Bürgeramt | Ausländerbehörde | Schwabacher Straße 170 | 90744 Fürth
Annotation
Please note that an appointment for a personal interview must be booked via the online appointment system of Stadt Fürth in order to be granted or extended a Duldung per person.
Data collection as part of the granting/extension of a tolerance (§ 60 a Residence Act - AufenthG) as well as in the context of the obligation to provide information and to cooperate (Section 49 (2), Section 82 (1) of the Residence Act)
Application*
Note
Personal data
Last name*
First name[s]*
Date of birth*
Place of birth*
Größe*
Augenfarbe*
Nationality (Please submit all nationalities you are possessing)*
Exact address of home country*
Personnel number or Identification number*
Personal identity document[s]
Issued in*
Available as*
Current address
Street name*
House number*
Postcode*
Town / City*
Floor / Room number*
Since I was last issued a tolerance, the following changes have occurred in my personal and residence status
Last name
First name[s]
Information on the obligation to leave the country and deportation
Information on voluntary departure
If you leave the country voluntarily and would like to take advantage of funding, please contact the following contact points
Zentrale Ausländerbehörde Mittelfranken eMail: ausreise@reg-mfr.bayern.de Phone: In Ansbach: (0981) 20 36 36 - 22; - 25; - 27 In Nürnberg: (0911) 98 229 - 131; - 133 In Zirndorf: (0911) 96 93 - 301; - 307
Zentrale Rückkehrberatung Nordbayern Marienstr. 23, 90402 Nürnberg • Opening hours: Mo.–Fr. 9:00–12:00 o'clock; Mo., Mi., Do. 13:30–15:30 o'clock eMail: info@zrb-nordbayern.de • Internet: www.zrb-nordbayern.de Phone (0911) 23 52 - 222 • Reachable: Mo.–Do. 8:30–12:00 o'clock; 13:30–16:00 o'clock. Fr. 8:30–14:00 o'clock.
I have read the general data protection declaration and I agree to them.*
Date*
Name of applicant*
Signature of dolmetscher