Application Form For Schengen Visa (English/esperanto) Page 3
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4* 31. Surname and first name of the inviting person(s) in the Member State(s). If not applicable, name of
hotel(s) or temporary accommodation(s) in the Member State(s). “Sengenis” qveynidan
Tqveni momwvevi pir(eb)is gvari da saxeli. sxva SemTxvevaSi sastumro(ebi)s
dasaxeleba da “Sengenis” qveyanaSi Tqveni droebiTi misamarT(eb)i
Address and e-mail address of inviting person(s) /hotel(s)/ temporary
Telephone and telefax
tel. da faqsi
accommodation(s) momwvevi pir(eb)is/
sastumro(ebi)s/droebiTi sacxovrebl(eb)is misamarTi
da el. fosta
* 32. Name and address of inviting company/organisation
Telephone and telefax of
momwvevi kompaniis/organizaciis saxelwodeba da
company/organisation
kompaniis/organiza
misamarTi
ciis tel. da faqsi
Surname, first name, address, telephone, telefax, and e-mail address of contact person in
company/organisation momwvev kompaniaSi/organizaciaSi sakontaqto piris gvari,
saxeli, misamarTi, telefoni, faqsi da el. fosta
* 33. Cost of travelling and living during the applicant's stay is covered
ganmcxadeblis mgzavrobis da cxovrebis xarjebis dafarva xdeba
by the applicant himself/herself
by a sponsor (host, company, organisation), please
Tavad ganmcxadeblis mier
specify sponsoris (mimwvevi piris,
kompaniis, organizaciis) mier (miuTiTeT)
Means of support/gadaxdis saSualeba
referred to in field 31 or 32 ……………………….
Cash / naRdi fuli
31 an 32 grafaSi miTiTebuli
naRdi fuli
Traveller's cheques/samgzavro Cekebi
other (please specify) ……………………………..
sxva (miuTiTeT)
Credit card / sakredito baraTi
Means of support/gadaxdis saSualeba
Prepaid accommodation/winaswar
Cash / naRdi fuli
gadaxdili sacxovrebeli
Prepaid transport /winaswar gadaxdili
Accommodation provided/
mgzavroba
sacxovrebliT uzrunvelyofa
Other (please specify) / sxva (miuTiTeT)
All expenses covered during the stay/
yvela xarji ifareba yofnis
periodSi
Prepaid transport /winaswar
gadaxdili mgzavroba
Other (please specify) /
sxva (miuTiTeT)
34. Personal data of the family member who is an EU, EEA or CH citizen
piradi informacia evrokavSiris, evropis ekonomikuri Tanamegobrobis an
Sveicariis konfederaciis moqalaqis ojaxis wevris Sesaxeb
Surname / gvari
First name(s) /saxeli
Date of birth/
Nationality / erovneba
Number of travel document or ID card
dabadebis TariRi
/piradobis mowmobis an samgzavro
dokumentis nomeri
35, Family relationship with an EU, EEA or CH citizen
naTesauri kavSiri evrokavSiris, evropis ekonomikuri Tanamegobrobis an
Sveicariis konfederaciis moqalaqesTan
spouse
child
grandchild
dependent ascendant
meuRle
Svili
SviliSvili
moqalaqis kmayofaze myofi winapari
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