Application For Schengen Visa Form
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4Application for Schengen Visa
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This application form is free
1. Surname (Family name) (x)
F
OR OFFICIAL USE ONLY
2. Surname at birth (Former family name(s)) (x)
Date of application:
Visa application number:
Application lodged at
3. First name(s) (Given name(s)) (x)
□ Embassy/consulate
□ CAC
□ Service provider
□ Commercial
4. Date of birth (day-month-year)
5. Place of birth
7.Current nationality
intermediary
□ Border
6. Country of birth
Nationality at birth, if different:
Name:
8. Sex
9. Marital status
□ Other
□ Male □ Female
□ Single □ Married □ Separated □ Divorced □ Widow(er)
□ Other (please specify)
File handled by:
10. In the case of minors: Surname, first name, address (if different from applicant's) and nationality of parental
Supporting documents:
authority/legal guardian
□ Travel document
□ Means of subsistence
□ Invitation
11. National identity number, where applicable
□ Means of transport
□ TMI
□ Other:
12. Type of travel document
Visa decision:
□ Ordinary passport □ Diplomatic passport □ Service passport □ Official passport □ Special passport
□ Refused
□ Other travel document (please specify)
□ Issued:
□ A
13. Number of travel document
14. Date of issue
15. Valid until
16. Issued by
□ C
□ LTV
□ Valid:
17. Applicant's home address and e-mail address
Telephone number(s)
From
Until
Number of entries:
□ 1 □ 2 □ Multiple
18. Residence in a country other than the country of current nationality
□ No
Number of days:
□ Yes. Residence permit or equivalent ………………… No. …………………….. Valid until
* 19. Current occupation
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