QUESTIONS ABOUT YOUR INTENDED JOURNEY AND
PURPOSE(S) OF TRAVEL
22.
What is your main destination ?
NB: for the purposes of questions 22, 24 and 30 Bonaire,
St Eustatius and Saba are seen as 1 country (the
Aruba
Bonaire
Netherlands in the Caribbean) when calculating the
Curaçao
St Eustatius
period of uninterrupted stay in 1 country.
St Maarten
Saba
23.
Number of entries and period of validity of the visa
24. Period of stay (per visit per country)
(maximum uninterrupted stay in the Kingdom of the
STANDARD
Netherlands in the Caribbean country is 90 days)
Multiple-entry, valid for 6 months
Visa required for: …….… days each stay
OTHER
Single-entry (for a specific purpose of travel), valid for 90 days
Multiple-entry, valid for:
NB: You will need to be able to show you have sufficient means
1 year / 1 to 2 years / 2 to 3 years / longer than 3 years
for the period of your stay in a country/countries of the
(cross out the categories that do not apply )
Kingdom of the Netherlands in the Caribbean
25.
Date of arrival in the Caribbean parts of Kingdom
26. Date of departure from Caribbean parts of Kingdom
27.
Country or island of first entry or transit
28.
Mean(s) of transport
Aeroplane
Ship
29.
Purpose of travel
Culture/Music
Sport
Tourism
Official
Religious
Business
Medical reason
Timeshare/own property
Family visit
Work
Study/education/work placement
Relocation
Humanitarian
30.
Are you planning to visit other parts of the Caribbean in addition to your main destination? If so, indicate below.
Period (fill in: from/to and length of the stay) Purpose of travel (choose one of the categories from question 29)
Aruba
from:………………to:……………………days:..……….
………………………………………………………………………………………
Curaçao
from:………………to:……………………days:..……….
………………………………………………………………………………………
St Maarten
from:………………to:……………………days:..……….
………………………………………………………………………………………
Bonaire
from:………………to:……………………days:..……….
………………………………………………………………………………………
St Eustatius
from:………………to:……………………days:..……….
………………………………………………………………………………………
Saba
from:………………to:……………………days:..……….
………………………………………………………………………………………
Total period of stay in the Caribbean (including period of stay under question 24) in days:………… (each calendar year)
NB: The maximum total period may not exceed 90 days in any 180-day period.
31.
Have you previously visited one or more of the parts of the Kingdom of the Netherlands in the Caribbean ? If so,
please specify below.
Period:
Purpose of travel (choose one of the categories from question 29)
Aruba
…………………………………………………………………….
………………………………………………………………………………………
Curaçao
…………………………………………………………………….
………………………………………………………………………………………
St Maarten
…………………………………………………………………….
………………………………………………………………………………………
Bonaire
…………………………………………………………………….
………………………………………………………………………………………
St Eustatius
…………………………………………………………………….
………………………………………………………………………………………
Saba
…………………………………………………………………….
………………………………………………………………………………………
32.
Have you been issued with visas by other countries in the last 3 years? If so, for which period are/were they valid?
(State the country, the date of issue and the date until which the visa is/was valid. Provide this information on a
separate sheet if necessary.)
33. Have you previously worked in one or more parts of the Kingdom of the Netherlands in the Caribbean?
No
Yes, in paid employment (give details of most recent position)
Yes, other (please describe)
Employer:
Employed from :
Employed from :
To
:
To
:
34. Who is paying your travel costs and living costs during your stay?
I am
The people I am staying with/hosts (state who and how)
Host company or organisation (state who and how and provide documentation to back this up)
Other:
35. What are your means of support during your stay?
Cash
Accommodation:
Travellers’ cheques
Other:
Credit card(s)
(Medical) travel insurance and/or health insurance. Valid to………………………………………………………
This form is provided free of charge.
AVT15/BZ114167B
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