Application

Have you applied before?

If you were asked to resend, put your previous reference here — it looks like QMNRK-7CHZ3. Leave blank if this is your first application.

Name as it appears on your passport*

Exactly as printed, including the order the document uses. If you have no passport, use your national ID and say so below.

Any other names used

Maiden names, transliterations, aliases, and the name or handle you go by on social media.

Have you ever legally changed your name?*

Marriage, divorce, transliteration changes, or any legal change.

Select… No Yes — state below Prefer not to say

Your previous name, and when and why it changed

Date of birth*

Gregorian calendar.

Email*

Phone*

Include the country code. Held on file to confirm your identity if we ever need to; we will not call or text you.

How should we contact you?*

Pick the one you check most. If it is WhatsApp, Signal or Telegram, the next question asks for your handle there — for email we use the address above.

Select… Email WhatsApp Signal Telegram Only through the person who invited me

Username or number for that app*

Current address*

Street, city, region, postal code and country. Write it in your own language and script if that is clearer — we can read it.

Where you have lived in the last five years*

Every address going back five years, most recent first, with rough dates. City and country is enough if you cannot recall the street. Write “same as above” if you have not moved.

Primary citizenship*

Choose your primary citizenship. The next question asks about any others, and how each was acquired.

Select… United States Canada United Kingdom Ireland Germany France Netherlands Belgium Luxembourg Switzerland Austria Spain Portugal Italy Greece Sweden Norway Denmark Finland Iceland Poland Czechia Slovakia Hungary Romania Bulgaria Croatia Serbia Ukraine Moldova Georgia Armenia Australia New Zealand Mexico Brazil Argentina Colombia Chile Japan South Korea Taiwan Singapore Philippines Indonesia Malaysia Vietnam Thailand China India Turkey Israel Cyprus Lebanon Jordan Syria Iraq Iran Saudi Arabia United Arab Emirates Qatar Kuwait Bahrain Oman Yemen Afghanistan Pakistan Bangladesh Uzbekistan Kazakhstan Tajikistan Turkmenistan Kyrgyzstan Egypt Morocco Algeria Tunisia Libya Sudan South Sudan Eritrea Ethiopia Somalia Kenya Uganda Tanzania Rwanda Nigeria Ghana Senegal Ivory Coast Cameroon Democratic Republic of the Congo Zimbabwe South Africa Other — state below Stateless Prefer not to say

Other citizenships, and how each was acquired

Residency status where you live now* Select… Citizen Permanent resident Work visa Student visa Refugee or asylum status Asylum claim pending No legal status Other — state below

Details, if 'other' or if it is complicated

Passport number*

The passport you travel on now, whichever country issued it. Write “N/A” if you do not hold one.

Passport issuing country*

The country that issued that same current passport. Choose “Prefer not to say” if you hold none.

Select… United States Canada United Kingdom Ireland Germany France Netherlands Belgium Luxembourg Switzerland Austria Spain Portugal Italy Greece Sweden Norway Denmark Finland Iceland Poland Czechia Slovakia Hungary Romania Bulgaria Croatia Serbia Ukraine Moldova Georgia Armenia Australia New Zealand Mexico Brazil Argentina Colombia Chile Japan South Korea Taiwan Singapore Philippines Indonesia Malaysia Vietnam Thailand China India Turkey Israel Cyprus Lebanon Jordan Syria Iraq Iran Saudi Arabia United Arab Emirates Qatar Kuwait Bahrain Oman Yemen Afghanistan Pakistan Bangladesh Uzbekistan Kazakhstan Tajikistan Turkmenistan Kyrgyzstan Egypt Morocco Algeria Tunisia Libya Sudan South Sudan Eritrea Ethiopia Somalia Kenya Uganda Tanzania Rwanda Nigeria Ghana Senegal Ivory Coast Cameroon Democratic Republic of the Congo Zimbabwe South Africa Other — state below Stateless Prefer not to say

National ID number*

Your current national ID, from wherever you live now. Write “N/A” if you do not have one.

Other travel documents held

Anything else you travel on now — a second passport, a refugee travel document, a laissez-passer.

Did you complete mandatory military service?* Select… Yes — completed No — exempt No — did not serve Currently serving Not applicable in my country

Service dates

From – to.

Branch Select… Army Navy Air Force Air Defence IRGC Basij Law enforcement Other — state below Did not serve

Unit, and anything the list does not cover

Speciality, role or job

Rank at completion

How service ended Select… Completed full term Honourable discharge Medical discharge Early release Dishonourable discharge Still serving Exempt Other — state below

Circumstances, if not a straightforward completion

Highest formal training completed Select… None Basic / conscript Non-commissioned specialist Officer training Special forces Technical or medical specialist Other — state below

What the training covered

Combat experience Select… None Deployed, no direct combat Direct combat Prefer not to say

Where, when, and in what role

Highest security clearance ever held*

Choose the highest level you have ever held. The next question asks which country issued it, and when.

Select… None Confidential or equivalent Secret or equivalent Top Secret or equivalent Other — state below Prefer not to say

Which country issued it, and when

Has a clearance ever been revoked or denied?*

Choose the closest answer. If one was revoked or denied, the next question asks what happened.

Select… No Yes — revoked Yes — denied Not applicable

What happened

Languages*

And your fluency in each. One per line. Write them however you would describe them yourself.

Highest level of education completed* Select… Primary Secondary / high school Vocational or technical Bachelor's degree Master's degree Doctorate Other — state below

Institutions, subjects, and dates

Certifications

One per line. Write them however you would describe them yourself.

Job history*

Or attach a CV at the end.

Businesses owned, current or past

Special skills

One per line. Write them however you would describe them yourself.

Religion or spirituality

Suggestions appear as you type; add anything not listed.

Last Iranian passport number*

The most recent one, even if it has expired. Write “N/A” if you have never held an Iranian passport.

Iranian national ID number*

Your کد ملی. Write “N/A” if you do not have one.

Last Iranian phone number*

The most recent one, even if it is no longer in use. Write “N/A” if you have never had one.

Last Iranian address*

The last address you lived at in Iran, as complete as you can make it. Write “N/A” if you have never lived in Iran.

Immediate family in Iran?*

Immediate family means your parents, your brothers and sisters, your spouse, and your children. If any are in Iran, state any affiliation with the government or military. Write “none” if none.

Extended family in Iran?*

Extended family means everyone else related to you by blood or marriage — grandparents, aunts and uncles, cousins, nieces and nephews, and in-laws. Same again — any affiliation with the government or military. Write “none” if none.

Countries travelled to*

One per line. Write them however you would describe them yourself.

Any criminal record or judicial database entry?*

Choose the closest answer. If you answer yes, the next question asks what, when, and the outcome.

Select… No Yes — state below Unsure Prefer not to say

What, when, and the outcome

Case or file number

If you know it. If there was more than one case, list them all. Leave blank if you do not know or cannot get it.

Current business affiliations in Iran*

Any company you currently own, direct, hold shares in, or work for in Iran. Write “N/A” if you have none.

Available for full-time employment?* Select… Yes No Part-time only

Earliest start date*

Referred by

CV or resume

If you don’t have a Resume or CV, write a brief summary of your work experience, education, or capabilities — a plain text file is fine, or put it in the Job history box above.

Passport

Photo page. A clear phone photo is fine.

National ID — front

A clear phone photo is fine.

National ID — back

Only if your ID has printing on the back.

Service or discharge record

If you completed military service. Add as many documents as you have.

Certifications

Add as many as you have — no need to combine them into one file.

Anything else

Optional. Travel documents, references, whatever you think is relevant. You can add several.