Only citizens of European Union (EU) are entitled to apply for Registration Certificate if they intend
to reside in the territory of the Czech Republic for longer than 3 months.

Citizens of Island, Lichtenstein,Norway, Switzerland are considered to be EU citizens for this purpose.

British citizens are entitled to apply for Registration Certificate only if they are Withdrawal Agreement beneficiaires.

I. APPLICANT‘S DETAILS

Sex
Marital status

Travel document

Residential address in the Czech Republic

The phone number is automatically filled in for the TOPVISA contact.
The email field is automatically filled in for the TOPVISA contact.
Email used to send the copy of the completed PDF

II. PURPOSE OF THE STAY IN THE CZECH REPUBLIC

Tick main purpose of your stay in the Czech Republic

If the purpose of your stay in this country is employment, self employment, business or other gainful activity, you are not obliged to submit proof of health insurance (see part VII).

III. EMPLOYMENT

Employment before arrival in the Czech Republic (abroad)

Employment in the Czech Republic (now)

IV. RESIDENCE ADDRESS ABROAD

Provide the address you lived at before coming to the Czech Republic-for instance in the EU Member State of which you are a citizen.

V. PREVIOUS STAY IN THE CZECH REP. LONGER THAN 3 MONTHS

If you have stayed in the Czech Republic for more than 3 months at some time in the past, please, specify when, the place of your stay and the purpose of stay

VI. FAMILY MEMBERS

Provide all required the details about your family members. In the event that you do not have such family member, write „NONE“

APPLICANT‘S CHILDREN

APPLICANT‘S FATHER

APPLICANT‘S MOTHER