Application Form For Schengen Visa (English/esperanto) Page 2
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418. Residence in a country other than the country of current nationality
cxovrobT Tu ara qveyanaSi romlis moqalaqe ar xarT
Yes /diax
No /ara
Residence permit or equivalent............................. No............................ Valid until …………………
cxovrebis nebarTva an sxva Sesabamisi sabuTi
nomeri
moqmedebis vada
* 19. Current occupation
amJamindeli saqmianoba
* 20. Employer and employer's address and telephone number. For students, name and address
of
damsaqmebeli, misi misamarTi da telefonis nomeri.
educational establishment
studentebisaTvis saswavlo dawesebulebis saxelwodeba da misamarTi
21. Main purpose(s) of the journey:
gamgzavrebis mTavari mizani (miznebi)
Tourism/turizmi
Business/saqmiani viziti
Visiting family or friends/naTesavebis an megobrebis monaxuleba
Cultural/kulturul RonisZiebaSi monawileoba
Sports /sportul RonisZiebaSi monawileoba
Official visit/oficialuri viziti
Medical reasons /mkurnaloba
Study/swavla
Transit/ tranziti
Airport transit/aeroportis tranziti
Other (please specify)/sxva (miuTiTeT)
22. Member State(s) of destination
23. Member State of first entry
daniSnulebis qveyana evrokavSirSi
evrokavSiris pirveli wevri qveyana
Sengenis zonaSi Sesvlisas
24. Number of entries requested
25. Duration of the intended stay or transit
moTxovnili Sesvlis ufleba
Indicate number of days
Sengenis zonaSi yofnis an tranzitis
Single entry / erTjeradi
vada
Two entries / orjeradi
miuTiTeT dReebis raodenoba
Multiple entries / mravaljeradi
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.
evrokavSiris, evropis ekonomikuri Tanamegobrobis an Sveicariis konfederaciis moqalaqis ojaxis wevrebma (meuRle, Svili, an winapari, romelic mis xarjzea) ar unda Seavson *-iT moniSnuli
grafa. Uisini valdebulni arian mxolod warmoadginon naTesauri kavSiris damadasturebeli dokumentacia da Seavson grafa #34 da #35.
(x) Fields 1-3 shall be filled in in accordance with the data in the travel document.
(x) – iT moniSnuli grafa unda Seivsos samogzauro dokumentis monacemebis mixedviT.
26. Schengen visas issued during the past three years
bolo sami wlis manZilze miRebuli Sengenis vizebi
No /ara
Yes /diax. Date(s) of validity
from .................................. to..................................
ZalaSia (TariRi)
-dan
-mde
27. Fingerprints collected previously for the purpose of applying for a Schengen visa
Cabarebuli gaqvT Tu ara TiTis anabeWdis nimuSi Sengenis vizis misaRebad
No/ara
Yes/diax
Date, if known ……………………………………………………
TariRi, Tu cnobilia
28. Entry permit for the final country of destination, where applicable
saboloo daniSnulebis qveyanaSi Sesvlis nebarTva (Tu aseTi moiTxoveba)?
Issued by ............................................. Valid from .............................................. until .....................
gamcemi organo
ZalaSia
-dan
-mde
29. Intended date of arrival in the Schengen area /
30. Intended date of departure from the
SengenSi Sesvlis dagegmili TariRi
Schengen area / Sengenidan gamosvlis
dagegmili TariRi
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