Transcription of Schengen visa application
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Schengen visa application
application for Schengen VisaThis application form is lodged atFor official use onlyDate of application : visa application number:Type of travel document12 Surname (Family name) (x)Surname at birth (Former family name(s)) (x)1 First name(s) (Given name(s)) (x)23 Date of birth (day-month-year)4 Country of birth6 Place of birth5 Sex8 Marital status9In the case of minors: Surname, first name, address (if different from applicant s) and nationality of parental authory/legal guardian10 Number of travel document13 Issued by16 Residence in a country other than the country of current nationality18 NoTravel documentSupporting documents:Other:Service passportDiplomatic passportOrdinary passportOfficial passportOther travel document (please specify)Yes.
I am aware that the visa fee is not refunded if the visa is refused. Applicable in case a multiple-entry visa is applied for (cf. field No. 24): I am aware of the need to have an adequate travel medical insurance for my first stay and subsequent visits to the territory of Member States. (1) In so far as the VIS is operational
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