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Czech citizenship based on Ancestry Eligibility Check

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1

Your name and surname

2

E-mail

3

Phone number (incl. international prefix)

4

When were you born?

Select one answer
5

When was your parent of Czech origin born?

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6

When was your grandparent of Czech origin born?

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7

Who was the last person in your family born in the Czech Republic/Czechoslovakia

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8

What town in Czechoslovakia was you ancestor from?

9

When did your ancestor leave Czechoslovakia?

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10

Did you/your ancestor officially renounce CZ citizenship?

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11

Did you/your ancestor acquire other citizenship?

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12

If yes, specify which citizenship and when

13

If they naturalized in the United States, how old were they at the time?

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14

What language did they speak in Czechoslovakia?

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15

Which supporting documents do you have?

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16

Specify other documents

17

Does any other family member wish to apply alongside you?

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18

If yes, how many family members?

19

Additional information

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