Application For Schengen Visa Form (Page 2 of 2) in pdf

29. Intended date of arrival in the Schengen area

30. Intended date of departure from the Schengen area

* 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)

Address and e-mail address of inviting person(s)/hotel(s)/temporary accommodation(s)

Telephone and telefax

* 32. Name and address of inviting company/organisation

Telephone and telefax of

company/organisation

Surname, first name, address, telephone, telefax, and e-mail address of contact person in company/organisation

* 33. Cost of travelling and living during the applicant's stay is covered

by the applicant himself/herself

by a sponsor (host, company, organisation),

Please specify

Means of support

referred to in field 31or 32

other (please specify) : …………………………………….….

Cash

Means of support

Traveller’s cheques

Cash

Credit card

Accomodation provided

Pre-paid accommodation

All expenses covered during the stay

Pre-paid transport

Other (please specify) :

34. Personal data of the family member who is an EU, EEA or CH citizen

Surname

First name(s)

Date of birth

Nationality

Number of travel document or ID card

35. Family relationship with an EU, EEA or CH citizen :

spouse

child

grandchild

dependent ascendant

36. Place and date

37. Signature (for minors, signature of parental authority / legal guardian)

I am aware that the visa fee is not refunded if the visa is refused.

Applicable in case a multiple-entry visa is applied for (cf. field no 24):

I am aware of the need to have an adequate travel medical insurance for my first stay and any subsequent visits to the territory of Member States.

I am aware of and consent to the following: the collection of the data required by this application form and the taking of my photograph and, if applicable, the taking of

fingerprints, are mandatory for the examination of the visa application; and any personal data concerning me which appear on the visa application form, as well as my

fingerprints and my photograph will be supplied to the relevant authorities of the Member States and processed by those authorities, for the purposes of a decision on

my visa application.

Such data as well as data concerning the decision taken on my application or a decision whether to annul, revoke or extend a visa issued will be entered into, and stored

in the Visa Information System (VIS)

for a maximum period of five years, during which it will be accessible to the visa authorities and the authorities competent for

carrying out checks on visas at external borders and within the Member States, immigration and asylum authorities in the Member States for the purposes of verifying

whether the conditions for the legal entry into, stay and residence on the territory of the Member States are fulfilled, of identifying persons who do not or who no

longer fulfil these conditions, of examining an asylum application and of determining responsibility for such examination. Under certain conditions the data will be also

available to designated authorities of the Member States and to Europol for the purpose of the prevention, detection and investigation of terrorist offences and of other

serious criminal offences. The authority of the Member State responsible for processing the data is: Commission Nationale de l'Informatique et des Libertés – 8, rue

Vivienne – 75083 PARIS cedex 02

I am aware that I have the right to obtain in any of the Member States notification of the data relating to me recorded in the VIS and of the Member State which

transmitted the data, and to request that data relating to me which are inaccurate be corrected and that data relating to me processed unlawfully be deleted. At my

express request, the authority examining 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 corrected or deleted, including the related remedies according to the national law of the State concerned. The national supervisory authority of that Member

State (Commission Nationale de l'Informatique et des Libertés – 8, rue Vivienne – 75083 PARIS cedex 02) will hear claims concerning the protection of personal data.

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 Member State which deals with the application.

I undertake to leave the territory of the Member States before 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 Member States. The mere fact that a visa has been granted to me does not mean that I will be entitled to

compensation if I fail to comply with the relevant provisions of Article 5(1) of Regulation (EC) No 562/2006 (Schengen Borders Code) and I am therefore refused

entry. The prerequisites for entry will be checked again on entry into the European territory of the Member States.

Place and date

Signature (for minors, signature of parental authority/legal guardian):

(1) Insofar as the VIS is operational