Sample Application For Schengen Visa
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Application for Schengen Visa
For official use only
1. Surname (Family name) (x)
WANG
Date of application:
2. Surname at birth (Former family name(s)) (x)
WANG
Visa application number:
3. First name(s) (Given name(s)) (x)
JING JING
Application lodged at
4. Date of birth (day-month-year)
5. Place of birth
7.Current nationality
CHINESE
BEIJING
21-01-1980
Nationality at birth, if different
Embassy/consulate
6. Country of birth
CHINA
CAC
Service provider
8.Sex
9. Marital status
X
X
Commercial intermediary
Male
Female
Single
Married
Separated
Divorced
W idow(er)
Border
Other (please specify)
Name:
10. In the case of minors: Surname, first name, address (if different from applicant’s) and nationality of parental
authority/legal guardian
Other:
11. National identity number, where applicable
File handled by:
12. Type of travel document
X
Ordinary passport
Diplomatic passport
Service passport
Official passport
Other (please specify)
Supporting documents:
13. Number of travel document
14. Date of issue
15. Valid until
16. Issued by
25-06-2012
G0123456
24-16-2022
CHINA
Travel document
Means of subsistence
17. Applicant’s home address and e-mail address
Telephone number(s)
Invitation
07123 123123
17 RHYDDINGS TERRACE, BRYNMILL, SWANSEA SA2 4AR
Means of transport
18. Residence in a country other than that country of current nationality
TMI
UK TIER 4
No
30-10-
Other:
STUDENT VISA
X
RC0122334
2016
Yes. Resident permit or equivalent …………………….. No ……..……………… Valid until
Visa decision
* 19. Current occupation
STUDENT
Refused
Issued:
* 20. Employer and employer’s address and telephone number. For students, name and address of educational
A
establishment.
C
SWANSEA UNIVERSITY, SINGLETON PARK, SWANSEA SA2 8PP
LTV
21. Main purpose(s) of the journey
X
Valid
Tourism
Business
Visiting family or friends
Cultural
Sports
From………………………....
Official visit
Until ………………………….
Medical reasons
Number of entries
Study
Transit
Airport transit
Other (please specify)
1
2
Multiple
22. Member State(s) of destination
23. Member state of first entry
Number of days:
FRANCE,ITALY, SPAIN
ITALY
24. Number of entries requested
25. Duration of the intended stay or transit
X
Single entry
Two entries
Indicate number of days
10
Multiple entries
26. Schengen visas issued during the past three years
10-12-2012
X
01-12-2012
No
Yes. Date(s) of validity from ….…………………….… to……………………….………………
27. Fingerprints collected previously for the purpose of applying for a Schengen Visa
X
NOVEMBER 2012
No
Yes. Date if known……………………….………………
The field marked with * shall not be filled in by family members of EU,EEA or CH citizens (spous, 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.
(x) Fields 1-3 shall be filled in accordance with the data in travel document.
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