Surname(Familyname)(x)

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1、ThisapplicationformshouldbefilledoutinEnglish此表格必须以英文填写PHOTO照片SchengenVisaApplicationform申根签证申请表Thisapplicationformisfree此表格免费提供1.Surname(Familyname)(x)姓Forofficialuseonly签证机关专用2.Surnameatbirth(Formerfamilyname(s)(x)出生时姓氏Dateofapplication:3.Firstname(s)(Givenname(s)(x)名Visaapplicationnumber:4.Dateo

2、fbirth(day-month-year)出生日期(日-月-年)5.Placeofbirth/出生地6.Countryofbirth/出生国7.Currentnationality/现国籍Nationalityatbirth,ifdifferent:出生时国籍，如与现国籍不同ApplicationlodgedatEmbassy/ConsulateCACServiceproviderCommercialintermediary8.Sex/性别Male/男Female/女9.Maritalstatus/婚姻状况Single/未婚Married/已婚Separated/分居Divorced/离异

3、Widow(er)/丧偶Other/其它…………………………….BorderName:Other10.Inthecaseofminors:Surname,firstname,address(ifdifferentfromapplicant’s)andnationalityofparentalauthority/legalguardian/未成年申请人须填上合法监护人的姓名、住址(如与申请人不同)、及国籍Filehandledby:11.Nationalidentitynumber,whereapplicable身份证号码，如适用Supportingdocuments:Traveldocume

4、nt12.Typeoftraveldocument护照种类：Ordinarypassport/普通护照Diplomaticpassport/外交护照Servicepassport/公务护照Officialpassport/因公护照Specialpassport/特殊护照Other(pleasespecify)/其它旅行证件（请注明）：……………………………………MeansofsubsistenceInvitationMeansoftransportTMIOther:13.Numberoftraveldocument旅行证件编号14.Dateofissue签发日期15.Validuntil有效

5、期至16.Issuedby签发机关17.Applicant’shomeaddressande-mailaddress申请人住址及电子邮件Telephonenumber(s)电话号码Visadecision:RefusedIssuedACLTV18.Residenceinacountryotherthanthecountryofcurrentnationality是否居住在现时国籍以外的国家No否Yes.Residencepermitorequivalent……………………No…………………Validuntil..…………………………..是。居留证编号有效期至*19.Currentoccupa

6、tion现职业*20.Employerandemployer’saddressandtelephonenumber.Forstudents,nameandaddressofeducationalestablishment.工作单位名称，地址和电话，学生填写学校名称及地址ValidFrom………………………Until………………………21.Mainpurpose(s)ofthejourney:旅程主要目的Tourism/旅游Business/商务VisitingFamilyorFriends/探亲访友Cultural/文化Sports/体育Officialvisit/官方访问Medicalre

7、asons/医疗Study/学习Transit/过境Airporttransit/机场过境Other(pleasespecify)/其它(请注明）Numberofentries:12MultiplesNumberofdays:(x)Fields1-3shallbefilledinaccordancewiththedatainthetraveldocument字段1-3须依据旅行证件填上相关资料22.Membe