Schengen visa application - Schengen VISA Information

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application for Schengen VisaThis application form is lodged atFor official use onlyDate of application : visa application number:Type of travel document12Surname (Family name) (x)Surname at birth (Former family name(s)) (x)1First name(s) (Given name(s)) (x)23Date of birth (day-month-year)4Country of birth6Place of birth5Sex8Marital status9In the case of minors: Surname, first name, address (if different from applicant s) and nationality of parental authory/legal guardian10Number of travel document13Issued by16Residence in a country other than the country of current nationality18NoTravel documentSupporting documents:Other:Service passportDiplomatic passportOrdinary passportOfficial passportOther travel document (please specify)Yes. Residence permit or equivalentVisa decision:OtherRefusedIssued:ACLT VValid1Number of entries:2MultipleFromUntilNumber of days:MaleEC 109SingleSeparatedMarriedDate of issue14Current occupation*19Employer and employer s address and telephone number.

on the visa application form, as well as my fingerprints and my photograph will be supplied to the relevant authorities of the Member States and processed by those authorities, for the purposes of a decision on my visa application.

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