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Section 55 (1) in conjunction with section 55 (2) (1) of the Residence Act provides that a
foreigner may be expelled if he/she has furnished false or incomplete information during the visa
application process for the purpose of obtaining a residence title.
The applicant is obliged to provide all information to the best of his/her knowledge and belief. If
he/she knowingly furnishes false or incomplete information, the visa application may be refused or
the applicant expelled from Germany, should a visa already have been issued.

With his/her signature, the applicant certifies that he/she has been informed of the legal
consequences of furnishing false or incomplete information in the course of visa proceedings.

_______________________ __________________________________
Place, date