(see section 2.4 and section 5.4)

The undersigned, [name], [position at the diplomatic mission or consular post] at the [diplomatic mission or consular post], holder of identity card [number] issued by the Protocol Department of the Dutch Ministry of Foreign Affairs in The Hague and valid until [date], intends to invite the following family member: [name], born on [date] in [place], a national of [country], with passport [number], [relation] of the undersigned, to the Kingdom of the Netherlands for a period of [...] as from [date of entry].

I assume full responsibility for all expenses associated with [name]’s stay in the Kingdom of the Netherlands, including medical expenses. I also guarantee that [name] will leave the Netherlands before [his/her] visa expires.

I request the assistance of the [Embassy/Consulate] of the Kingdom of the Netherlands in the issuance of an entry visa for [name of guest].


[signature]

The Hague, [date]



To the [Embassy/Consulate] of the Kingdom of the Netherlands
[place and country]
Cc: [visa applicant]

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