Application For Schengen Visa Page 2
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324. Number of entries requested
25. Duration of the intended stay or
□ Single entry….□ Two entries ….□ Multiple entries
transit
Indicate number of days
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
…….□ other (please specify)
Means of support
□ Cash
Means of support
□ Traveller's cheques
□ Cash
□ Credit card
□ Accommodation provided
□ Pre-paid accommodation
□ All expenses covered during the stay
□ Pre-paid transport
□ Pre-paid transport
□ Other (please specify)
□ Other (please specify)
34. 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
35. Family relationship with an EU, EEA or CH citizen
□ spouse ……………..□ child ……□ grandchild ………………□ dependent ascendant
36. Place and date
37. Signature (for minors, signature of parental
authority/legal guardian)
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