Application For Schengen Visa
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1
2
3APPLICATION FOR SCHENGEN VISA
PHOTO
THIS APPLICATION FORM IS FREE
1. Surname (Family name) (
x
)
F
OR OFFICIAL USE ONLY
2. Surname at birth (Former family name(s)) (x)
Date of application:
3. First name(s) (Given name(s)) (x)
Visa application number:
4. Date of birth (day-month-year)
5. Place of birth
7.Current nationality
Application lodged at
6. Country of birth
Nationality at birth, if
□ Embassy/consulate
different:
□ CAC
□ Service provider
8. Sex
9. Marital status
□ Commercial intermediary
□ Male □ Female
□ Single □ Married □ Separated □ Divorced □
□ Border
Widow(er) □ Other (please specify)
Name:
10. In the case of minors: Surname, first name, address (if different from applicant´s) and nationality of
parental authority/legal guardian
□ Other
File handled by:
11. National identity number, where applicable
Supporting documents:
□ Travel document
12. Type of travel document
□ Means of subsistence
□ Ordinary passport □ Diplomatic passport □ Service passport □ Official passport □ Special passport
□ Invitation
□ Other travel document (please specify)
□ Means of transport
13. Number of travel document
14. Date of issue 15. Valid until
16. Issued by
□ TMI
□ Other:
17. Applicant's home address and e-mail address
Telephone number(s)
18. Residence in a country other than the country of current nationality
Visa decision:
□ No
□ Refused
□ Yes. Residence permit or equivalent ………………… No. …………………….. Valid until
1
19. Current occupation
□ Issued:
□ A
* 20. Employer and employer's address and telephone number. For students, name and address of
□ C
educational establishment.
□ LTV
21. Main purpose(s) of the journey:
□ Valid:
□ Tourism…….□ Business…….□ Visiting family or friends ….□ Cultural ……□ Sports ……..□ Official visit
From
□ Medical reasons
Until
…..
……
□ Study
□ Transit □ Airport transit
□ Other (please specify)
22. Member State(s) of destination
23. Member State of first entry
Number of entries:
□ 1 □ 2 □ Multiple
Number of days:
x
Fields 1-3 shall be filled in in accordance with the data in the travel document
1
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.
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