This document outlines the checklist and forms required for an Aliyah application for a new immigrant to Israel, referred to as an Oleh Chadash. It lists personal identification documents, proof of Judaism, travel history forms, health declarations, certificates, fees, and visa applications that must be completed and submitted by each applicant. Additional forms may be needed depending on individual circumstances.
Project TEN is a Jewish Agency initiative that brings together young Jews from Israel and around the world to volunteer for 3 months in developing countries. It focuses on sustainable development projects and Jewish learning while volunteering with both Jewish and non-Jewish organizations. In its pilot year in 2012, Project TEN established centers in Gondar, Ethiopia, Hyderabad, India, and Kiryat Shmona, Israel, and plans to open a center in Oaxaca, Mexico in 2013 with a goal of 12 centers worldwide, including 3 in Israel.
For vulnerable new immigrants from Ethiopia, the Tapuz Absorption Center in Nahariya provides an essential supportive environment during their difficult transition to life in Israel. As the new immigrants faced culture shock and war, with rockets hitting the center directly, the staff welcomed them and provided daily necessities, psychological care, and social and educational activities. The center serves as a sheltered "first home" to help newcomers acclimate and achieve independence in their new homeland.
The document discusses the "Wings" program which provides support to lone immigrant soldiers in Israel as they transition from military to civilian life. The program holds a 5-day pre-discharge seminar that teaches resume writing, interview skills, and information about benefits. After discharge, the program provides career counseling, financial advice, grants, and ongoing support through the Rotary Club as the soldiers adjust to civilian life without a support system. An evaluation found the program helped reduce confusion and lack of direction for 83% of participants.
The Jewish Agency takes a multidimensional approach to integrating immigrants to Israel through its network of absorption centers, which serve as a critical first step. The centers help immigrants acclimate to their new lives in Israel by providing social support, Hebrew education, and guidance through the absorption process. Specifically, the Beit Canada Absorption Center in Jerusalem assists young immigrant professionals and academics by offering housing, Hebrew courses, cultural activities, and help navigating various absorption programs to help them realize their dreams of becoming part of the Jewish state.
The San Diego Ibim Student Village provides housing and educational support to help young adult immigrants from around the world successfully integrate into Israeli society by learning Hebrew, taking academic courses, and receiving counseling services to cope with the stress of living near the Gaza border. Located on the Friedmann Campus, the village houses over 300 immigrants from places like the former Soviet Union, Ethiopia, North and South America, and Europe who are pursuing higher education or participating in Jewish educational programs. Support from Jewish federations in North America fund the village's operation and programs that aim to facilitate immigrants' independence and acclimation to their new lives in Israel.
The 2009/10 Performance Report of the Jewish Agency for Israel summarizes the organization's activities and impact over the past year. Despite ongoing challenges including a global economic crisis requiring budget cuts, the Agency supported over 16,000 new immigrants to Israel, expanded youth programs in Israel and abroad, and responded to emergencies like the conflict in Gaza and crisis in Kyrgyzstan. Looking ahead, the Agency plans to focus on strengthening Jewish identity, partnerships between Israeli society and the Diaspora, and connecting young Jews to Israel.
Ya'akov, an 8-year-old boy from Ethiopia who made aliyah in 2007, participated in and excelled in the Yesodot/Foundations enrichment programs for two years after immigrating to Israel. These programs included studying at an elementary school study center, computer classes, afternoon tutoring, and clubs. As a result of participating in these programs, he was one of the few children in his class to be tested for a gifted program at school.
This document outlines the checklist and forms required for an Aliyah application for a new immigrant to Israel, referred to as an Oleh Chadash. It lists personal identification documents, proof of Judaism, travel history forms, health declarations, certificates, fees, and visa applications that must be completed and submitted by each applicant. Additional forms may be needed depending on individual circumstances.
Project TEN is a Jewish Agency initiative that brings together young Jews from Israel and around the world to volunteer for 3 months in developing countries. It focuses on sustainable development projects and Jewish learning while volunteering with both Jewish and non-Jewish organizations. In its pilot year in 2012, Project TEN established centers in Gondar, Ethiopia, Hyderabad, India, and Kiryat Shmona, Israel, and plans to open a center in Oaxaca, Mexico in 2013 with a goal of 12 centers worldwide, including 3 in Israel.
For vulnerable new immigrants from Ethiopia, the Tapuz Absorption Center in Nahariya provides an essential supportive environment during their difficult transition to life in Israel. As the new immigrants faced culture shock and war, with rockets hitting the center directly, the staff welcomed them and provided daily necessities, psychological care, and social and educational activities. The center serves as a sheltered "first home" to help newcomers acclimate and achieve independence in their new homeland.
The document discusses the "Wings" program which provides support to lone immigrant soldiers in Israel as they transition from military to civilian life. The program holds a 5-day pre-discharge seminar that teaches resume writing, interview skills, and information about benefits. After discharge, the program provides career counseling, financial advice, grants, and ongoing support through the Rotary Club as the soldiers adjust to civilian life without a support system. An evaluation found the program helped reduce confusion and lack of direction for 83% of participants.
The Jewish Agency takes a multidimensional approach to integrating immigrants to Israel through its network of absorption centers, which serve as a critical first step. The centers help immigrants acclimate to their new lives in Israel by providing social support, Hebrew education, and guidance through the absorption process. Specifically, the Beit Canada Absorption Center in Jerusalem assists young immigrant professionals and academics by offering housing, Hebrew courses, cultural activities, and help navigating various absorption programs to help them realize their dreams of becoming part of the Jewish state.
The San Diego Ibim Student Village provides housing and educational support to help young adult immigrants from around the world successfully integrate into Israeli society by learning Hebrew, taking academic courses, and receiving counseling services to cope with the stress of living near the Gaza border. Located on the Friedmann Campus, the village houses over 300 immigrants from places like the former Soviet Union, Ethiopia, North and South America, and Europe who are pursuing higher education or participating in Jewish educational programs. Support from Jewish federations in North America fund the village's operation and programs that aim to facilitate immigrants' independence and acclimation to their new lives in Israel.
The 2009/10 Performance Report of the Jewish Agency for Israel summarizes the organization's activities and impact over the past year. Despite ongoing challenges including a global economic crisis requiring budget cuts, the Agency supported over 16,000 new immigrants to Israel, expanded youth programs in Israel and abroad, and responded to emergencies like the conflict in Gaza and crisis in Kyrgyzstan. Looking ahead, the Agency plans to focus on strengthening Jewish identity, partnerships between Israeli society and the Diaspora, and connecting young Jews to Israel.
Ya'akov, an 8-year-old boy from Ethiopia who made aliyah in 2007, participated in and excelled in the Yesodot/Foundations enrichment programs for two years after immigrating to Israel. These programs included studying at an elementary school study center, computer classes, afternoon tutoring, and clubs. As a result of participating in these programs, he was one of the few children in his class to be tested for a gifted program at school.
Selah is a 9-month program that helps young people aged 17-21 from former Soviet states immigrate to Israel for higher education. It began in 1995 with 80 students and has since grown significantly. The program provides intensive Hebrew language and academic preparation, assistance with immigration status and living expenses, and cultural experiences to facilitate integration.
The Elite Academy/Naaleh High School Program offers academically motivated Jewish students from around the world the opportunity to attend high school in Israel for three years. During the program, students live in religious or non-religious boarding schools and receive intensive Hebrew language studies, with classes taught in Hebrew in the final two years. Upon completing the program, students receive an Israeli matriculation certificate recognized by universities worldwide. The program allows students to strengthen their Jewish identity through daily interaction with Israeli peers and exposure to Israeli culture and history.
The Jewish Agency operates the Mevasseret Zion Absorption Center in Israel, which houses around 1,200 new immigrants from Ethiopia. The Center aims to help new immigrants transition to life in modern Israeli society and become independent within a year. It provides language classes, educational and social programs, health services, and other support to help new immigrants of all ages integrate successfully. The supportive environment of the Center serves as an essential first home for newcomers as they adjust to their new life in Israel.
Olga Markilova, the mother of a lone soldier in the IDF, expresses deep gratitude for being able to visit her son in Israel through the Keshet program. It had been seven years since she saw her son. During the 10-day visit with her son, she was able to experience his life in Israel and meet his friends. The visit renewed their emotional connection and inspired her to consider making aliyah to Israel to be closer to her son.
The document discusses the First Home in the Homeland program which helps new immigrants settle into life in Israel by living on a kibbutz for up to a year. New immigrants receive support from kibbutz members as they learn Hebrew, acclimate to Israeli culture, and have their basic needs met. Living on a kibbutz provides a safe and communal environment to help new immigrants transition to life in Israel.
The Jewish Agency operates absorption centers throughout Israel, including the Beit Canada Barnea Center in Ashkelon, to help new immigrants from Ethiopia integrate into Israeli society through language classes, cultural activities, job training, counseling, and other support programs. The Center houses over 440 immigrants and provides children with educational enrichment programs to prepare them for school while helping adults and children cope with the trauma of living under constant rocket attacks from Gaza. The multi-faceted assistance from the Jewish Agency aims to help new immigrants realize their dream of becoming part of the Jewish state in Israel.
Carla is a volunteer with the At Home Together program. She became a volunteer in memory of her son Alexei Neikov z”l, who was killed while protecting children in the Gaza strip during his army service. The Jewish Agency gives an annual scholarship in Alexei's memory. Carla explains that after so many years of the Jewish Agency memorializing Alexei's name, it was time for her to give back by volunteering with the program and helping new immigrants.
The Jewish Agency remains committed to conducting bold rescue missions to help Jews facing threats in different parts of the world. Some recent examples include airlifting over 14,000 Ethiopian Jews to Israel in 36 hours and organizing flights for Jews fleeing war in Georgia. As global crises increase anti-Semitism in some countries, over 60,000 Jews currently live in at-risk areas. The Jewish Agency works discreetly to assist Jewish communities facing fear and stands ready to help Jews emigrate safely to Israel from any country.
During the first half of 2010:
- Over 6,200 olim arrived in Israel, a 13% increase from the same period in 2009. Including olim from Ethiopia, the total was over 7,400, a 32% increase.
- The largest number of olim came from the FSU (former Soviet Union) totaling over 2,880, mainly from Russia and Ukraine.
- Over 1,600 olim arrived from English-speaking countries like North America and Britain.
- Just over 1,000 olim came from Europe and the Middle East, mostly from France.
- Around 575 olim arrived from Latin America, led by arrivals from Argentina.
-
During January to April 2010:
- 3,897 new immigrants (olim) arrived in Israel, an 11% increase from the same period in 2009.
- 1,926 olim arrived from countries in the Former Soviet Union, Eastern Europe, and Germany, a 22% increase. The majority were from Russia.
- 949 olim arrived from English-speaking countries like North America and Britain, a 2% decrease.
- 614 olim arrived from other European and Middle Eastern countries, an 11% increase.
- 407 olim arrived from Latin American countries like Argentina and Brazil, a 4% increase.
- 1,027 olim arrived from Ethiopia, compared to only 18
The Jewish Agency supports brave lone immigrant soldiers who serve in the Israeli Defense Forces through several impactful programs. The Wings Program helps over 700 discharged lone soldiers each year transition to civilian life by providing job training, housing assistance, and other resources. Nativ strengthens over 4,500 immigrant soldiers' connection to Judaism and Israel through educational courses. The Keshet program reunites about 150 parents with their children serving in the IDF by sponsoring trips for the parents to visit Israel.
The document summarizes several Jewish Agency programs that help youth at risk in Israel reach their full potential. Youth Futures provides mentors to over 6,500 disadvantaged youth. 75% of parents saw a positive impact. Atidim gives educational opportunities to students in remote areas, and Youth Aliyah Villages provide long-term residential support for over 1,000 immigrant and at-risk youth. Net@ teaches teenagers technical skills while building leadership. These programs level the playing field for youth and help them achieve success.
The Jewish Agency is advancing women in Israel through various entrepreneurship, health education, and empowerment programs. Some of these programs include providing small business loans to 200 women entrepreneurs, training over 280 women to become community health advocates, and teaching over 1,000 female soldiers to make healthy lifestyle choices. The document discusses several other Jewish Agency initiatives that are empowering women and promoting healthy families across Israel.
Fostering Social Cohesion in Israeli SocietyJewish Agency
The document summarizes several initiatives of the Jewish Agency to promote social cohesion between Jewish and Arab Israelis. It discusses programs that provide educational and economic opportunities to underprivileged Arab youth, foster joint Jewish-Arab business ventures, and teach Arabic language in Jewish schools to promote cultural understanding. The overall goal is to strengthen relationships and advance minorities through inclusion in development and education programs.
The Jewish Agency connects Russian-speaking Jews around the world to their rich historical, cultural and religious legacy through a diverse network of educational programs. This includes summer and winter camps in the former Soviet Union that introduce thousands of young people to Judaism each year. The Agency also supports youth clubs, Hebrew language classes, MASA programs in Israel, and leadership programs in North America to engage the Russian Jewish community.
The Jewish Agency has made deep cuts to its operating budget totaling $99.7 million since 2008 due to a global economic downturn and declining income. This includes $25.4 million in additional cuts for 2010 on top of $74.3 million slashed in 2009. Program cuts include reductions in immigration and absorption support, connecting the next generation to Israel, and social programs in Israel. The cuts result in fewer people receiving help and lower support levels from the Jewish Agency.
This document analyzes immigration statistics to Israel from January to March 2010. During this period, 2,940 immigrants arrived, a 14% increase from the previous year. The largest groups came from the former Soviet Union (1,381 immigrants, a 22% increase), English-speaking countries (736 immigrants, a 2% increase), and Latin America (309 immigrants, a 5% increase). There was also a significant increase in immigration from Ethiopia, with 974 immigrants arriving compared to only 5 in the same period the previous year.
During January 2010, 1,263 olim arrived in Israel, a 29% increase over January 2009. The majority, 546 olim, arrived from the Former Soviet Union, primarily from Russia and Ukraine. 166 olim arrived from Latin America, a 68% increase over last year. 291 olim arrived from Ethiopia during this period as well.
The document discusses the history and role of the Jewish Agency in establishing and securing the future of Israel and the global Jewish community. It describes how the Jewish Agency helped establish Israel as a homeland for the Jewish people through decades of efforts prior to Israeli independence in 1948. Today, the Jewish Agency works to strengthen Israel and global Jewish connections through activities like aliyah, youth programs, community partnerships, and educational experiences in Israel. The overall goal is to build a strong future for both Israel and the worldwide Jewish community.
Selah is a 9-month program that helps young people aged 17-21 from former Soviet states immigrate to Israel for higher education. It began in 1995 with 80 students and has since grown significantly. The program provides intensive Hebrew language and academic preparation, assistance with immigration status and living expenses, and cultural experiences to facilitate integration.
The Elite Academy/Naaleh High School Program offers academically motivated Jewish students from around the world the opportunity to attend high school in Israel for three years. During the program, students live in religious or non-religious boarding schools and receive intensive Hebrew language studies, with classes taught in Hebrew in the final two years. Upon completing the program, students receive an Israeli matriculation certificate recognized by universities worldwide. The program allows students to strengthen their Jewish identity through daily interaction with Israeli peers and exposure to Israeli culture and history.
The Jewish Agency operates the Mevasseret Zion Absorption Center in Israel, which houses around 1,200 new immigrants from Ethiopia. The Center aims to help new immigrants transition to life in modern Israeli society and become independent within a year. It provides language classes, educational and social programs, health services, and other support to help new immigrants of all ages integrate successfully. The supportive environment of the Center serves as an essential first home for newcomers as they adjust to their new life in Israel.
Olga Markilova, the mother of a lone soldier in the IDF, expresses deep gratitude for being able to visit her son in Israel through the Keshet program. It had been seven years since she saw her son. During the 10-day visit with her son, she was able to experience his life in Israel and meet his friends. The visit renewed their emotional connection and inspired her to consider making aliyah to Israel to be closer to her son.
The document discusses the First Home in the Homeland program which helps new immigrants settle into life in Israel by living on a kibbutz for up to a year. New immigrants receive support from kibbutz members as they learn Hebrew, acclimate to Israeli culture, and have their basic needs met. Living on a kibbutz provides a safe and communal environment to help new immigrants transition to life in Israel.
The Jewish Agency operates absorption centers throughout Israel, including the Beit Canada Barnea Center in Ashkelon, to help new immigrants from Ethiopia integrate into Israeli society through language classes, cultural activities, job training, counseling, and other support programs. The Center houses over 440 immigrants and provides children with educational enrichment programs to prepare them for school while helping adults and children cope with the trauma of living under constant rocket attacks from Gaza. The multi-faceted assistance from the Jewish Agency aims to help new immigrants realize their dream of becoming part of the Jewish state in Israel.
Carla is a volunteer with the At Home Together program. She became a volunteer in memory of her son Alexei Neikov z”l, who was killed while protecting children in the Gaza strip during his army service. The Jewish Agency gives an annual scholarship in Alexei's memory. Carla explains that after so many years of the Jewish Agency memorializing Alexei's name, it was time for her to give back by volunteering with the program and helping new immigrants.
The Jewish Agency remains committed to conducting bold rescue missions to help Jews facing threats in different parts of the world. Some recent examples include airlifting over 14,000 Ethiopian Jews to Israel in 36 hours and organizing flights for Jews fleeing war in Georgia. As global crises increase anti-Semitism in some countries, over 60,000 Jews currently live in at-risk areas. The Jewish Agency works discreetly to assist Jewish communities facing fear and stands ready to help Jews emigrate safely to Israel from any country.
During the first half of 2010:
- Over 6,200 olim arrived in Israel, a 13% increase from the same period in 2009. Including olim from Ethiopia, the total was over 7,400, a 32% increase.
- The largest number of olim came from the FSU (former Soviet Union) totaling over 2,880, mainly from Russia and Ukraine.
- Over 1,600 olim arrived from English-speaking countries like North America and Britain.
- Just over 1,000 olim came from Europe and the Middle East, mostly from France.
- Around 575 olim arrived from Latin America, led by arrivals from Argentina.
-
During January to April 2010:
- 3,897 new immigrants (olim) arrived in Israel, an 11% increase from the same period in 2009.
- 1,926 olim arrived from countries in the Former Soviet Union, Eastern Europe, and Germany, a 22% increase. The majority were from Russia.
- 949 olim arrived from English-speaking countries like North America and Britain, a 2% decrease.
- 614 olim arrived from other European and Middle Eastern countries, an 11% increase.
- 407 olim arrived from Latin American countries like Argentina and Brazil, a 4% increase.
- 1,027 olim arrived from Ethiopia, compared to only 18
The Jewish Agency supports brave lone immigrant soldiers who serve in the Israeli Defense Forces through several impactful programs. The Wings Program helps over 700 discharged lone soldiers each year transition to civilian life by providing job training, housing assistance, and other resources. Nativ strengthens over 4,500 immigrant soldiers' connection to Judaism and Israel through educational courses. The Keshet program reunites about 150 parents with their children serving in the IDF by sponsoring trips for the parents to visit Israel.
The document summarizes several Jewish Agency programs that help youth at risk in Israel reach their full potential. Youth Futures provides mentors to over 6,500 disadvantaged youth. 75% of parents saw a positive impact. Atidim gives educational opportunities to students in remote areas, and Youth Aliyah Villages provide long-term residential support for over 1,000 immigrant and at-risk youth. Net@ teaches teenagers technical skills while building leadership. These programs level the playing field for youth and help them achieve success.
The Jewish Agency is advancing women in Israel through various entrepreneurship, health education, and empowerment programs. Some of these programs include providing small business loans to 200 women entrepreneurs, training over 280 women to become community health advocates, and teaching over 1,000 female soldiers to make healthy lifestyle choices. The document discusses several other Jewish Agency initiatives that are empowering women and promoting healthy families across Israel.
Fostering Social Cohesion in Israeli SocietyJewish Agency
The document summarizes several initiatives of the Jewish Agency to promote social cohesion between Jewish and Arab Israelis. It discusses programs that provide educational and economic opportunities to underprivileged Arab youth, foster joint Jewish-Arab business ventures, and teach Arabic language in Jewish schools to promote cultural understanding. The overall goal is to strengthen relationships and advance minorities through inclusion in development and education programs.
The Jewish Agency connects Russian-speaking Jews around the world to their rich historical, cultural and religious legacy through a diverse network of educational programs. This includes summer and winter camps in the former Soviet Union that introduce thousands of young people to Judaism each year. The Agency also supports youth clubs, Hebrew language classes, MASA programs in Israel, and leadership programs in North America to engage the Russian Jewish community.
The Jewish Agency has made deep cuts to its operating budget totaling $99.7 million since 2008 due to a global economic downturn and declining income. This includes $25.4 million in additional cuts for 2010 on top of $74.3 million slashed in 2009. Program cuts include reductions in immigration and absorption support, connecting the next generation to Israel, and social programs in Israel. The cuts result in fewer people receiving help and lower support levels from the Jewish Agency.
This document analyzes immigration statistics to Israel from January to March 2010. During this period, 2,940 immigrants arrived, a 14% increase from the previous year. The largest groups came from the former Soviet Union (1,381 immigrants, a 22% increase), English-speaking countries (736 immigrants, a 2% increase), and Latin America (309 immigrants, a 5% increase). There was also a significant increase in immigration from Ethiopia, with 974 immigrants arriving compared to only 5 in the same period the previous year.
During January 2010, 1,263 olim arrived in Israel, a 29% increase over January 2009. The majority, 546 olim, arrived from the Former Soviet Union, primarily from Russia and Ukraine. 166 olim arrived from Latin America, a 68% increase over last year. 291 olim arrived from Ethiopia during this period as well.
The document discusses the history and role of the Jewish Agency in establishing and securing the future of Israel and the global Jewish community. It describes how the Jewish Agency helped establish Israel as a homeland for the Jewish people through decades of efforts prior to Israeli independence in 1948. Today, the Jewish Agency works to strengthen Israel and global Jewish connections through activities like aliyah, youth programs, community partnerships, and educational experiences in Israel. The overall goal is to build a strong future for both Israel and the worldwide Jewish community.
1. מדינת ישראל
State of Israel
בקשה לאשרת עולה/אשרה לישיבת קבע
APPLICATION FOR IMMIGRANT’S/PERMANENT RESIDENT’S VISA
: Name 1. שם
Father's name שם האב First name שם פרטי Surname שם משפחה
Previous name (if there has been a change of name) (השם הקודם במלואו )אם חל שיונוי
Address 2. כתובת
Place and date of Birth 3. מקום ותאריך הלידה
מקוםPlace תאריךDate
Religion 5. דת Sex 4. מין
Personal Status (Single, Married, Widowed, Divorced) (6. מצב משפחתי )רווק, נשוי, אלמן, גרוש
Present Nationality 8. אזרחות Occupation 7. משלוח יד
Previous Nationality 9. אזרחויות קודמות
Passport Number 01. מספר דרכון
Valid until תוקפו יפה עד On בתאריך Issued at (11. ניתן ב-)מקום
Particulars of members of family accompanying the applicant 21. פרטים בנוגע לבני המשפחה הנלווים למבקש
Relationship Occupation
Religion דת Sex מין Age גיל Name שם
קרבה משפחתית משלוח יד
Particulars of persons dependent on the applicant and NOT included in the application.13
:פרטים בנוגע לתלויים במבקש ואינם נלווים אליו
Relationship Occupation
Religion דת Sex מין Age גיל Name שם
קרבה משפחתית משלוח יד
1
2. :(41. שהויות קודמות בארץ )זמני שהות ותאריכים, אם כתייר/תושב או עולה
Previous stays in the country (state approximate dates of entry and exit and whether as tourist / temporary resident or
immigrant):
Name and address of relatives or acquaintances in Israel and aboard: :51. שמות קרובים או מכרים בארץ ובחו"ל
:In Israel - בישראל
.1
Address כתובת Name שם
.2
Address כתובת Name שם
:Aboard - בחו"ל
.1
Address כתובת Name שם
.2
Address כתובת Name שם
Intended occupation in Israel (name and address of employer): :(61. במה יעסוק במדינה )שם וכתובת המעסיק
Means of support at applicant’s disposal: :71. ברשות המבקש האמצעים הבאים
:81. שם וכתובת של קרוב במדינת ישראל או בחו"ל אשר החזקתו של המבקש תהא עליו
Name and address of relative in Israel or abroad who will support applicant:
Has the applicant been guaranteed accommodation :(91. האם מובטח למבקש שכון בארץ )ציין פרטים
.אני מבקש/ת להעניק לי אשרת כניסה למדינת ישראל כעולה /כתושב/ת קבע והנני מצהיר/ה בזה שכל הפרטים דלעיל הינם נכונים
כמו כן אני מצהיר/ה בזה שלא עברתי עבירה פלילית .לא פעלתי נגד העם היהודי ובטחון מדינת ישראל ,לא חליתי במחלה העלולה לסכן את בריאות
.הציבור ,לא קיים נגדי צו מעצר שפוטי ואינני מבוקש/ת ע"י משטרה של מדינה כלשהי
I hereby apply for an immigrants/permanent resident’s visa to Israel and declare that all the above particulars are correct.
I also declare that I have not committed any criminal offence or any act directed against the Jewish people or the security of the
State of Israel and that I am not affected with any illness which might endanger public health. There is no judicial warrant of arrest
against me and I am not wanted by the police of any country.
חתימה תאריך ומקום
Signature Place and date
To be signed by all applicants for an immigrants visa to whom the law of return applies, with the exception of stateless
persons.
I the undersigned declare hereby that it is known to me that I shall automatically acquire Israel nationality upon my entry into Israel
as an immigrant, unless I make a declaration in writing on the prescribed form, prior to or on entry or during the three months
following my entry, in accordance with section 2 (c) (2) of the Nationality Law, that I do not wish to acquire Israel nationality and that
I wish to retain my present nationality. It is also known to me that should I not include my minor children in the above-mentioned
declaration, they will automatically acquire Israel nationality.
חתימה תאריך ומקום
Signature Place and date
:לשימוש המדור הקונסולרי
:תאריך קבלת הבקשה
:הנמקה והחלטה :הערות
2