申根签证申请表.doc

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ApplicationforSchengenVisa
Thisapplicationformisfree
此表免费
PleasefillinthisapplicationformonlyinEnglish
此表格必须用英文填写
1.Surname(s)(familyname(s))/姓
Forembassy/
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仅供使领馆使用

Dateapplication:

Filehandledby:

Supportingdocuments:
□Validpassport
□Financialmeans
□Invitation
□Meansoftransport
□Healthinsurance
□Other:

Visa:
□Refused
□Granted、

CharacteristicsofVisa:
□LTV
□A
□B
□C
□D
□D+C

Numberofentries:
□1□2□Multiple

Validfrom………………..

To…………………………

Validfor:
…………………………….2.Surname(s)atbirth(earlierfamilyname(s))/出生时姓（原姓）
3.Firstnames(givennames)/名
4.Dateofbirth(year-month-day)/出生日期
5.ID-number(optional)/身份证号码（如有则填）
6.Placeandcountryofbirth/出生地及国家
7.Currentnationality/ies/现国籍
8.Originalnationality(nationalityatbirth)/原国籍
9.Sex/性别
□Male/男□Female/女10.Maritalstatus:/婚姻状况
□Single/未婚□Married/已婚□Separated/分居
□Divorced/离婚□Widow(er)/丧偶□Other/其他11.Father’sname/父亲姓名
12.Mother’sname/母亲姓名
13.Typeofpassport:/护照类型
□Nationalpassport/私人护照□Diplomaticpassport/外交护照□Servicepassport/公务护照
□Alien'spassport/外国人护照□Seaman’spassport/海员护照□Traveldocument(1951Convention)/旅行证件
□Othertraveldocument(pleasespecify):/其他旅行证件（请注明）……………………………………………………………14.Numberofpassport/护照号码
15.Issuedby/发照机关
16.Dateofissue/发照日期
17.Validuntil/有效期至
18.Ifyouresideinacountryotherthanyourcountryoforigin,haveyoupermissiontoreturntothatcountry?/如果你的居住国不是你的国籍所在国，那么你是否被允许返回居住国？
□No/不是□Yes,(numberandvalidity)/是（号码和有效期）……………….………………………………………………*19.Currentoccupation/现职业
*20.Employerandemployer’saddressandtelephonenumber.Forstudents,nameandaddressofschool./工作单位名称、地址和电话，学生填学校名称及地址

21.Maindestination/主要目的地
22.TypeofVisa:/签证类型
□Airporttransit/机场过境□Transit/过境
□Shortstay/短期停留□Longstay/长期停留23.Visa:
□Individual/个人签证
□Collective/团队签证24.Numberofentriesrequested/申请入境次数
□Singleentry/一次入境□Twoentries/两次入境
□Multipleentries/多次入境25.Durationofstay/停留时间

Visaisrequestedfor:/申请签证______days/天26.Othervisas(issuedduringthepastthreeyears)andtheirperiodofvalidity/其他签证（最近三年内）及有效期至
27.Inthecaseoftransit,haveyouanentrypermitfort