ࡱ> 9 ~7bjbj+lLx'x'x'x''LL)v:0:0:0:01g2\20cKeKeKeKeKeKeK$M OFK21"122K;:0:0iL;;;28:0:0cK;2cK;N;==:0) X-ލL,&x';== L0L=P;P=; 4PhotoApplication for Schengen Visa This application form is freeStamp Embassy or Consulate1. Surname(s) (family name(s))FOR EMBASSY/ FORMTEXT      CONSULATE USE ONLY2. Surname(s) at birth (earlier family name(s))Date application: FORMTEXT      3. First names (given names) FORMTEXT      4. Date of birth (year-month-day)5. ID-number (optional)File handled by: FORMTEXT       FORMTEXT      6. Place and country of birth FORMTEXT      Supporting documents:7. Current nationality/ies8. Original nationality (nationality at birth)Valid passport FORMTEXT       FORMTEXT      Financial means9. Sex10. Marital statusInvitation FORMCHECKBOX Single FORMCHECKBOX Married FORMCHECKBOX Separated FORMCHECKBOX Divorced FORMCHECKBOX Widow(er)Means of transport FORMCHECKBOX Male FORMCHECKBOX Female FORMCHECKBOX Other FORMTEXT      Health insurance11. Father s name12. Mother s nameOther: FORMTEXT       FORMTEXT      13. Type of passport: FORMCHECKBOX National passport FORMCHECKBOX Diplomatic passport FORMCHECKBOX Service passport FORMCHECKBOX Travel document (1951 Convention) FORMCHECKBOX Alien s passport FORMCHECKBOX Seaman s passport FORMCHECKBOX Other travel document (please specify): FORMTEXT      14. Number of passport15. Issued by FORMTEXT       FORMTEXT      16. Date of issue17. Valid until FORMTEXT       FORMTEXT      18. If you reside in a country other than your country of origin, have you permission to return to that country? FORMCHECKBOX No FORMCHECKBOX Yes, (number and validity) FORMTEXT      To* 19. Current occupationVisa: FORMTEXT      Refused* 20. Employer and employer s address and telephone number. For students, name and address of schoolGranted FORMTEXT      Characteristics of Visa:21. Main destination22. Type of visa23. Visa FORMCHECKBOX Airport transit FORMCHECKBOX Transit FORMCHECKBOX Individual FORMCHECKBOX Collective FORMTEXT       FORMCHECKBOX Short stay FORMCHECKBOX Long stay24. Number of entries requested25. Duration of stay FORMCHECKBOX Single entry FORMCHECKBOX Two entries FORMCHECKBOX Multiple entriesVisa is requested for: FORMTEXT     days.Number of entries:26. Other visas (issued during the past three years) and their period of validity1 2 Multiple FORMTEXT      Valid from27. In the case of transit, have you an entry permit for the final country of destination? FORMCHECKBOX No FORMCHECKBOX Yes, valid until FORMTEXT      Issuing authority: FORMTEXT      To* 28. Previous stays in this or other Schengen statesValid for FORMTEXT      * The questions marked with * do not have to be answered by family members of EU or EEA citizens (spouse, child or dependent ascendant). Family members of EU or EEA citizens have to present documents to prove this relationship.10479 (Godkj. 01-2003) Elektronisk utgaveSide 1/229. Purpose of travelFOR EMBASSY/ FORMCHECKBOX Tourism FORMCHECKBOX Business FORMCHECKBOX Visit to Family or Friends FORMCHECKBOX Cultural/Sports FORMCHECKBOX Official FORMCHECKBOX Medical reasonsCONSULATE USE ONLYOther (please specify): FORMTEXT      * 30. Date of arrival* 31. Date of departure FORMTEXT       FORMTEXT      * 32. Border of first entry or transit route* 33. Means of transport FORMTEXT       FORMTEXT      * 34. Name of host or company in the Schengen states and contact person in host company. If not applicable, give name of hotel or temporary address in the Schengen statesNameTelephone and telefax FORMTEXT       FORMTEXT      Full addressE-mail address FORMTEXT       FORMTEXT      @ FORMTEXT      * 35. Who is paying for your cost of travelling and for your costs of living during your stay? FORMCHECKBOX Myself FORMCHECKBOX Host person(s) FORMCHECKBOX Host company (State who and how and present corresponding documentation) FORMTEXT      * 36. Means of support during your stay FORMCHECKBOX Cash FORMCHECKBOX Traveller s cheques FORMCHECKBOX Credit Cards FORMCHECKBOX Accommodation FORMCHECKBOX Other FORMTEXT       FORMCHECKBOX Travel and/or health insurance. Valid until: FORMTEXT      37. Spouse s family name38. Spouse s family name at birth FORMTEXT       FORMTEXT      39. Spouse s first name40. Spouse s date of birth41. Spouse s place of birth FORMTEXT       FORMTEXT       FORMTEXT      42. Children (Application must be submitted separately for each passport)NameFirst nameDate of birth1 FORMTEXT       FORMTEXT       FORMTEXT      2 FORMTEXT       FORMTEXT       FORMTEXT      3 FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      43. Personal data of the EU or EEA citizen you depend on. This question should be answered only by family members of EU or EEA citizens.NameFirst Name FORMTEXT       FORMTEXT      Date of birthNationalityNumber of passport FORMTEXT       FORMTEXT       FORMTEXT      Family relationship FORMTEXT      of an EU or EEA citizen44. I am aware of and consent to the following: any personal data concerning me which appear on this visa application form will be supplied to the relevant authorities in the Schengen states and processed by those authorities, if necessary, for the purposes of a decision on my visa application. Such data may be input into, and stored in, databases accessible to the relevant authorities in the various Schengen states. At my express request, the consular authority processing 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 altered or deleted, in particular, should they be inaccurate, in accordance with the national law of the state concerned. 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 Schengen state which deals with the application. I undertake to leave the territory of the Schengen states upon 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 Schengen 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 5.1 of the Schengen Implementing Convention and am thus refused entry. The prerequisites for entry will be checked again on entry into the European territory of the Schengen states.45. Applicant s home address46. Telephone number FORMTEXT       FORMTEXT      47. Place and date48. 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