Application for Schengen Visa

Schengen Visa Application

"*" indicates required fields

Step 1 of 2

50%

1. Surname (Family name)*

This field shall be filled in accordance with the data in the travel document

3. First name(s) (Given name(s))*

This field shall be filled in accordance with the data in the travel document

2. Surname at birth (Former family name(s)) (if applicable)

This field shall be filled in accordance with the data in the travel document

4. Date of birth (day-month-year)*

DD slash MM slash YYYY

5. Place of birth*

6. Country of birth*

7. Current Nationality*

Nationality at birth, if different:

Other Nationalities:

Email*

Enter Email Confirm Email

8. Sex*

9. Civil status*

Other (Please specify)*

10. Parental authority (in case of minors) /legal guardian (surname, first name, address, if different from applicant’s, telephone no., e-mail address, and nationality):

11. National identity number, where applicable

12. Type of travel document*

Other (Please specify)*

13. Number of travel document*

14. Date of issue*

DD slash MM slash YYYY

15. Valid until*

DD slash MM slash YYYY

16. Issued by (Country)*

17. Personal data of the family member who is an EU, EEA or CH citizen if applicable

Surname (Family name):

First name(s) (Given name(s)):

Date of birth

DD slash MM slash YYYY

Nationality

Number of travel document or ID card:

18. Family relationship with an EU, EEA or CH citizen if applicable:

Other (please specify)

19. Applicant’s home address, e-mail address*

Telephone number(s)*

20. Residence in a country other than the country of current nationality*

Yes

Residence permit or equivalent no*

Valid Until*

DD slash MM slash YYYY

21. Current occupation*

22. Employer and employer’s address and telephone number. For students, name and address of educational establishment.*

23. Purpose(s) of the journey:*

Tourism

Business

Visiting family or friends

Cultural

Sports

Official visit

Medical reasons

Study

Airport transit

Other (specify)

Other (please specify)

24. Additional information on purpose of stay:

25. Member State of main destination (and other Member States of destination, if applicable)*

Please enter the Schengen State(s) of destination

26. Member State of first entry*

Please enter the first Schengen State you will enter

27. Number of entries requested*

Intended date of arrival of the first intended stay in the Schengen area*

DD slash MM slash YYYY

Intended date of departure from the Schengen area after the first intended stay*

DD slash MM slash YYYY

28. Fingerprints collected previously for the purpose of applying for a Schengen visa*

Yes

Date, If known

DD slash MM slash YYYY

Visa sticker number, if known

29. Entry permit for the final country of destination, where applicable

Issued By

Valid from

DD slash MM slash YYYY

Until

DD slash MM slash YYYY

30. Surname and first name of the inviting person(s) in the Member State(s). IF NOT APPLICABLE, name of hotel(s) or temporary accommodation(s) in the Member State(s)*

Address and e-mail address of inviting person(s)/hotel(s)/temporary accommodation(s)*

Telephone number*

31. Name and address of inviting company/organisation

Surname, first name, address, telephone no., and e-mail address of contact person in company/organisation

Telephone of company/organisation

32. Cost of travelling and living during the applicant’s stay is covered*

Means of support Applicant*

Cash

Traveller’s cheques

Credit card

Pre-paid accommodation

Pre-paid transport

Other (please specify)

Other (Please specify)*

A host, a company, an organisation

Referred to in field 30 or 31 (please specify)*

Referred to in field 30 or 31

Other (please specify)

Please specify

Other (Please specify)*

Means of support Sponsor*

Cash

Accommodation provided

All expenses covered during the stay

Pre-paid transport

Other (please specify)

Other (Please specify)*

DISCLAIMER:

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

Applicable in case a multiple-entry visa is applied for:

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.

I am aware of and consent to the following: the collection of the data required by this application form and the taking of my photograph and, if applicable, the taking of fingerprints, are mandatory for the examination of the application; and any personal data concerning me which appear on the application form, as well as my fingerprints and my photograph will be supplied to the relevant authorities of the Member States and processed by those authorities, for the purposes of a decision on my application.

Such data as well as data concerning the decision taken on my application or a decision whether to annul, revoke or extend a visa issued will be entered into, and stored in the Visa Information System (VIS) for a maximum period of five years, during which it will be accessible to the visa authorities and the authorities competent for carrying out checks on visas at external borders and within the Member States, immigration and asylum authorities in the Member States for the purposes of verifying whether the conditions for the legal entry into, stay and residence on the territory of the Member States are fulfilled, of identifying persons who do not or who no longer fulfil these conditions, of examining an asylum application and of determining responsibility for such examination. Under certain conditions the data will be also available to designated authorities of the Member States and to Europol for the purpose of the prevention, detection and investigation of terrorist offences and of other serious criminal offences. The authority of the Member State responsible for processing the data is: Ministry of Foreign Affairs, Consular Affairs and Visa Policy Department(DCV), Postbus 20061, 2500 EB DEN HAAG.

I am aware that I have the right to obtain, in any of the Member States, notification of the data relating to me recorded in the VIS and of the Member State which transmitted the data, and to request that data relating to me which are inaccurate be corrected and that data relating to me processed unlawfully be deleted. At my express request, the authority examining 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 corrected or deleted, including the related remedies according to the national law of the Member State concerned. The national supervisory authority of that Member State [Autoriteit Persoonsgegevens, Postbus 93374, 2509 AJ DEN HAAG] will hear claims concerning the protection of personal data.

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 Member State which deals with the application.

I undertake to leave the territory of the Member States before 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 Member 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 6(1) of Regulation (EU) No 2016/399 (Schengen Borders Code) and I am therefore refused entry. The prerequisites for entry will be checked again on entry into the European territory of the Member States.

Hidden

Ministry of Foreign Affairs, Consular Affairs and Visa Policy Department(DCV), Postbus 20061, 2500 EB DEN HAAG.

Hidden

Autoriteit Persoonsgegevens, Postbus 93374, 2509 AJ DEN HAAG

Signature

PAYMENT INFORMATION

Address of the Payer*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Translated Schengen Application*

Price:

Total

Credit Card or Debit Card

American Express

Discover

MasterCard

Visa

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number

Expiration Date Month Year

Security Code Cardholder Name