Application For Schengen Visa - English/arabic Page 2

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‫انؼًم ٔ سلى انٓبرف‬
‫سة‬
ٌ‫ػُٕا‬
-
20
*
* 20. Employer and employer's address and telephone number.
‫اسى ٔ ػُٕاٌ انجٓخ انزؼهًٛٛخ‬
:
‫فٙ دبل انطهجخ‬
For students, name and address of educational establishment.
am aware that once the visa
I
request has been submitted,
a copy of the form, sealed
with the indication of the
date and place of reception,
shall be returned to the
applicant
and
that
arrangements can be made
with the applicant as to the
channel
to
request
corrections or the supply of
documents or certificates, as
‫انٓذف انشئٛسٙ نهسفش‬
-
11
21. Main purpose(s) of the journey:
well as to serve notice of
summons and to notify the
□ Tourism □ Business □ Visiting family or friends
‫خ أٔ أطذلبء‬
ٛ‫صٚبسح ػبئه‬
‫أػًبل رجبسٚخ‬
‫سٛبدخ‬
decision adopted
in
due
course.
‫أسجبة‬
□ Cultural □ Sports
□ Official visit
‫بسح سسًٛخ‬
ٚ‫ص‬
‫سٚبػٛخ‬
‫خ‬
ٛ‫صمبف‬
‫أسجبة ؽجٛخ‬
□ Medical reasons
□ Study □ Transit
‫يشٔس‬
‫دساسخ‬
Notices and requests shall be
served by telephone or fax to
□ Airport transit
□ Other (please specify)
)
‫ٚشجٗ انزذذٚذ‬
(
‫غٛشْب‬
‫فٙ انًطبس‬
‫يشٔس‬
the contact number provided
by the interested party or
‫انذٔنخ انؼؼٕ انًمظٕدح ثبنسفش‬
-
22
ٍ‫شُف‬
‫دٔنخ انذخٕل األٔل نًُطمخ‬
-
23
22. Member State(s) of destination
23. Member State of first entry
his/her legal representative.
If
they
were
to
prove
ineffective, they shall be
served in writing to the
domicile
set out in the
application, which must be
‫انًطهٕة‬
‫ػذد يشاد انذخٕل‬
-
24
‫أٔ فزشح انؼجٕس‬
‫خ‬
‫نًكٕس انًزٕلؼ‬
‫يذح ا‬
-
25
24. Number of entries requested
25. Duration of the
located within the consular
‫ٚشجٗ رذذٚذ ػذد األٚبو‬
intended stay or transit
□ Single entry
‫ذح‬
‫سفشح ٔاد‬
district.
Indicate number of days
□ Two entries
ٍٛ‫ر‬
‫سفش‬
Summons
and
requests
□ Multiple entries
‫يزؼذدح انسفشاد‬
served must be complied
with within a period not
‫سُٕاد األخٛشح‬
‫س‬
‫انظبدسح خالل انضال‬
ٍ
‫ُغ‬
‫ش‬
‫ػذد رؤشٛشاد‬
-
26
26. Schengen visas issued during the past three years
exceeding ten days, unless
personal
attendance
is
□ No
‫□ ال‬
required in which case the
□ Yes. Date(s) of validity from …………………. to ………………..
deadline is fifteen days.
................................
:
ٗ‫إن‬
...........................
:
ٍ‫ي‬
)
‫أركش انزبسٚخ نٕ كبٌ يؼهٕيب‬
(
‫رؼى‬
Once all the possibilities of
serving a notice have been
exhausted, the notice shall be
served by means of an
‫ٍ غ‬
ُ‫ؤشٛشاد ش‬
‫انجظًبد انًؤخٕرح سبثمب نطهجبد ر‬
-
27
27.Fingerprints collected previously for the purpose of applying for a Schengen visa
announcement posted at the
relevant notice board of the
□ No
‫□ ال‬
Embassy
or
Consulate
□ Yes. Date, if known:
‫َؼى ، انزبسٚخ إٌ كبٌ يؼهٕيب‬
during ten days.
‫رظشٚخ يٕافمخ انذخٕل نهجهذ انًمظٕد ثبنسفش إٌ ٔجذ‬
-
28
If no reply is received to a
28. Entry permit for the final country of destination, where applicable
request or summons, the
applicant shall be deemed to
Issued by ………………………………..Valid from …………………………until…………………
have withdrawn his request
and
the
resolution
establishing this to be the
.........................
‫نغبٚخ‬
ٔ
.....................
‫طبنخ يُز ربسٚخ‬
..........................
:
‫طبدس يٍ لجم‬
case shall be notified to him.
Applications shall be decided
on within 15 calendar days
‫ٍ غ‬
ُ‫ٛض ش‬
‫انزبسٚخ انًمشس نذخٕل د‬
-
29
ٍ
‫ُغ‬
‫انزبسٚخ انًمشس نًغبدسح دٛض ش‬
-
30
29. Intended date of arrival
30. Intended date of departure
of the date of the lodging of
in the Schengen area
from the Schengen area
an application. That period
may be extended up to a
maximum of 30 calendar
days in individual cases,
notably
when
further
‫انهمت نهشخض أٔ األشخبص انزٍٚ لذيٕا انذػٕح فٙ انذٔل األػؼبء‬
-
31
*
* 31. Surname and first name of the inviting person(s)
scrutiny of the application is
‫ٙ دبل غٛش رنك، اسى انفُذق أٔ انفُبدق أٔ أيبكٍ انًُبيخ انًؤلزخ فٙ انذٔل األػؼبء‬
‫ف‬
in the Member State(s). If not applicable, name of hotel(s) or
needed
or
in
cases
of
temporary accommodation(s) in the Member State(s)
representation
where
the
authorities
of
the
represented Member State
are consulted. Exceptionally,
when
additional
documentation is needed in
specific cases, the period
may be extended up to a
maximum of 60 calendar
days.
ٔ‫أ‬
‫النكزشَٔٙ نهشخض‬
‫انؼُٕاٌ انجشٚذ٘ ٔ انؼُٕاٌ ا‬
Telephone and telefax ‫سلى انٓبرف ٔ انفبكس‬
Address and e-mail address of inviting person(s)
The visa once granted must
ٌ‫أٔ انًكب‬
‫شخبص انزٍٚ لذيٕا انذػٕح أٔ انفُذق أٔ انفُبدق‬
‫األ‬
/hotel(s)/temporary accommodation(s)
be collected within a month.
‫خ‬
‫أٔ األيبكٍ نإللبيخ انًؤلز‬
If a visa is not collected
within the aforesaid period,
the
applicant
shall
be
deemed to have renounced to
the visa granted and the
proceedings shall be filed.
* 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.
‫انهزٍٚ لذ ٚسبفشٔا يسخعًهٍٛ حمٓى ببنخجٕال انحش نٛس عهٛٓى‬
)
‫ُب يُّ ٔ يخكفم بٓى‬
‫األصٔاج، األٔالد أٔ األلشببء األكبش س‬
(
٘‫ألشببء يٕاطُٕ االححبد األٔسٔبٙ ٔ انُطبق االلخصبد٘ األٔسٔبٙ أٔ االححبد انسٕٚسش‬
*
33
ٔ
33
‫بئت انحمهٍٛ سلى‬
‫عهٗ ألشببء يٕاطُٕ االححبد األٔسٔبٙ ٔ انُطبق االلخصبد٘ األٔسٔبٙ أٔ االححبد انسٕٚسش٘ حمذٚى انًسخُذاث انز٘ حثبج ْزِ انمشابت ٔ حع‬
.
‫حعبئت انفشاغبث انًؤششة بُجًت‬

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