EX-16 Solicitud de Certificado de registro como residente comunitario o Tarjeta de residencia de familiar de ciudadano de la Unión Application for Certificate of registration as EU resident or residence card citizen family member of the Union NIE ID Number N° pasaporte passport 1.DATOS PERSONALES DEL EXTRANJEROSPERSONAL DATA OF FOREIGNER 1er Apellido First Surname 2 Apellido Second Surname Nombre Name Fecha de nacimiento Date of born Lugar de nacimiento Place of born Sexo Sex Maculino (M) Male Femenino (F) Female Estado Civil Marital Status Soltero(S)single Casado(C)married Vuido (V) widower Divorciado(D) divorced Separado(Sp)separate Nombre del padreFather´s name Nombre de la madreMother´s name Domicilio en España Spanish address Tel Phone number Localidad Locality CP Zip code ProvinciaProvince Período previsto de residencia en España Envisaged period of residence in Spain Fecha acreditada de inicio de la residencia en España Start Date accredited residency in Spain 2. DATOS DEL FAMILIAR QUE DA DERECHO A LA APLICACIÓN DEL RÉGIMEN COMUNITARIO DETAILS OF DA FAMILY RIGHT TO THE IMPLEMENTATION OF THE COMMUNITY SCHEME N.I.E. ID Number Nº Pasaporte Passport Nº Doc. Nac. Identidad Apellidos y nombre Name and surname País de nacionalidad Nationality Fecha de nacimiento Date of born Domicilio Address Localidad Locality ProvinciaProvince 3. DATOS DE LA SOLICITUD APPLICATION DATA Certificado Registro residente comunitarioRegistration certificate of an EU citizen Modificacion del certificado de registro residente comunitarioModification registration certificate EU citizen aja certificado registro residente comunitario Stop of the registration certificate of an EU citizen Tarjeta de residencia familiar de ciudadano de la Unión Card family residence of Union citizens Renovación Tarjeta de residencia de familiar de ciudadano de la Unión Renewal family residence of Union citizens SUPUESTOS DE ACCESO: assumptions of access CónyugeSpouse Pareja registrada Registered partnership Descendiente menor de 21 años o incapaz Descendant under 21 or incapable Descendientes de 21 años o mayor a cargo Descendants of 21 years or older by Ascendientes a cargo Ancestors by Registration Certificate permanent EU resident Certificado Registro residente comunitario permanente SUPUESTOS DE ACCESO: assumptions of access Haber residido legalmente en España durante cinco años Have legally resided in Spain for five years Trabajador que alcance la edad de jubilación con derecho a pension Worker reaches retirement age with pension rights Trabajador que acceda a la jubilación anticipada Worker access to early retirement Trabajador que cese como consecuencia de incapacidad permanente Worker who ceases to be a consequence of permanent disability Trabajador que después de tres años consecutivos de actividad y residencia en España, desempeñe su actividad en otro Estado miembro, manteniendo la residencia Worker after three years of continuous employment and residence in Spain, will play its activity in another State member, retaining his residence Tarjeta de residencia permanente de familiar no comunitario de ciudadano español o de la Unión. Permanent residence card non-EU family of a Spanish citizen or EU SUPUESTOS DE ACCESO: assumptions of access Haber accedido el familiar ciudadano de la Unión a la residencia permanente Have accessed the EU citizen family permanent residence Haber fallecido el familiar ciudadano de la Unión durante su vida activa, habiendo residido al menos dos años en España Family have died a citizen of the Union during their working life, having resided for at least two years in Spain Haber fallecido el familiar ciudadano de la Unión durante su vida activa, por accidente de trabajo o enfermedad professional Family have died a citizen of the Union during their working life, by accident or occupational disease Haber fallecido el familiar ciudadano de la Unión durante su vida activa, habiendo sido el cónyuge superstite ciudadano español y perdido dicha nacionalidad como consecuencia de su matrimonio con el ciudadano comunitario fallecido Family have died a citizen of the Union during his working life, having been a Spanish citizen surviving spouse and lost their nationality as a result of her marriage to the citizen's death. 6. DOMICILIO A EFECTOS DE NOTIFICACIONES ADDRESS FOR NOTIFICATIONS C/Pl Address Localidad Locality CP Zip Code ProvinciaProvince Firma del solicitante applicant´s signature SI/ NO Consiento la comprobación de mis datos de identidad y domicilio a través del Sistema de Verificación de Datos de Identidad y Residencia. (En caso de no consentir, deberá aportar fotocopia compulsada de la documentación requerible) YES/NO I agree to the verification of my identity and address data through the Data Verification System Identity and Residency. ( if you do not consent , you must provide certified copy of the documentation required) PLACES AND FORM OF SUBMISSION: Personally by the applicant, addressed to the Foreign Office in the province where you want to stay or to settle or, in failing that, to the Police Station. DOCUMENTATION (shall be accompanied by original documents, which will be returned once collated copies): In every case be submitted on the official application (EX 16), original and copy • Certificate of registration as a citizen of the Union: 1. Passport or identity card valid and in force. If expired, a copy of it and the request for renewal. 2. Except in cases of NIE not be assigned in advance to request written proof of payment of the fee by issuing a certificate (in the remaining cases, the administrative body before which the application is made after NIE allocation will hand out the forms for the payment of the fee, for this to be made a matter prior to the issuance of the certificate). • Modification or-registration as a citizen of the Union: 1. Passport or identity card valid and in force. If expired, a copy of it and the request for renewal. 2. Certificate of record to modify or terminate. 3. Written proof of payment of the fee for issuing a certificate. • Family Residence card of non-EU citizen of the Union: 1. Valid and current passport. If expired, a copy of it and the request for renewal. 2. Proof, if properly translated and annotated or authenticated, of the existence of link family, of the validity of marriage or certificate issued (with a maximum of three months before the date of filing) by the national partner in charge of registering for registration as a couple. 3. Certificate of Registration of Community citizens who are accompanying or going to join, presented alongside the passport or identity document, in effect, it (or document in which the EU citizen consents to the verification of such information by the General Administration). Where the right arising from a Spanish citizen, identity card of this or authorization to electronically verify their dentity data. 4. If descendants of 21 years or older or direct ancestors: accreditation by any means test Law admitted that its resources come from, either exclusively or primarily and not dispensable, their ascending or descending (EU citizen or spouse or registered partner of an EU citizen). 5. Three recent photographs in color, white, passport size. 6. Except in cases of NIE not be assigned in advance to request written proof of payment of the fee for issuing the card (in other cases, the administrative body before which the application is made after NIE allocation will hand out the forms for their payment, for this to be effected prior to the card issue). • Renewal of the family residence card of citizen of the Union: 1. Valid and current passport. If expired, a copy of it and the request for renewal. 2. Proof, if properly translated and annotated or authenticated, the validity of marriage or certificate issued (with a maximum of three months before the date of filing) by the national Couple registrar for registration as a couple. 3. Certificate of Registration of Community citizens who are accompanying or going to join, presented alongside the passport or identity document, in effect, it (or document in which the EU citizen consents to the verification of such information by the General Administration). Where the right arising from a Spanish citizen, identity card of this or authorization to electronically verify their identity data. 4. If descendants of 21 years or older or direct ancestors: accreditation by any means test Law admitted that its resources come from, either exclusively or primarily and not dispensable, their ascending or descending (EU citizen or spouse or registered partner of an EU citizen). 5. Three recent photographs in color, white, passport size. 6. Written proof of payment of the fee for issuing the card. • Certificate of right to permanent residence as a citizen of the Union: 1. Passport or identity card valid and in force. If expired, a copy of it and the request for renewal. 2. Written proof of payment of the fee for issuing a certificate. 3. Depending on the specific circumstance, shall, in addition: or certificate of registration as a citizen of the Union stating a minimum period of five years of residence continued in Spain (or document in which the person consents to the verification of such information by the General Administration). o The worker who has stopped working, self-employed persons, having reached the age laid down by Spanish rules for retirement with pension rights, as well as having lived in Spain so continuously for more than three years and carried on business for the past 12 months in Spain: a. Proof of access to retirement. b. Working life certificate issued by the Social Security stating that the past 12 months performed their activities in Spain (unless the spouse or registered partner of the EU citizen is Spanish citizen or has lost their nationality after marriage / registration as a partner with the citizen Community). c. Certificate of registration as a citizen of the Union (or document in which the person consents to the verification of such information by the General Administration) stating a period minimum of three years of continuous residence in Spain (unless the spouse or registered partner of the citizen Community is a Spanish or lost their nationality after marriage / registration as a couple with the EU citizen). o The worker who has stopped working as an employee on the basis of early retirement: a. Proof of access to early retirement. b. Working life certificate issued by the Social Security stating that the past 12 months performed their activities in Spain (unless the spouse or registered partner of the EU citizen is Spanish citizen or has lost their nationality after marriage / registration as a partner with the citizen Community). c. Certificate of registration as a citizen of the Union (or document in which the person consents to the verification of such information by the General Administration) stating a period minimum of three years of continuous residence in Spain (unless the spouse or registered partner of the citizen Community is a Spanish or lost their nationality after marriage / registration as a couple with the EU citizen. In this case must provide documentation proving this circumstance). o The worker who has stopped working, self-employed persons, as a result of a disability Standing: a. Proof of permanent disability. b. Certificate of registration as a citizen of the Union (or document in which the person consents to the verification of such information by the General Administration) stating a period minimum of two years of continuous residence in Spain (except permanent disability resulting from accident work or occupational disease of the pension entitlement that is responsible, in whole or in part, a spanish State body, or the spouse or registered partner of the EU citizen is a citizen Spanish or have lost their nationality after marriage / registration as a partner with the citizen Community. In this case, must submit documentation of the circumstances exempts requirement of two years continuous residence requirement) Work after 3 years of continuous employment and residence in Spain, will play its activity in another Member State and continues to reside in Spain, returning the least once a week: a. Certificate of registration as a citizen of the Union stating a minimum period of three years of residence continued in Spain (or document in which the person consents to the verification of such information General State Administration). b. Working life certificate issued by the Social Security stating that the last three years has performed their activities in Spain. c. Proof that performs a job in a Member State. d. Proof that returns at least once a week to the Spanish territory. • Permanent Resident Card citizen family member of the Union: 1. Valid and current passport. If expired, a copy of it and the request for renewal. 2. Proof, if properly translated and annotated or authenticated, of the existence of link family, marriage or registered partnership. 3. Three recent photographs in color, white, passport size. 4. Document proving payment of the fee for issuing the card. 5. Depending on the specific circumstance shall, in addition: o The family of an EU citizen entitled to permanent residency: a resident registration certificate EU citizen's permanent (or document in which the EU citizen consents to the verification of such information by the General Administration). o The family of an EU citizen who died in course of his working life prior to accessing the right permanent residence: a. Card family residence of Union citizens (or document in which the person consents to the verification of such information by the Central Government), derived from having lived with EU citizen died. b. Depending on the specific circumstance, shall, in addition: � Certificate of registration as a citizen of the Union of the deceased, stating a minimum 2 years of continuous residence in Spain; � Proof that the death was caused by accident or occupational disease; or � Proof that the surviving spouse was a Spanish citizen, having lost the nationality as a result of her marriage to the citizen's death.