Fillable Denmark Visa Application Form (Page 4 of 4) in pdf

In Case of Transit or Airport transit

Country of Destination

If You Have an Visa or Entry Permit for the Country of Destination, Please State Issuing Authority

If yes:

Type

No.

Valid until (dd-mm-yyyy)

Previous Applications for Schengen Visa

Date (dd-mm-yyyy)

Embassy / Consulate

Date (dd-mm-yyyy)

Embassy / Consulate

Signature

I hereby declare, under penalty of the law laid down in section 163 of the Danish Criminal Code and sections 59 and 60 of the Danish Aliens Act, that all the

information given by me on this application form is truthful and complete.

I also consent to, in connection with the processing of my application, the relevant authorities requesting information on my personal affairs from other Danish

and foreign authorities, including police authorities.

At the same time, I consent to, in connection with the processing of my application, the passing on of my personal information to the above-mentioned

authorities.

Place of

Date of Signature

Applicants Personal Signature

Signature

The information you have given in connection with your application for a visa will be registered on the Internal Visa Register, which the Danish Immigration

Service is responsible for.

The information will be used to deal with questions regarding your stay in Denmark, and the Danish Ministry of Foreign Affairs, the police and the Danish Ministry

of the Interior will be able to receive the information that is held about you.

You are required to provide the information necessary to assess your eligibility for a visa. If you do not provide all relevant information you risk a fine or detention,

and you risk not being granted a visa. You have the right to access the information held about you. For inquiries on this right please contact the Danish

Immigration Service.

For Use of Embassy / Consulate

Enclosure Checked

Declaration of Guarantee

Submission Suggested

Reason for Suggested Submission