1
Harmonised application form (
)
Application for Schengen Visa
This application form is free.
Photo
1
Surname (Family name) (x)
For official use only
2
Surname at birth (Former family name(s)) (x)
Date of application:
3
First name(s) (Given name(s)) (x)
Visa application number:
4
Date of birth (day-month-year)
5
Place of birth
7
Current nationality
Application lodged at
Nationality at birth, if different:
Embassy/consulate
6
Country of birth
CAC
Service provider
8
Sex
9
Marital status
Commercial intermediary
Male
Female
Single
Married
Separated
Divorced
Widow(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 authory/legal guardian
Other
11
National identity number, where applicable
File handled by:
12
Type of travel document
Diplomatic passport
Ordinary passport
Service passport
Official passport
Special passport
Other travel document (please specify)
Supporting documents:
Travel document
Means of subsistence
13
Number of travel document
14
Date of issue
15
Valid until
16
Issued by
Invitation
Means of transport
TMI
Other:
17
Applicant’s home address, e-mail address
Telephone number(s)
Visa decision:
Refused
Issued:
18
Residence in a country other than the country of current nationality
A
No
C
Yes. Residence permit or equivalent
No
Valid until
LTV
*19
Current occupation
Valid
*20
Employer and employer’s address and telephone number. For students, name and address of educational establishment.
From
Until
21
Main purpose(s) of the journey:
Visiting family or
Tourism
Business
friends
Cultural
Sports
Number of entries:
Official visit
1
2
Multiple
Medical reasons
Study
Transit
Airport transit
Other (Please specify)
Number of days:
1
(
) No logo is required for Norway, Iceland and Switzerland.