word版申根簽證申請表

1、Application for Schengen VisaThis application form is freePHOTO1. Surname (Family name) (x) FOR OFFICIAL USE ONLYZhang2. Surname at birth (Former family name(s)) (x) Date of application:Visa application number:3. First n

2、ame(s) (Given name(s)) (x)San Application lodged at □ Embassy/consulate □ CAC 4. Date of birth (day-month-year)01 JAN 20005. Place of birth BEIJING6. Country of birth CHINA7.Current nationality CHINANationality at birth,

3、 if different:□ Service provider □ Commercial intermediary □ BorderName:8. Sex ■ Male □ Female9. Marital status ■ Single □ Married □ Separated □ Divorced □ Widow(er) □ Other (please specify)□ OtherFile handled by: Suppo

4、rting documents:10. In the case of minors: Surname, first name, address (if different from applicant's) and □ Travel document nationality of parental authority/legal guardian11. National identity number, where applic

5、able11010820000101222212. Type of travel document ■ Ordinary passport □ Diplomatic passport □ Service passport □ Official passport □ Special passport □ Other travel document (please specify)□ Means of subsistence □ Invit

6、ation □ Means of transport □ TMI □ Other:Visa decision: □ Refused□ Issued: □ A □ C13. Number of travel documentG1234567814. Date of issue 15. Valid until 16. Issued by □ LTV□ Valid: From Until17. Applicant's home

7、address and e-mail address Telephone number(s)Room XXX, No. XXX, XXX Road Haidian District, Beijing, China xxx@xxx.com Number of entries: □ 1 □ 2 □ MultipleNumber of days:18. Residence in a country other than the country

8、 of current nationality ■ No □ Yes. Residence permit or equivalent No Valid until* 19. Current occupationFarmer31 DEC 2021 Exit & Entry Administration Ministry of Public Security1380013800001 JAN 2012*32. Name and

9、address of inviting company/organization Telephone and telefax of company/organizationSurname, first name, address, telephone, telefax, and e-mail address of contact person in company/organization*33. Cost of travellin

10、g and living during the applicant's stay is covered■ by the applicant himself/herselfMeans of support ■ Cash □ Traveller's cheques ■ Credit card □ Pre-paid accommodation □ Pre-paid transport □ Other (please speci

11、fy)□ by a sponsor (host, company, organisation), please specify□ referred to in field 31 or 32 □ other (please specify)Means of support □ Cash □ Accommodation provided □ All expenses covered during the stay □ Pre-paid tr

12、ansport □ Other (please specify)34. Personal data of the family member who is an EU, EEA or CH citizen Surname First name(s)Date of birth Nationality Number of travel document or ID card35. Family relationship with an EU