申根国家签证申请表.doc

Photo照片Application for Schengen Visa 申申根根国国家家签签证证申申请请表表This application form is free 此此表表免免费费 Please f ill in this application form only in English 此表格必须用英文填写 1. Surname(s) (family name(s)) /姓姓2. Surname(s) at birth (earlier family name(s)) /出出生生时时姓姓（（原原姓姓 ））3. First names (given names) /名名4. Date of birth (year-month-day) /出出生生日日期期5. ID-number (optional) /身身份份证证号号码码（（如如有有则则填填））6. Place and country of birth /出生地及国家出生地及国家7. Current nationality/ies /现国籍现国籍8. Original nationality (nationality at birth) /原原国国籍籍9. Sex /性性别别 o Male /男 o Female /女10. Marital status /婚婚姻姻状状况况 o Single /未婚 o Married /已婚o Separated /分居o Divorced /离婚 o Widow(er) /丧偶 o Other /其他 11. Father’s name /父父亲亲姓姓名名12. Mother’s name /母母亲亲姓姓名名13. Type of passport: /护护照照类类型型 o National passport /私人护照 o Diplomatic passport /外交护照 o Service passport /公务护照o Alien’s passport /外国人护照 o Seaman’s passport /海员护照 o Travel document (1951 Convention) /旅行证件（1951 年 公约） o Other travel document (please specify) /其他旅行证件（请注 明）: …………….....................................…………………14. Number of passport /护护照照号号码码15. Issued by /发发照照机机关关16. Date of issue/发发照照日日期期17. Valid until /有有效效期期至至18. If you reside in a country other than your country of origin, have you permission to return to that country? /如如果果你你的的居居 住住国国不不是是你你的的国国籍籍所所在在国国 ，，那那么么你你是是否否被被允允许许返返回回居居住住国国 ？？ o No /不是o Yes, (number and validity) /是（号码和有效期 ） … … … … … … . … … … … … … … … … * 19. Current occupation /现职业现职业* 20. Employer and employer’s address and telephone number. For students, name and address of school. /工工作作单单位位名名 称称、、地地址址和和电话，，学学生生填填学学校校名名称称及及地地址址21. Main destination /主主要要目目的的地地22. Type of Visa /签签证证类类型型 o Airport transit /机场过境o Transit /过境o Short stay /短期停留 o Long stay /长期停留23. Visa :o Individual /个人签证 o Collective /团体签证24. Number of entries requested /申请入境次数申请入境次数 o Single entry /一次入境o Two entries /两次入境o Multiple entries /多次入境25. Duration of stay /停停留留时时间间Visa is requested for /申请签证: ................ days /天26. Other visas (issued during the past three years) and their period of validity /其其他他签签证证（（最最近近三三年年内内））及及有有效效期期至至27. In the case of transit, have you an entry permit for the final country of destination? /如如需需过过境境，，你你是是否否有有进进入入最最终终目目的的 地地国国家家的的入入境境许许可可 ？？ o No /没有 o Yes , valid until /有，有效期至: .......................... Issuing authority /签发机关: ....................................................... * 28. Previous stays in this or other Schengen states /以以前前在在本本申申根根国国或或其其它它申申根根国国家家停停留留情情况况FOR EMBASSY /CONSULATE USE ONLY 仅供使领馆使用仅供使领馆使用Date of application :File handled by :Supporting documents:o Valid passporto Financial means o Invitation o Means of transport o Health insurance o Other :Visa:o Refused o GrantedCharacteristics of Visa:o LTVo A o Bo C o Do D + CNumber of entries: o 1 o 2o MultipleValid from ………………..To … … … … … … … … … …Valid for :… … … … … … … … … … … .* 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.* 欧盟或欧洲经济区公民的家庭成员 （配偶、 子女或赡养的老人 ）不必回答带* 问题。

欧盟或欧洲经济区公民的家庭成员必须提交证明其亲属关系的文件29. Purpose of travel /旅旅行行目目的的 o Tourism /旅游o Business /商务o Visit to Family or Friends /探亲访友o Cultural/Sports /文化/体育 o Official /公务o Medical reasons /医疗 o Other (please specify) /其它（请详细注明 ）: ….……………..………...............* 30. Date of arrival /抵抵达达日日期期* 31. Date of departure /离离境境日日期期* 32. Border of first entry or transit route /首次入境地或过境路线首次入境地或过境路线* 33. Means of transport /交交通通工工具具* 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 states /申申根根国国的的邀邀请请人人或或公公司司名名称称及及该该公公司司的的联联系系人人：：如如不不适适用用 ，，请请填填写写在在 申申根根国国的的旅旅馆馆名名或或暂暂住住地地址址Name/姓姓名名Telephone and telefax /及号及号Full address /详详细细地地址址e-mail address /电电子子邮邮件件* 35. Who is paying for your cost of travelling and for your costs of living during your stay? /谁谁支支付付你你的的路路费费和和在在国国外外停停留留 期期间间的的生生活活费费用用？？ o Myself /申请人 o Host person/s /邀请人 o Host company (State who and how and present corresponding documentation)/邀请公司 （请注明何人和如何支付，并出示相关材料）:………………………… ......................................* 36. Means of support during your stay /在在国国外外停停留留期期间间的的支支付付方方式式 ：： o Cash /现金 o Travellers' cheques /旅行支票 o Credit cards /信用卡 o Accommodation /有住房 o Other: /其它 ................................................ o Travel and/or health insurance. Valid until /旅行和/或医疗保险 ，有效期至: …….........................................……………....37. Spouse’s family name /配偶姓配偶姓38. Spouse’s family name at birth /配配偶偶原原姓姓39. Spouse’s first name /配配偶偶名名40. Spouse’s date of birth /配配偶偶出出生生日日期期41. Spouse’s place of birth /配配偶偶出出生生地地42. Children (Applications must be submitted separately for each passport)/子女（每本护照都须分别递交申请 表） Name/姓姓First name /名名Date of birth /出出生生日日期期 1) 2) 3) 43. Personal data of the EU or EEA citizen you depend on. This question should be answered only 。