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Form 10798*04: Application for a certificate of reception
Cerfa n° 10798*04 - Ministry of the Interior
Specimen: the original is delivered in the town hall.
Form to be filled out by the person (French or foreign) who wishes to host a foreigner at home, for a stay of less than 3 months as part of a private or family visit
Verified 29 juillet 2019 - Directorate for Legal and Administrative Information (Prime Minister)