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1、Photo*★ApplicationforSchengenVisaThisapplicationformisfree8OOOCMCM>2006二CC0一乏Surname(Familyname)(x)ForofficialuseonlyDateofapplication:Visaapplicationnumber:ApplicationlodgedatEmbassy/consulateCACServiceproviderCommercialintermediaryBorderName:Other:Filehandiedby:Support!ngdocument
2、s:TraveldocumentMeansofsubsisteneeInvitationMeansoftransportTMIOther:VisadecisionRefusedIssued:ACLTVValidFromUntilNumberofentries12MultipleNumberofdays:2.Surnameatbirth(Formerfamilyname(s))(x)3.Firstname(s)(Givenname(s))(x)4.Dateofbirth(day-month-year)5.Placeofbirth6.Countryofbirth
3、7.CurrentnationalityNationalityatbirth,ifdifferent8.SexMaleFemale9.MaritalstatusSingleMarriedSeparatedDivorcedWidow(er)Other(pleasespecify)10.Inthecaseofminors:Surname,firstname,address(ifdifferentfromapplicant's)andnationalityofparentalauthority/legalguardian11.Nationalidentitynum
4、ber,whereapplicable12.TypeoftraveldocumentOrdinarypassportDiplomaticpassportServicepassportOfficialpassportOther(pleasespecify)13.Numberoftraveldocument14.Dateofissue15.Validuntil16.Issuedby17.Applicant'shomeaddressande-mailaddressTelephonenumber(s)18.Resideneeinacountryotherthanth
5、atcountryofcurrentnationalityNoYes?ResidentpermitorequivalentNoValiduntil*19.Currentoccupation*20.Employerandemployer'saddressandtelephonenumber.Forstudents?nameandaddressofeducationalestablishment.21.Mainpurpose(s)ofthejourneyTourismBusinessVisitingfamilyortriendsCulturalSportsOff
6、icialvisitMedicalreasonsStudyTransitAirporttransitOther(pleasespecify)22.MemberState(s)ofdestination23.Memberstateoffirstentry24.NumberofentriesrequestedSingleentryTwoentriesMultipleentries25.DurationoftheintendedstayortransitIndicatenumberofdays26.Schengenvisasissuedduringthepastt
7、hreeyearsNoYes?Date(s)ofvalidityfromto27.FingerprintscollectedpreviouslyforthepurposeofapplyingforaSchengenVisaNoYes?DateifknownThefieldmarkedwith*shallnotbefilledinbyfamilymembersofEU,EEAorCHcitizens(spouse,childordependentascendant)whileexercisingtheirrighttofreemovement.Familyme
8、mbersofEU,EEAorCHcitizenss
