Application Form For Schengen Visa Page 2

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22
Member State(s) of destination
23
Member State of first entry
24
Number of entries requested
25
Duration of the intended stay or transit
Indicate number of days
Single entry
Two entries
Multiple entries
The fields marked with * shall not be filled in by family members of EU, EEA or CH citizens (spouse, child or dependent ascendant) while exercising their right
to free movement. Family members of EU, EEA or CH citizens shall present documents to prove this relationship and fill in fields No 34 and 35.
(x) Fields 1–3 shall be filled in accordance with the data in the travel document.
26
Schengen visas issued during the past three years
No
Yes. Date(s) of validity from
to
27
Fingerprints collected previously for the purpose of applying for a Schengen visa
No
Yes
Date, if known
28
Entry permit for the final country of destination, where applicable
Issued by
Valid from
until
29
Intended date of arrival in the Schengen area
30
Intended date of departure from the Schengen area
*31
Surname and first name of the inviting person(s) in the Member State(s). If not applicable, name of hotel(s) or temporary
accommodation(s) in the Member State(s)
Address and e-mail address of inviting person(s)/hotel(s)/temporary
Telephone and telefax
accommodation(s)
*32
Name and address of inviting company/organisation
Telephone and telefax of company/organisation
Surname, first name, address, telephone, telefax and e-mail address of contact person in company/organisation
*33
Cost of travelling and living during the applicant’s stay is covered
by the applicant himself/herself
by a sponsor (host, company, organisation), please
specify
referred to in field 31 or 32
Means of support
Cash
other (please specify)
Traveller’s cheques
Means of support
Credit card
Cash
Prepaid accommodation
Accommodation provided
Prepaid transport
All expences covered during the stay
Other (please specify)
Prepaid transport
Other (please specify)

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