申根国家签证申请表

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1、Photo照片Application for Schengen Visa申根国家签证申请表This application form is free此表免费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FOR EMBASSY /CONSULATE USE ONLY仅供使领馆使用Date of application :File handled by :Supporting documents:o Valid passporto Financial me

2、anso Invitationo Means of transport o Health insurance o Other :Visa:o Refusedo GrantedCharacteristics of Visa:o LTVo Ao Bo Co Do D + CNumber of entries:o 1 o 2o MultipleValid from . To Valid for :.2. Surname(s) at birth (earlier family name(s) /出生时姓（原姓）3. First names (given names) /名4. Date of birt

3、h (year-month-day) /出生日期5. ID-number (optional) /身份证号码（如有则填）6. Place and country of birth /出生地及国家7. Current nationality/ies /现国籍8. Original nationality (nationality at birth) /原国籍9. Sex /性别o Male /男 o Female /女10. Marital status /婚姻状况o Single /未婚 o Married /已婚o Separated /分居o Divorced /离婚 o Widow(er

4、) /丧偶 o Other /其他11. Fathers name /父亲姓名12. Mothers name /母亲姓名13. Type of passport: /护照类型o National passport /私人护照 o Diplomatic passport /外交护照 o Service passport /公务护照o Aliens passport /外国人护照 o Seamans passport /海员护照 o Travel document (1951 Convention) /旅行证件（1951 年 公约）o Other travel document (please

5、specify) /其他旅行证件（请注明）: .14. Number of passport /护照号码15. Issued by /发照机关16. Date of issue/发照日期17. Valid until /有效期至18. If you reside in a country other than your country of origin, have you permission to return to that country? /如果你的居住国不是你的国籍所在国，那么你是否被允许返回居住国？o No /不是o Yes, (number and validity) /是（号

6、码和有效期） .* 19. Current occupation /现职业* 20. Employer and employers address and telephone number. For students, name and address of school. /工作单位名称、地址和电话，学生填学校名称及地址21. Main destination /主要目的地22. Type of Visa /签证类型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 Indiv

7、idual /个人签证o Collective /团体签证24. Number of entries requested /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 /停留时间Visa is requested for /申请签证: . days /天26. Other visas (issued during the past three years) and their period of validity /其他签证（最近三年内）及有效期至27. In

8、 the case of transit, have you an entry permit for the final country of destination? /如需过境，你是否有进入最终目的地国家的入境许可？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 /以前在本申根国或其它申根国家停留情况* The questions marked with * do not have to be ans

9、wered by family members of EU or EEA citizens (spouse, child or dependent ascendant). Family members of EU or EEAcitizens 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 /旅行目的o Tourism /旅游o Business /商

10、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）: .FOR EMBASSY /CONSULATE USE ONLY仅供使领馆使用* 30. Date of arrival /抵达日期* 31. Date of departure /离境日期* 32. Border of first entry or transit route /首次入境地或过境路线* 33. Means of tr

11、ansport /交通工具* 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 /申根国的邀请人或公司名称及该公司的联系人：如不适用 ，请填写在申根国的旅馆名或暂住地址Name/姓名Telephone and telefax /电话及传真号Full address /详细地址e-mail address /电子

12、邮件* 35. Who is paying for your cost of travelling and for your costs of living during your stay? /谁支付你的路费和在国外停留期间的生活费用？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 /在国外

13、停留期间的支付方式：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. Spouses family name /配偶姓38. Spouses family name at birth /配偶原姓39. Spouses first name /配偶名40. Spouses date of birth /配偶出生日期41. Spou

14、ses place of birth /配偶出生地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First name /名Date of birth /出生日期1)2)3)43. Personal data of the EU or EEA citizen you depend on. This question should be answered only by family members ofEU or EEA citizens. /凡

15、涉及你依靠的欧盟或欧洲经济区公民的个人资料，就仅需与欧盟或欧洲经济区公民有亲属关系的申请人填写Name /姓First Name /名Date of Birth /出生日期Nationality /国籍Number of passport /护照号码Family relationship /与欧盟或欧洲经济区公民的亲属关系. . of an EU or EEA citizen44. I am aware of and consent to the following: any personal data concerning me which appear on this visa appli

16、cation form will besupplied to the relevant authorities in the Schengen states and processed by those autho rities, if necessary, for the purposes of a decision on my visa application. Such data may be input into, and stored in, databases accessible to the relevant authorities in the various Schenge

17、n states.At my express request, the consular authority processing my application may inform me of the manner in which I may exercise, via thecentral authority of the state which input the data, my right to check the personal data concerning me and have them altered or deleted, in particular, should

18、they be inaccurat e, in accordance with the national law of the state concerned.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 gra

19、nted and mayalso render me liable to prosecution under the law of the Schengen state which deals with the application.I undertake to leave the territory of the Schengen states upon the expiry of the visa, if granted.I have been informed that possession of a visa is only one of the prerequisites for

20、entry into the European territory of the Schengen 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 5.1 of the Schengen Implementing Convention and am thus refused entry. The prer

21、equisites for entry will be checked again on entry into the European territory of the Schengen states.我知道并同意以下条款：本签证申请表上关于我的任何个人资料，将被提交给有关申根国家的相应机构，以便用于审理我的 签证申请。此资料可以被输入并存储在申根国家的相关机构的数据库中，并由各申根国家的有关机构使用。如我明确请求，对我的申请进行审理的使领馆应通知我，以何种方式可以行使核查有关我的个人资料并依据有关国家法律规定更改或消除错误数据的权利。 我声明，就我所知，我提供的一切资料都是正确和完整的。我

22、知道，任何虚假陈述都将导致拒绝签证或已发签证的废止，也可以根据对我的申请进行审理的申根国家的法律规定进行刑 事追究。如果签证申请被批准，我保证在签证到期时离开申根国家领土。 我获悉，拥有签证只是进入欧洲申根国家领土其中的一个条件。如果没有履行申根执行公约第五条第一款规定的条件而被拒绝入境，那么仅仅拥有签证并不意味着我有权就此要求赔偿。在进入欧洲申根国家的领土时，入境条件再次受到审查。45. Applicants home address /申请人家庭住址46. Telephone number /电话号码47. Place and date /申请地点和日期48. Signature (for minors, signature of custodian/guardian) /签名（ 未成年人由其监护人代签）