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/ Refugee Resettlement Registration Opportunity Form
Refugee Resettlement Opportunity Registration Form
Refugee Resettlement Opportunity Registration Form
2026 Resettlement opportunity Registration Form
Personal Detail
1.
First Name
*
Last Name
*
2.
Date Of Birth
*
3.
Place Of Birth
*
select country
4.
Citizenship
*
select country
5.
Current Country of Residence
*
select country
6.
Status in the country of Residence
*
Permanent Resident
Stateless
Protected Person
Refugee Claimant
Seeking protection
7.
Sex/Gender
*
Male
Female
Other
8.
Current Marital Status
*
Single
Married
Separate
Divorce
Widowed
Other
9.
Add Dependant(s)/Children
10.
Register as dependent/Child
Check this box if you are registering as dependent/child under 22 years old and not have a spouse or parent
CONTACT INFORMATION
11.
Phone Number
*
12.
Alternative Phone Number
13.
Email
*
Confirm Email
UPLOAD DOCUMENTS
14.
Upload your photo or take a photo with a white background
*
Upload Image
15.
Do you have refugee status?
*
Please select
Yes
No
Upload your Refugee Documents
*
Upload files
If you don't have Refugee status, explain why?
*
Pay the registration fee
16.
Select a payment method
*
Please select
Stripe
PayPal
Payment Amount $
*
17.
Declaration of application
*
I declare that the information I have given is truthful, complete, and correct, and my registration fee payment is non-refundable.
Submit
Submit
Submit paid