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Personal Data:

CKGS
 Surname (Family name)
   Surname at birth (Former family name(s)
   First name(s) (Given name(s))
 
CKGS
Date of birth (yyyy-mm-dd)

  Place of birth
  Country of birth
   
CKGS
Current Nationalities
  Nationality at birth, if different:
       
CKGS
Sex:
Male Female Unspecified
  Marital status:
       
CKGS
CKGS

Parents or Legal Guardian:

CKGS
Surname (Family name) of
Father / Mother
  First name(s) (Given name(s) of
Father / Mother)
  Current Nationality of Father / Mother

 
CKGS
Address of legal guardian
     
CKGS
CKGS

ID number and travel documents

CKGS
National identity number, where applicable

 
 
CKGS
Type of travel document

  Number of travel document
  Date of issue (yyyy-mm-dd)
  Valid until (yyyy-mm-dd)
CKGS
Issuing state

  Issued by

     
CKGS
CKGS

Applicant's home address and e-mail address

CKGS
Address
 
CKGS
Postal code

  City
  Country
   
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Telephone number(s)

  E-Mail address

     
CKGS
CKGS

Residence in a country other than the country of current nationality

CKGS
Residence in a country other than the country of current nationality
Yes No
 
 
CKGS
Residence permit or equivalent No
  Valid until (yyyy-mm-dd)
       
CKGS
CKGS

Occupation

Current occupation

  Employers name / educational establishment
 
CKGS
Address
CKGS
Postal code

  City

  Country
 
 

Travel data

Main purpose(s) of the journey
CKGS
Tourism Business Visiting family and Friends Cultural Sport Office Visit Medical Reason Study Transit Airport Transit
CKGS
Other (Please Specify) :
Member State(s) of destination

  State of first entry
       
CKGS
Postal code

  City

  Country
 
CKGS
Intended date of arrival (yyyy-mm-dd)
  Intended date of departure (yyyy-mm-dd)
  Duration of the intended stay or transit
  Number of entries requested
CKGS
Schengen visas issued during the past three years:
Yes No
  Date(s) of validity from     Valid until:    
CKGS

Biometrics

Fingerprints collected previously for the purpose of applying for a Schengen visa
Yes No

Date, if known

CKGS

Entry permit for the final country of destination, where applicable

Final country of destination
  Issued by

  Valid from (yyyy-mm-dd)

  Valid until (yyyy-mm-dd)

CKGS

Reference

Name of organisation, company or hotel
           
CKGS
Surname (Family name) of reference person
  First name(s) (Given name(s)) of reference person
  Date of birth (yyyy-mm-dd)

   
CKGS
Address
   
CKGS

Postal code

  City
  Country
   
CKGS
Telephone number(s)

  E-Mail address
     
CKGS
Issued by

  Valid until (yyyy-mm-dd)

     
 

Cost of travelling and living during the applicant's stay is covered

By the applicant himself/herself
CKGS
 
Means of support
CKGS
Cash  
CKGS
Traveller’s cheques  
CKGS
Credit card  
CKGS
Prepaid accommodation  
CKGS
Prepaid transport  
CKGS
other (see sponsor)
 
By a sponsor (host, company, organisation), please specify
CKGS
  referred to in field 31 or 32
CKGS
  other (please specify)
CKGS
 
  Means of support
CKGS
  Cash  
CKGS
  Accommodation provided  
CKGS
  All expences covered during the stay
CKGS
  Prepaid transport  
CKGS
  other (see sponsor)
 

Sponsor, if different from reference

 Surname (Family name)
   First name(s)
     
CKGS
Date of birth (yyyy-mm-dd)

  Nationalities
  Number oftravel Document or ID Card

   
CKGS
Family Relationship with an EU, EEA, or CH Citizen
CKGS
Spouse Child   Grand Children Dependent Ascendant
 

I am aware that the Visa fee is not refunded if the visa is refused.

CKGS
Applicable in case a multiple-entry visa is applied for (cf. Field no 24):
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.
CKGS
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