Your information

Name: {First name:5} {Your last name:6}
Address: {Street & House number:9}

City/code: {City:10}, {Postal code:11}
Country: {Country:12}

Email: {Email:8}
Phone: {Phone number:13}

Your passport info

Name: {Name on your passport:16}
Passport nr: {Passport number:17}

Place of issue: {Place of issue:18}
Date of expiry: {Date of expiry:19}