Transcription of Schengen visa application - Schengen Visa - Comprehensive ...
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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. Residence permit or equivalentVisa decision:OtherRefusedIssued:ACLT VValid1 Number of entries:2 MultipleFromUntilNumber of days:MaleEC 109 SingleSeparatedMarriedDate of issue14 Current occupation*19 Employer and employer s address and telephone number.
Schengen visas issued during the past three years Fingerprints collected previously for the purpose of applying for a Schengen visa 26 27 *33Cost of travelling and living during the applicant’s stay is covered
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