Application For Schengen Visa Form Page 2

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* 20. Employer and employer's address and telephone number. For students, name and address of educational
establishment.
21. Main purpose(s) of the journey:
□ Tourism…….□ Business…….□ Visiting family or friends ….□ Cultural ……□ Sports ……..□ 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 transit
□ Single entry….□ Two entries ….□ Multiple 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.
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)
2
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