Israel Form MR/41 — Application for a Biometric Identity Card

Fields

• requestReason enum required

  The reason for this application, matching the form's own six mutually-exclusive checkboxes. Each reason carries its own attachment requirement, modeled as a requiredWhen documents[] entry.

  enum: FIRST_TIME | RENEWAL_EXPIRED | WORN_REPLACEMENT | PERSONAL_DETAILS_CHANGE | LOST_STOLEN_DAMAGED_REPLACEMENT | CANCELLATION_REPLACEMENT
• idNumber string required

  Applicant's national identity number (Teudat Zehut).

• familyName string required

  Applicant's family name.

• firstName string required

  Applicant's first name.

• fatherName string required

  Applicant's father's given name.

• paternalGrandfatherName string required

  Applicant's paternal grandfather's given name.

• motherName string required

  Applicant's mother's given name.

• birthDateHebrew string required

  Applicant's date of birth in the Hebrew calendar, as printed in the Population Registry. Modeled as free text since the Hebrew calendar has no ISO-8601 representation.

• birthDateGregorian date required

  Applicant's date of birth in the Gregorian calendar.

• countryOfBirth string required

  Applicant's country of birth.

• gender enum required

  Applicant's gender, as printed on the form's own personal-status table.

  enum: MALE | FEMALE
• maritalStatus enum required

  Applicant's marital status, as printed on the form's own personal-status table.

  enum: SINGLE | MARRIED | DIVORCED | WIDOWED
• nationality string required

  Applicant's nationality, as recorded in the Population Registry.

• suppressHebrewBirthDateOnCard boolean optional

  Whether the applicant opts out of having their Hebrew-calendar birth date printed on the identity card. By law the Hebrew birth date is printed by default; marking this box suppresses it.

• familyNameEnglish string optional

  Applicant's family name transliterated into English.

• firstNameEnglish string optional

  Applicant's first name transliterated into English.

• previousFamilyName string optional

  Applicant's previous family name, if changed (not a maiden name).

• previousFirstName string optional

  Applicant's previous first name, if changed (not a maiden name).

• maidenName string optional

  Applicant's maiden name, for a married applicant, if applicable.

• registerPreviousNameDespite7Years boolean optional

  Opt-in checkbox: whether the applicant's previous (non-maiden) name should still be printed on the ID supplement even though more than 7 years have passed since the change. The form's own default, absent this checkbox, is to omit the previous name once 7 years have passed since the change.

• suppressMaidenNameAfter7Years boolean optional

  Opt-out checkbox: whether the applicant does NOT want their maiden name printed on the ID supplement once 7 years have passed since the maiden name was replaced. This is the opposite polarity from registerPreviousNameDespite7Years above — the form's own default once that 7-year threshold is reached is to print the maiden name, and this checkbox suppresses it.

• primaryAddressLocality string required

  Locality (city/town) of the applicant's primary address, as will be printed on the ID supplement.

• primaryAddressStreet string required

  Street of the applicant's primary address.

• primaryAddressHouseNumber string required

  House number of the applicant's primary address.

• primaryAddressApartment string optional

  Apartment number of the applicant's primary address.

• primaryAddressZipCode string optional

  Postal code of the applicant's primary address.

• mobilePhone string optional

  Applicant's mobile phone number.

• registerAsMailingAddressForCorrespondence boolean optional

  Whether the applicant wants the address the completed ID is delivered to also registered in the Population Registry as their general "mailing address" for correspondence from other institutions and authorities.

• alsoRegisterForMinorChildren boolean optional

  Whether the same mailing-address registration should also apply to the applicant's minor children.

• deliveryCareOfFamily string optional

  Care-of family name for delivery of the completed identity card, if delivered other than directly to the applicant.

• deliveryAddressLocality string optional

  Locality of the address the completed identity card should be delivered to, if different from the applicant's primary address.

• deliveryAddressStreet string optional

  Street of the address the completed identity card should be delivered to.

• deliveryAddressHouseNumber string optional

  House number of the address the completed identity card should be delivered to.

• deliveryAddressApartment string optional

  Apartment number of the address the completed identity card should be delivered to.

• deliveryAddressPoBox string optional

  PO box of the address the completed identity card should be delivered to.

• deliveryAddressZipCode string optional

  Postal code of the address the completed identity card should be delivered to.

• applicationPlace string required

  Place where the application is signed.

• applicationDate date required

  Date the application is signed.

• lossEventDate date optional

  Date the identity card was lost, stolen, or damaged. Only applicable when requestReason is LOST_STOLEN_DAMAGED_REPLACEMENT.

• lossType enum optional

  The specific circumstance of the card's loss.

  enum: LOST | STOLEN | DAMAGED
• declaringOnBehalfOf enum optional

  Whether this loss/theft/damage declaration is made for the applicant's own card or for their minor child's card. When made for a minor child, one parent must sign the declaration in the presence of an authority official.

  enum: SELF | MINOR_CHILD
• parentName string optional

  Name of the consenting parent signing the loss/theft/damage declaration on behalf of their minor child.

• parentIdNumber string optional

  Identity number of the consenting parent signing the loss/theft/damage declaration on behalf of their minor child.

• lossCircumstances string optional

  Circumstances of the loss, theft, or damage.

• lossLocation string optional

  Place where the loss, theft, or damage occurred, described as specifically as possible.

• policeReportFiled boolean optional

  Whether a police report was filed for the loss or theft.

• policeReportLocation string optional

  Police station where the report was filed.

• declarantName string optional

  Name of the person signing the loss/theft/damage declaration (the applicant, or the consenting parent when declaring on behalf of a minor child).

• declarantIdNumber string optional

  Identity number of the person signing the loss/theft/damage declaration.