Personal data
Surname (Family name):
Surname at birth (Former family name(s):
First name(s) (Given name(s)):
Date of birth (yyyy-mm-dd):
Place of birth:
Country of birth:
Current Nationalities:
Nationality at birth, if different:
Sex:
Male Female Unspecified
Marital status:
Parents or legal guardian
Surname (Family name) of Father:
First name(s) (Given name(s) of Father):
Current Nationality of Father:
Surname (Family name) of Mother:
First name(s) (Given name(s) of Mother):
Current Nationality of Mother:
Address of legal guardian:
ID number and travel documents
National identity number, where applicable:
Type of travel document:
Number of travel document:
Date of issue (yyyy-mm-dd):
Valid until (yyyy-mm-dd):
Issuing state:
Issued by:
Issued in:
Applicant's home address and e-mail address
Street:
House number:
Additional address details:
Postal code:
City:
Country:
Telephone number(s):
E-Mail address:
Residence in a country other than the country of current nationality
Residence in a country other than the country of current nationality:
Yes No
Type of Residence Permit:
Residence permit or equivalent No:
Valid until (yyyy-mm-dd):
Occupation
Current occupation:
Employers name / educational establishment:
Street:
House number:
Additional address details:
Postal code:
City:
Country:
Travel data
Main purpose(s) of the journey:
If other please specify:
Member State(s) of destination:
State of first entry:
Intended date of arrival (yyyy-mm-dd):
Intended date of departure (yyyy-mm-dd):
Duration of the intended stay or transit:
Number of entries requested:
Schengen visas issued during the past three years:
Yes No
Date(s) of validity from:
Valid until:
Biometrics
Fingerprints collected previously for the purpose of applying for a Schengen visa
Yes No
Date, if known:
Entry permit for the final country of destination, where applicable
Type of entry permit:
Type of entry permit, if other:
Number of entry permit:
Final country of destination:
Issued by:
Valid until (yyyy-mm-dd):
Reference
Type of reference:
Name of organisation, company or hotel:
Organization’s place of business (town/city):
Organization’s place of business (country):
Organization’s objectives/area of activity:
Name of register in which the organization is registered:
Location of register:
Registration number:
Surname (Family name) of reference person:
First name(s) (Given name(s)) of reference person:
Date of birth (yyyy-mm-dd):
Place of birth:
Alternative spellings of surname:
Alternative spellings of forename(s):
Other names:
Former names:
Street:
House number:
Postal code:
City:
Country:
Telephone number(s):
E-Mail address:
Hotel reservation number:
Cost of travelling and living during the applicant's stay is covered:
by the applicant himself/herself
by a sponsor (host, company, organisation), please specify
by the reference, see above
other (see sponsor)
Means of support:
Cash
Traveller's cheques
Credit card
Accommodation provided
All expenses covered during the stay
Pre-paid transport
other (please specify):
Sponsor, if different from reference
Type of sponsor:
Name of sponsoring organisation/company or the embassy/general consulate:
Organization’s place of business (town/city):
Organization’s place of business (country):
Organization’s objectives/area of activity:
Name of register in which the organization is registered:
Location of register:
Registration number:
Surname (Family name) of sponsoring person or the contact person of the sponsoring institution:
First name(s) (Given name(s)) of sponsoring person or the contact person of the sponsoring institution:
Date of birth (yyyy-mm-dd):
Place of birth:
Alternative spellings of surname:
Alternative spellings of forename(s):
Other names:
Former names:
Street:
House number:
Postal code:
City:
Country:
Telephone number(s):
E-Mail address:
Family relationship with an EU, EEA or CH citizen
Family relationship with an EU, EEA or CH citizen
Personal data
Surname (Family name):
Surname at birth (Former family name(s):
First name(s) (Given name(s)):
Date of birth (yyyy-mm-dd):
Place of birth:
Country of birth:
Current Nationalities:
Nationality at birth, if different:
Sex:
Male Female Unspecified
Marital status:
Parents or legal guardian
Surname (Family name) of Father:
First name(s) (Given name(s) of Father):
Current Nationality of Father:
Surname (Family name) of Mother:
First name(s) (Given name(s) of Mother):
Current Nationality of Mother:
Address of legal guardian:
ID number and travel documents
National identity number, where applicable:
Type of travel document:
Number of travel document:
Date of issue (yyyy-mm-dd):
Valid until (yyyy-mm-dd):
Issuing state:
Issued by:
Issued in:
Applicant's home address and e-mail address
Street:
House number:
Additional address details:
Postal code:
City:
Country:
Telephone number(s):
E-Mail address:
Residence in a country other than the country of current nationality
Residence in a country other than the country of current nationality:
Yes No
Type of Residence Permit:
Residence permit or equivalent No:
Valid until (yyyy-mm-dd):
Occupation
Current occupation:
Employers name / educational establishment:
Street:
House number:
Additional address details:
Postal code:
City:
Country:
Travel data
Main purpose(s) of the journey:
If other please specify:
Member State(s) of destination:
State of first entry:
Intended date of arrival (yyyy-mm-dd):
Intended date of departure (yyyy-mm-dd):
Duration of the intended stay or transit:
Number of entries requested:
Schengen visas issued during the past three years:
Yes No
Date(s) of validity from:
Valid until:
Biometrics
Fingerprints collected previously for the purpose of applying for a Schengen visa
Yes No
Date, if known:
Entry permit for the final country of destination, where applicable
Type of entry permit:
Type of entry permit, if other:
Number of entry permit:
Final country of destination:
Issued by:
Valid until (yyyy-mm-dd):
Reference
Type of reference:
Name of organisation, company or hotel:
Organization’s place of business (town/city):
Organization’s place of business (country):
Organization’s objectives/area of activity:
Name of register in which the organization is registered:
Location of register:
Registration number:
Surname (Family name) of reference person:
First name(s) (Given name(s)) of reference person:
Date of birth (yyyy-mm-dd):
Place of birth:
Alternative spellings of surname:
Alternative spellings of forename(s):
Other names:
Former names:
Street:
House number:
Postal code:
City:
Country:
Telephone number(s):
E-Mail address:
Hotel reservation number:
Cost of travelling and living during the applicant's stay is covered:
by the applicant himself/herself
by a sponsor (host, company, organisation), please specify
by the reference, see above
other (see sponsor)
Means of support:
Cash
Traveller's cheques
Credit card
Accommodation provided
All expenses covered during the stay
Pre-paid transport
other (please specify):
Sponsor, if different from reference
Type of sponsor:
Name of sponsoring organisation/company or the embassy/general consulate:
Organization’s place of business (town/city):
Organization’s place of business (country):
Organization’s objectives/area of activity:
Name of register in which the organization is registered:
Location of register:
Registration number:
Surname (Family name) of sponsoring person or the contact person of the sponsoring institution:
First name(s) (Given name(s)) of sponsoring person or the contact person of the sponsoring institution:
Date of birth (yyyy-mm-dd):
Place of birth:
Alternative spellings of surname:
Alternative spellings of forename(s):
Other names:
Former names:
Street:
House number:
Postal code:
City:
Country:
Telephone number(s):
E-Mail address:
Family relationship with an EU, EEA or CH citizen
Family relationship with an EU, EEA or CH citizen
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