Fillable Application Form For Schengen Visa (Page 3 of 3) in pdf

Personal data of the family member who is an EU, EEA or CH citizen

Surname

First name(s)

Date of birth

Nationality

Number of travel document or ID card

Family relationship with an EU, EEA or CH citizen

spouce

child

grandchild

dependent ascendant

Place and date

Signature (for minors, signature of parental authority/legal

guardian)

I am aware that the visa fee is not refunded if the visa is refused.

Applicable in case a multiple-entry visa is applied for (cf. field No. 24):

I am aware of the need to have an adequate travel medical insurance for my first stay and subsequent visits to the territory of Member States.

I am aware of and consent to the following: the collection of the data required by this application form and the taking of my photograph and, if

applicable, the taking of fingerprints, are mandatory for the examination of the visa application; and any personal data concerning me which appear

on the visa application form, as well as my fingerprints and my photograph will be supplied to the relevant authorities of the Member States and

processed by those authorities, for the purposes of a decision on my visa application.

Such data as well as data concerning the decision taken on my application or a decision whether to annual, revoke or extend a visa issued will be

entered into, and stored in the Visa Information System (VIS) ( 1 ) for a maximum period of five years, during which it will be accessible to the visa

authorities and the authorities competent for carrying out checks on visas at external borders and within the Member States, immigration and asylum

authorities in the Member States for the purposes of verifying whether the conditions for the legal entry into, stay and residence on the territory of

the Member States are fulfilled, of identifying persons who do not or who no longer fulfil these conditions, of examining an asylum application and of

determining responsibility for such examination. Under certain conditions the data will be also available to designated authorities of the Member States

and to Europol for the purpose of the prevention, detection and investigation of terrorist offences and of other serious criminal offences. The authority

of the Member State responsible for processing the data is Ministry for Foreign Affaires of Finland, PO Box 176, 00023 Government, Finland, e-mail:

visas.passports@formin.fi

I am aware that I have the right to obtain in any of the Member States notification of the data relating to me recorded in the VIS and of the Member

State which transmitted the data, and to request that data relating to me which are inaccurate be corrected and that data relating to me processed

unlawfully be deleted. At my express request, the authority examining my application will inform me of the manner in which I may exercise my right

to check the personal data concerning me and have them corrected or deleted, including the related remedies according to the national law of the

State concerned. The national supervisory authority of that Member State (Office of the Data Protection Ombudsman, PO Box 315, 00181 Helsinki,

Finland, e-mail: tietosuoja@om.fi) will hear claims concerning the protection of personal data.

I declare that to the best of my knowledge all particulars supplied by me are correct and complete. I am aware that any false statements will lead to

my application being rejected or to the annulment of a visa already granted any may also render me liable to prosecution under the law of the Member

State which deals with the application.

I undertake to leave the territory of the Member States before the expiry of the visa, if granted. I have been informed that possession of a visa is only

one of the prerequisites for entry into the European territory of the Member States. The mere fact that a visa has been granded to me does not mean

that I will be entitled to compensation if I fail to comply with the relevant provisions of Article 5(1) of Regulation (EC) No. 562/2006 (Schengen Borders

Code) and I am therfore refused entry. The prerequisites for entry will be checked again on entry into the European territory of the Member States.

Place and date

Signature (for minors, signature of parental authority/legal guardian)

(

) In so far as the VIS is operational