Identification Card

Fadlan ku buuxi foomka far waawayn / ‫ رﺟﺎء ﻣلء اﻻﺳﺗﻣﺎرة ﺑﺎﻟﺣروف اﻟﻛﺑﯾرة‬/ Please fill the form in capital letters

Taariikhda codsiga / ‫ ﺗﺎرﯾﺦ اﻟﺗﻘدﯾم‬/ Application Date

Maxaad codsanysaa? / ‫ ﻣﺎذا ﺗطﻠب؟‬/ What are you applying for? Baasaboor /‫ ﺟواز ﺳﻔر‬/ Passport
Teesaraha aqoonsiga / ‫ﺑطﺎﻗﺔ اﻟﮭوﯾﺔ اﻟوطﻧﯾﺔ‬ Baasaboor + Teesaraha aqoonsiga / ‫ ﺑطﺎﻗﺔ اﻟﮭوﯾﺔ اﻟوطﻧﯾﺔ‬+ ‫ﺟواز ﺳﻔر‬
National ID Card Passport + National ID Card
Mudane / ‫ اﻟﺳﯾد‬/ Mr. Marwo / ‫ اﻟﺳﯾدة‬/ Mrs. Inan / ‫ اﻵﻧﺳﺔ‬/ Miss.

Magaca oo sedexan / ‫ اﺳم اﻟﻛﺎﻣل‬/ Complete name (three names) Magaca hooyo / ‫ اﺳم اﻷم‬/ Mother’s Name

Taariikhda dhalashada / ‫ ﺗﺎرﯾﺦ اﻟﻣﯾﻼد‬/ Date of Birth Meesha dhalashada / ‫ ﻣﻛﺎن اﻟﻣﯾﻼد‬/ Place of Birth

Xaaladda guurka / ‫ اﻟﺣﺎﻟﺔ اﻹﺟﺗﻣﺎﻋﯾﺔ‬/ Marital Status

Soolane / ‫ ﻋﺎزب‬/ ‫ ﻋﺎزﺑﺔ‬/ Single Xaas / ‫ ﻣﺗزوج‬/ ‫ ﻣﺗزوﺟﺔ‬/ Married

La furay / ‫ ﻣطﻠق‬/ ‫ ﻣطﻠﻘﺔ‬/ Divorced Laga dhintay / ‫ ارﻣل‬/ ‫ ارﻣﻠﺔ‬/ Widowed

Cinwaanka guriga / ‫ ﻋﻧوان اﻟﻣﻧزل‬/ Home Address

Telefoon nambarka / ‫ رﻗم اﻟﮭﺎﺗف‬/ Telephone Number Cinwaanka iimeelka / ‫ ﺑرﯾد اﻻﻟﻛﺗروﺑﻲ‬/ Email Address

Shaqadda / ‫ اﻟﻣﮭﻧﺔ‬/ Occupation

Meesha aad ka codsatay / ‫ ﻣﻛﺎن اﻟطﻠب‬/ Place of Application

Ma leedahay dukumentiyada soo socda? / ‫ ھل ﻟدﯾك اﻟوﺛﺎﺋق اﻟﺗﺎﻟﯾﺔ؟‬/ Do you have the following documents? /
Teesaraha aqoonsiga / ‫ﺑطﺎﻗﺔ اﻟﮭوﯾﺔ‬
Baasaboor / ‫ ﺟواز ﺳﻔر‬/ Passport # #
‫ اﻟوطﻧﯾﺔ‬/ National ID Card
Warqadda dhalashada / ‫ﺷﮭﺎدة‬ Ruqsada wadidda gaadiidka / ‫رﺧﺻﺔ‬
# #
‫ اﻟﻣﯾﻼد‬/ Birth Certificate ‫ ﻗﯾﺎدة‬/ Driver License
Waxaan qirayaa in warbixintaan ay sax tahay / ‫ أﻗر ﺑﺄن ﺟﻣﯾﻊ اﻟﻣﻌﻠوﻣﺎت اﻟﺗﻲ ﻗدﻣﺗﮭﺎ ﺻﺣﯾﺣﺔ‬/ I certify that all information I have given is correct

Saxiixa / ‫ اﻟﺗوﻗﯾﻊ‬/ Signature Taariikhda / ‫ اﻟﺗﺎرﯾﺦ‬/ Date

Isticmaalka xaffiiska oo keliya / ‫ ﻟﻼ ﺳﺗﺧدام اﻟرﺳﻣﻲ ﻓﻘط‬/ For official use only
Taariikhda la gudoomay / ‫ ﺗﺎرﯾﺦ اﻻﺳﺗﻼم‬/ Date Received
Nambarada taxan / ‫ رﻗم ﻣﺗﺳﻠﺳل‬/ Serial Number # Lambarka tixraaca / ‫ رﻗم اﻟﻣرﺟﻊ‬/ Reference Number #

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