JOIN THE REVOLUTION
# WORK AND LIVE ANYWHERE

Full Name*

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Email*

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Mobile Phone No.*

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Which country is your visa application for?*

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When do you plan to relocate to your country of choice?*

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After successful visa application, do you need relocation assistance eg. to purchase real estate or arrange rental accommodation?*

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Do you have a referral discount code? What is it?

1. Can you work remotely over the internet for your employer or client?*

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2. Are you the sole, main applicant?*

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3. If not, how many other applicants and/or family members or dependents do you wish to apply for? *

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4. Please describe the relationship of any additional applicants to the main applicant. *

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5. What is your nationality?*

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6. Do you have a full, valid passport or travel documents?*

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7. Please list the countries where you have legally resided over the past two years.*

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8. What is your current country of residence? The applicant(s) must provide proof of their current legal residence.*

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9. Can you obtain a Schengen Visa at the time of writing?*

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10. Do you have or have you ever had a criminal record?*

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11. Are you employed, self-employed or a freelancer? Please describe.*

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12. Are you a director your own company? Please describe. *

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13. Are you a shareholder of your own company? If so, what % share ownership? *

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14. If employed, have you been employed for greater than three (3) months?*

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15. If employed, do you have or work under an employment contract?*

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16. If employed has your employer been trading for more than one (1) year? *

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17. If self-employed via your own company or freelance, have you been trading for more than one (1) year?*

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18. If self-employed or freelance, do you have a service agreement or professional relationship of greater than three (3) months with your client or clients?*

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19. Do you have or can you obtain permission from your employer or client to work remotely?*

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20. How much do you earn from your employment or professional activities annually?*

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21. Are you paid directly into your bank account or using a third party (Stripe, Paypal). If you are paid using your bank account, is it your personal or business account?*

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22. Does any of your earnings come from the country that you are applying for a visa? If so, what % of your earnings?*

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23. How many years experience do you have in your chosen field of work related to your remote work position?*

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24. Do you have a university degree, further education or professional accreditation related to your remote work position?*

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I hereby agree that this data will be stored and processed for the purpose of evaluating your digital nomad visa application eligibility and for establishing contact. I am aware that I can revoke my consent at any time.*

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