Schengen Visa Application Form
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Schengen Visa Application
This application form is free of charge
1.
Surname (Family name) (x)
F
OR OFFICIAL USE ONLY
Date of application:
2.
Surname at birth (Former family name(s)) (x)
Visa application number:
3.
First name(s) (Given name(s)) (x)
Application lodged at
Embassy/consulate
4.
Date of birth (day-month-year)
5.
Place of birth
7. Current nationality
CAC
Service provider
Nationality at birth, if different:
6.
Country of birth
Commercial intermediary
Border
8.
Sex
9.
Marital status
Name:
male
female
Single
Married v
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
12. Type of travel document
Means of subsistence
Ordinary passport
Diplomatic passport
Service passport
Official passport
Invitation
Special passport
Means of transport
)……………………….
Other travel document (please specify
TMI
Other:
13.
Number of travel
14. Date of issue
15. Valid until
16. Issued by
document
Visa decision:
Refused:
17. Applicant's home address:
Telephone number(s)
Issued:
A
C
E-mail address:
VTBG
Valid
:
18. Residence in a country other than the country of current nationality
From: ………………….…………
No
Yes
Residence permit or equivalent ………………… No. …………………Valid until……………..
To:
…………………………….
*19. Current occupation
Number of entries:
*20. Employer and employer's address and telephone number. For students, name and address of
educational establishment.
1
2
Multiple
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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