Application For Schengen Visa Form - Eu Page 2

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29. Purpose of travel
F
/
OR EMBASSY
Tourism
Business
Visit to Family or Friends
Cultural/Sports Official
Medical reasons
CONSULATE USE ONLY
….……………………………………………………..
Other (please specify):
* 31. Date of departure
*
30. Date of arrival
33. Means of transport
*
32. Border of first entry or transit route
*
34. Name of host or company in the Schengen states and contact person in host company. If not applicable, give name
of hotel or temporary address in the Schengen states
Name
Telephone and telefax
Full address
e -mail address
* 35. Who is paying for your cost of travelling and for your costs of living during your stay?
Myself
Host person/s Host company. (State who and how and present corresponding
documentation):………………………………………………
…………………………………………………………………………………………………………………………
……………… ………………………………….
* 36. Means of support during your stay
Cash Travellers' cheques Credit cards Accommodation Other:
Travel and/or health insurance. Valid until: ………………………………………………..
37. Spouse’s family name
38. Spouse’s family name at birth
39. Spouse’s first name
40. Spouse’s date of birth
41. Spouse’s place of birth
42. Children (Applications must be submitted separately for each passport)
Name
First name
Date of birth
1
2
3
43. Personal data of the EU or EEA citizen you depend on. This question should be answered only by family members of
EU or EEA citizens.
Name
First Name
Date of Birth
Nationality
Number of passport
Family relationship :
of an EU or EEA citizen
44. I am aware of and consent to the following: any personal data concerning me which appear on this visa application form
will be supplied to the relevant authorities in the Schengen states and processed by those authorities, if necessary, for the
purposes of a decision on my visa application. Such data may be input into, and stored in, databases accessible to the relevant
authorities in the various Schengen states.
At my express request, the consular authority processing my application will inform me of the manner in which I may exercise
my right to check the personal data concerning me and have them altered or deleted, in particular, should they be inaccurate, in
accordance with the national law of the state concerned.
I declare that to the best of my knowledge all particulars supplied by me are correct and complete.
I am aware that any false statements will lead to my application being rejected or to the annulment of a visa already granted
and may also render me liable to prosecution under the law of the Schengen state which deals with the application.
I undertake to leave the territory of the Schengen states upon the expiry of the visa, if granted.
I have been informed that possession of a visa is only one of the prerequisites for entry into the European territory of the
Schengen states. The mere fact that a visa has been granted to me do es not mean that I will be entitled to compensation if I fail
to comply with the relevant provisions of Article 5.1 of the Schengen Implementing Convention and am thus refused entry.
The prerequisites for entry will be checked again on entry into the European territory of the Schengen states.
46. Telephone number
45. Applicant’s home address
47. Place and date
48. Signature
(for minors, signature of
custodian/guardian)

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