Application For Schengen Visa - Embassy Of Italy, People'S Republic Of Bangladesh
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4Embassy of Italy
Application for Schengen Visa
THIS APPLICATION IS FREE
PHOTO
For
office
use
only:
Date
of
application:
Visa
application
number
Application
lodged
at
Embassy/Consulate
CAC
Service
provider
Commercial
intermediary
Border
Name
other
File
handled
by:
Supporting
documents:
C]
Travel
document
Means
of
subsistence
C]
Invitation
Means
of
transport
[7
TMI
[7
Other
Visa
decision
[7
Refused
Issued
A
c
L W
Valid
......................
From
Until
.......................
Number
of
entries:
[7
1
0 2
Multiple
Number
of
days:
1
.Surname
(Family
Name)
2.Sumame
at
Birth
(previous
surnames)
3.First
Name(s)
(Given
name(s))
4.
Date
of
Birth
(DaylMonthNear)
5.
Place of
Birth
6.
Country
of
Birth
7.
Current
NationalityINationality
at
Birth,
if
different
8.
Sex
Male
C]
Female
9.
Marital
Status
Single
Married
Separated
Divorced
[7
Widow(er)
[7
Other
(please
specify)
,
10.
In
the
case
of
minors
:
Sumame,
First
Name,
Address
(if
different
from
applicant's)
and'nationality of
parental
authorityAegal guardian
11.
National
Identity
number,
where
applicable
12.
Type
of
travel
document
C]
Ordinary
Passport
C]
Diplomatic
Passport
C]
Service
Passport
official
Passport
Special Passport
Other
travel
document
(please
specify)
13.
Number
of
travel
document
14.
Date
of
issue
17.
Applica
s
home
address
and
e-mail
address
' I t : .
15.
Valid
until
\
Telephone
Number(s)
\
16.
Issued
by
18.
Residence
in
a
country
other
than
the
country
of
current
nationality
No
Yes,
Residence
permit
or
equivalent
..........................
No
..........................
Valid
until
*I
9.
Current
occupation
*20.
Employer
and
employer's
address
and
telephone
number,
For
students,
name
and
address
of
educational
establishment
,
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