Application For Bulgarian Visa Page 2
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228. TRAVELS ABROAD IN THE PAST FIVE YEARS
FOR VISA ISSUING
AUTHORITY USE ONLY
29.
PU
RPOSE
O
F TRAVEL
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Tourism
Busi
ness
Private visit
Cultural/Sports
Official
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Medical reasons
Other (please, specify): .............................................
30. DATE OF ARRIVAL
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
Е-mail address
35. WHO IS PAYING FOR YOUR TRIP AND FOR YOUR COSTS OF LIVING DURING YOUR STAY?
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Myself
Host person
Host organization
(State who and how and present corresponding documentation): ............................................................................
.............................................................................................................................................................................
36
. MEAN OF SUPPORT DURING YOUR ST
S
AY
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Cash
Travellers’ cheques
Cr
edit cards
Accommodation provided for
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Other:................................................
Travel and/or medical insurance. Valid/and until:.................................
37. SPOUSE’S FAMILY NAME
38. SPOUSE’S EARLIER FAMILY NAMES
40. SPOUSE’S DATE OF BIRTH
41. SPOUSE’S PLACE OF
39. SPOUSE’S FIRST NAME
BIRTH
42. CHILDREN
Middle name and family name
First name
Date of birth
1.
2.
3.
43. PERSONAL DATA OF THE EU OR EEA CITIZEN YOU RELY ON
(This question should be answered only by family members of EU or EEA citizens.)
Middle name and family name
First name
Date of birth
Nationality
Number of passport
Family relationship: ....................................................................... of 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 input into, and stored in databases.
I declare that data above is true and correct. I understand that any false statements may render me liable to prosecution
under the Bulgarian law and that this may result in the refusal of a visa or to the annulment of a visa already granted.
I undertake to leave the territory of the Republic of Bulgaria upon the expiry of the visa.
I have been informed that possession of a visa is not the only prerequisite for entry into the territory of the Republic of
Bulgaria.
45. APPLICANT’S HOME ADDRESS
46. TELEPHONE NUMBER
47. PLACE AND DATE
48. SIGNATURE
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