Schengen Visa Application Form (Wniosek O Udzielenie Wizy Schengen) Page 2
Download a blank fillable Schengen Visa Application Form (Wniosek O Udzielenie Wizy Schengen) in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Schengen Visa Application Form (Wniosek O Udzielenie Wizy Schengen) with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
229. Purpose of travel
FOR CONSILATE USE
Tourism
Visit
Sport
Business
Culture
Official
ONLY
Work
Education
Other (specify):
..........................................................................................................................................
30. Date of entry
31. Date of departure
32. Border crossing point or transit route
33. Means of transport
34. Information about a person or a company hosting you while in Poland. If this does not apply, give the name
of your hotel or other temporary address in Poland:
Given name and surname/Name of company
Tel. and fax numbers
Full address
E-mail
35. Who is covering the costs of your travel and stay?
applicant
person making invitation / sponsor
other
(please specify who and how, and enclose appropriate documents)
..............................................................................................................................................
..............................................................................................................................................
36. Means to cover costs of your stay:
Cash
Traveller’s cheques
Credit cards
Pre-paid services
Others:
Travel insurance / health insurance. Valid until:
...............................................................................................
**37. Applicant’s spouse
**38. Maiden name
**39. Given name
**40. Date of birth
**41. Place of birth
**42. C
HILDREN
Surname
Given name
Date of birth
1 .............................................................................
....................................................... .................................
2 .............................................................................
....................................................... .................................
3 .............................................................................
....................................................... .................................
***43. Exceptional and urgent reasons requiring entry to and stay in Poland
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
............................................................................................................................................................................................
44. I agree that personal data on this application form may be recorded by the appropriate authorities of the Republic of
Poland and processed if necessary, for the issuing of a visa.
I declare that to the best of my knowledge the above particulars are correct and complete. I am aware that any false
statements will lead to my application being rejected or to the invalidation of the visa already granted and may also
render me liable to prosecution under the law of the Republic of Poland.
I undertake to leave the territory of the Republic of Poland upon the expiry of the visa, if granted.
I realise that the possession of a visa is only one of the conditions of entry to the territory of the Republic of Poland.
Acquiring a visa does not entitle me to compensation should entry to the Republic of Poland be refused by officers of
the Border Guard.
45. Applicant’s address in the country of residence
46. Telephone number
48. Signature (in case of minor,
47. Place and date
signature of legal representative)
** Applies to family members included in a travel document of an alien, who accompany him/her during a trip to Poland.
*** To be filled in by an alien applying for a visa to the relevant commanding officer of the Border Guard checkpoint – according to the article 47
section 1 of the Aliens Act of 13 June 2003
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business