Minor Document

Harmonised application form
Application for Schengen Visa

This application form is free
Family members of EU, EEA or CH citizens shall not fill in fields no.21, 22, 30, 31 and 32 (marked with*).
Fields 1-3 shall be filled in in accordance with the data in the travel document.
1. Surname (Family name) FOR OFFICIAL USE ONLY

Date of application:
2. Surname at birth (Former family name(s))
Visa application number:
3. First name(s) (Given name(s))

Application lodged at
□ Embassy/consulate
4. Date of birth (day-month- 5. Place of birth 7.Current nationality □ Service provider
year) □ Intermediary
6. Country of birth Nationality at birth, if □ Border (Name):
different: ………………………….
□ Other
Other nationalities:
File handled by:
8. Sex 9. Civil status Supporting documents:
□ Male □ Female □ Single □ Married □ Registered Partnership □ Separated □ □ Travel document
Divorced □ Widow(er) □ Other (please specify): □ Means of subsistence
10. Parental authority/legal guardian: Surname, first name, address (if different from applicant's), □ Invitation
telephone no., e-mail address, and nationality □ TMI
□ Means of transport
□ Other:
11. National identity number, where applicable
Visa decision:
15. Number of travel 16. Date of issue 17. Valid until 18. Issued by (country) □ Refused
document
□ Issued:
12. Personal data of the family member who is an EU, EEA or CH citizen □A
□C
Surname First name(s) □ LTV
□ Valid:
From
Date of birth Nationality Number of travel document or Until
ID card
13. Family relationship with an EU, EEA or CH citizen Number of entries:

□ spouse ……………..□ child ………..□ grandchild ………………□ dependent ascendant □ 1 □ Multiple
□ Registered Partnership ……………..□ other
14. Type of travel document
□ Ordinary passport □ Diplomatic passport □ Service passport □ Official passport □ Special passport
□ Other travel document (please specify)
19. Applicant's home address and e-mail address Telephone number(s)
1
No logo is required for Norway, Iceland, Liechtenstein and Switzerland.
EN 1 EN
20. Residence in a country other than the country of current nationality
□ No
□ Yes. Residence permit or equivalent ………………… No. …………………….. Valid until
*21. Current occupation
* 22. Employer and employer's address and telephone number. For students, name and address of
educational establishment
23. (…) Purpose(s) of the journey:

□ Tourism…….□ Business…….□ Visiting family or friends ….□ Cultural ……□ Sports ……..
□ Official visit □ Medical reasons □ Study □ Airport transit ……□ Other (please specify):
24. Additional information on purpose of stay:
25. Member State(s) of main destination (and 26. Member State of first entry
other Member States of destination , if applicable)
27. Number of entries requested
□ Single entry □ Multiple entries
Duration of the intended stay (indicate number of days):

Intended date of arrival in the Schengen area:
Intended date of departure from the Schengen area:
28.Fingerprints collected previously for the purpose of applying for a Schengen visa or a [touring visa]
□ No □ Yes.
Date, if known …………………….. Visa sticker number, if known ……………………………
29. Entry permit for the final country of destination, where applicable
Issued by ………………………………..Valid from ……………………until ……………………
* 30. Surname and first name of the inviting person(s) in the Member State(s). If not applicable, name
of hotel(s) or temporary accommodation(s) in the Member State(s)
Address and e-mail address of inviting Telephone and telefax

person(s)/hotel(s)/temporary accommodation(s)
*31. Name and address of inviting Telephone and telefax of company/organisation

company/organisation
Surname, first name, address, telephone , telefax, and e-mail address of contact person in
company/organisation
*32. 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
…….□ referred to in field 32 or 33
…….□ other (please specify)
Means of support
□ Cash Means of support
□ Traveller's cheques □ Cash
□ Credit card □ Accommodation provided
□ Pre-paid accommodation □ All expenses covered during the stay
□ Pre-paid transport □ Pre-paid transport
□ Other (please specify)
EN 2 EN
□ Other (please specify)
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:

I am aware of the need to have an adequate travel medical insurance for my first stay and any subsequent visits to the territory of Member
States.
I am aware of and consent to the following: the collection of the data required by this application form and the taking of my photograph
and, if applicable, the taking of fingerprints, are mandatory for the examination of the visa application; and any personal data concerning me
which appear 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.
Such data as well as data concerning the decision taken on my application or a decision whether to annul, revoke or extend a visa issued
will be entered into, and stored in the Visa Information System (VIS) for a maximum period of five years, during which it will be accessible
to the visa authorities and the authorities competent for carrying out checks on visas at external borders and within the Member States,
immigration and asylum authorities in the Member States for the purposes of verifying whether the conditions for the legal entry into, stay
and residence on the territory of the Member States are fulfilled, of identifying persons who do not or who no longer fulfil these conditions,
of examining an asylum application and of determining responsibility for such examination. Under certain conditions the data will be also
available to designated authorities of the Member States and to Europol for the purpose of the prevention, detection and investigation of
terrorist offences and of other serious criminal offences. The authority of the Member State responsible for processing the data is:
[(…………………………………………………………………………………………………………………………………..…)].
I am aware that I have the right to obtain in any of the Member States notification of the data relating to me recorded in the VIS and of the
Member State which transmitted the data, and to request that data relating to me which are inaccurate be corrected and that data relating to
me processed unlawfully be deleted. At my express request, the authority examining my application will inform me of the manner in which
I may exercise my right to check the personal data concerning me and have them corrected or deleted, including the related remedies
according to the national law of the State concerned. The national supervisory authority of that Member State [contact details:
………………………………………………………………………………………………………………………………………………..]
will hear claims concerning the protection of personal data.
I declare that to the best of my knowledge all particulars supplied by me are correct and complete. I am aware that any false statements will
lead to my application being rejected or to the annulment of a visa already granted and may also render me liable to prosecution under the
law of the Member State which deals with the application.
I undertake to leave the territory of the Member States before the expiry of the visa, if granted. I have been informed that possession of a
visa is only one of the prerequisites for entry into the European territory of the Member States. The mere fact that a visa has been granted to
me does not mean that I will be entitled to compensation if I fail to comply with the relevant provisions of Article 6(1) of Regulation (EU)
No 2016/399 (Schengen Borders Code) and I am therefore refused entry. The prerequisites for entry will be checked again on entry into the
European territory of the Member States.
Place and date Signature
(signature of parental authority/legal guardian, if applicable):
EN 3 EN

Minor Document

Uploaded by

Copyright:

Available Formats

Minor Document

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Minor Document

Uploaded by

Copyright:

Available Formats

Harmonised application form

Application for Schengen Visa

1. Surname (Family name) FOR OFFICIAL USE ONLY

3. First name(s) (Given name(s))

13. Family relationship with an EU, EEA or CH citizen Number of entries:

23. (…) Purpose(s) of the journey:

24. Additional information on purpose of stay:

27. Number of entries requested

□ Single entry □ Multiple entries

Duration of the intended stay (indicate number of days):

Address and e-mail address of inviting Telephone and telefax

*31. Name and address of inviting Telephone and telefax of company/organisation

□ by the applicant himself/herself □ by a sponsor (host, company, organisation),

Applicable in case a multiple-entry visa is applied for:

You might also like