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