28. TRAVELS ABROAD IN THE PAST FIVE YEARS
FOR OFFICIAL
USE ONLY
29. PURPOSE OF TRAVEL TO BULGARIA
□
Tourism
□
Business
□
Private visit
□
Cultural/Sports
□
Official
Medical reasons
Other (please, specify): .......................................................................................................................
□
□
30. DATE OF ARRIVAL IN BULGARIA
31. DATE OF DEPARTURE
32.
BORDER OF FIRST ENTRY OR TRANSIT ROUTE
33. MEANS OF TRANSPORT
34. DETAILS ABOUT HOST PERSON, ORGANIZATION OR HOTEL
Full name of person/Name of organization or hotel
Telephone and fax
Full address
mail address
35. WHO IS PAYING FOR YOUR TRIP AND FOR YOUR LIVING COSTS DURING YOUR STAY?
Myself
Host person
Host organization
□
□
□
(Give name of person, manner of payment and supporting documents):..................................................................
...............................................................................................................................................................................
36. FINANCIAL RESOURCES AVAILABLE DURING YOUR STAY
Cash
Travellers’ cheques
Credit cards
Accommodation provided for
□
□
□
□
Other:................................................
Travel and/or medical insurance. Valid until ..............................................................
□
□
37. SURNAME OF SPOUSE
38. MAIDEN NAME OF SPOUSE
39. GIVEN NAME OF SPOUSE
40. DATE OF BIRTH OF
41. PLACE OF BIRTH OF
SPOUSE
SPOUSE
42. CHILDREN
Surname
Given name
Date of birth
1.
2.
3.
43. PERSONAL DATA OF THE EU OR EEA CITIZEN YOU WILL BE SUPPORTED BY
(This question should be answered only by family members of EU or EEA citizens.)
Surname
Given name
Date of birth
Nationality
Passport No
Family relationship: ....................................................................... to an EU or EEA citizen
44. I consent to the following: any data which appear on this visa application form will be supplied to the relevant authorities in
the Republic of Bulgaria and processed by those authorities for the purposes of a decision on my visa application. Such
data may be entered into, and stored in databases.
I declare that the above information is true and correct. I understand that any false statements I make may render me liable
to prosecution under Bulgarian law and that this may result in the refusal of a visa or in the annulment of a visa already
granted.
I shall leave the territory of the Republic of Bulgaria upon the expiry of this visa.
I have been informed that the possession of a visa is not the only condition for entry into the territory of the Republic of
Bulgaria.
45. APPLICANT’S HOME ADDRESS
46. TELEPHONE NUMBER
47. PLACE AND DATE
48. SIGNATURE