Application for Schengen Visa
Photo
This application form is free
Stamp Embassy or
Consulate
1. Surname(s) (family name(s))
F
/
OR EMBASSY
CONSULATE USE ONLY
2. Surname(s) at birth (earlier family name(s))
Date application :
3. First names
4. Date of birth (year-month-day)
5. ID-number (optional)
File handled by :
6. Place and country of birth
Supporting documents:
7. Current nationality/ies
8. Original nationality (nationality at birth)
Valid passport
Financial means
9. Sex
10. Marital status :
:
Invitation
Male
Female
Single
Married
Separated Divorced
Means of transport
Widow(er)
Other
11. Father’s name
12. Mother’s name
Health insurance
13. Type of passport:
Other
National passport
Diplomatic passport
Service passport
Travel document (1951 Convention)
Alien’s passport
Seaman’s passport
Other travel document (please specify):
14. Number of passport
15. Issued by
16. Date of issue
17. Valid until
18. If you reside in a country other than your country of origin, have you permission to return to that
country?
No
Yes, (number and validity)
* 19. Current occupation
Visa :
* 20. Employer and employer’s address and telephone number. For students, name and address of school.
Refused
Granted
Characteristics of Visa :
21. Main destination
22. Type of Visa :
23. Visa :
LTV
Airport transit
Transit
Individual
A
B
Short stay
Long stay
Collective
C
D
D + C
24. Number of entries requested
25. Duration of stay
Single entry
Two entries
Multiple entries
Visa is requested for:
days
Number of entries :
26. Other visas (issued during the past three years) and their period of validity
1
2
Multiple
2 7. In the case of transit, have you an entry permit for the final country of destination?
Valid from
No
Yes , valid until:
Issuing authority:
To
* 28. Previous stays in this or other Schengen states
Valid for :
* The questions marked with * do not have to be answered by family members of EU or EEA citizens (spouse, child or
dependent ascendant). Family members of EU or EEA citizens have to present documents to prove this relationship.