Transcription of 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 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.
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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