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