This application form should be filled out in English

此表格必须以英文填写

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Schengen Visa Application form
申根签证申请表

This application form is free
此表格免费

1. Surname (Family name) (x)
姓氏

For official use only

2. Surname at birth (Former family name (s) (x)
出生时姓氏

Date of application:

3. First name (s) (Given name (s) (x)
名字

Visa application number:

签证机关专用

5. Place of birth / 出生地

7. Current nationality / 现国籍

6. Country of birth / 出生国

4. Date of birth (day-month-year)
出生日期 (日-月-年)

Nationality at birth, if different:
出生时国籍，如不同

9. Marital status / 婚姻状况

Single / 未婚

Married / 已婚

Separated / 分居

8. Sex / 性别
Male / 男 Female / 女

Divorced / 离婚

Widow (er) / 丧偶

 Other / 其它 …………………………….

Service passport / 公务护照

Official passport / 官员护照

Diplomatic passport / 外交护照
Special passport / 特殊护照

Other (please specify) / 其它旅行证件（请注明）：……………………………………
13. Number of travel document 旅行证件编号

14. Date of issue 签发日期

15. Valid until 有效期至

17. Applicant’s home address and e-mail address 申请人地址及电邮

Border
Name:
Other

10. In the case of minors: Surname, first name, address (if different from applicant’s) and nationality of parental authority / legal guardian / 未成年人士须填上合法监护人的姓名、地址(如与申请人不同) 、及国籍

11. National identity number, where a pplicable
国民身份证号码，如适用
12. Type of travel document 护照种类： Ordinary passport / 普通护照

Application lodged at
Embassy/Consulate
CAC
Service provider
Commercial intermediary

File handled by:

Supporting documents:
Travel document
Means of subsistence
Invitation
Means of transport
TMI
Other:

16. Issued by 签发机关

Telephone number(s)
电话号码

Visa decision:
Refused
Issued
A

18. Residence in a country other than the country of current nationality 是否居住在现时国籍以外的国家
 No 否
 Yes. Residence permit or equivalent …………………… No ………………… Valid until..…………………………..
是。
居留证
编号
有效期至
*19. Current occupation
现职业
*20. Employer and employer’s address and telephone number. For students, name and address of educational establishment.
工作单位名称，地址和电话，学生填写学校名称及地址

C
LTV

Valid
From ………………………
Until ………………………

21. Main purpose(s) of the journey: 旅程主要目的
Tourism / 旅游
Business / 商务

Visiting Family or Friends / 探亲访友

Cultural / 文化

Sports / 体育

Official visit / 官方访问

Medical reasons / 医疗

Study / 升学

Transit / 过境

Airport transit / 机场过境
Other (please specify) / 其它 (请注明）
(x) Fields 1-3 shall be filled in accordance with the data in the travel document
字段 1-3 须依据旅行证件填上相关资料

Number of entries:
1
2
Multiples

Number of days:

22. Member State (s) of destination / 目的地之申根国

23. Member State of first entry / 最先抵达的申根国

24. Number of entries requested 申请入境次数
Single entry / 一次
Multiple entries / 多次

25. Duration of the intended stay or transit
Indicate number of days
预计逗留或过境日数

Two entries / 两次

The fields marked with * shall not be filled by family members of EU, EEA or CH citizens (spouse, child or dependent ascendan t) while exercising their right to free movement. Family members of EU, EEA or CH citizens shall present documents to prove this relationship and fill in fields No 34 and 35.
欧盟、欧洲经济区或瑞士公民的家庭成员(配偶、子女或赡养的老人)行使其自由往来的权利，不必回答带*的问题，欧盟、欧洲经济区或瑞士公民的
家庭成员必须根据字段 34 及 35 的数据提交证明其亲属关系的文件。
26. Schengen visas issued during the past three years / 过往三年获批的申根签证
No / 没有
Yes. Date (s) of validity from ………………………………………. to …………………………………………..
有。
有效期由
至
27. Fingerprints collected previously for the purpose of applying for a Schengen visa 以往申请申根签证有否指纹纪录
No / 没有

Yes 有

…………………………………………………. Date, if known / 日期，如知道

28. Entry permit for the final country of destination, where applicable 最后目的地之入境许可
Issued by ………………….……...…………… Valid from ……………………………until ………………………………
签发机关
有效日期由
至
29. Intended date of arrival in the Schengen area
预定入境申根国日期

30. Intended date of departure from the Schengen area
预定离开申根国日期

*31. Surname and first