This application form should be filled out in English
此表格必须以英文填写
PHOTO
照片
Schengen Visa Application form
申根签证申请表
This application form is free
此表格免费提供
1. Surname (Family name) (x)
姓
For official use only
签证机关专用
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
Visa application number:
4. Date of birth (day-month-year)
出生日期(日-月-年)
5. Place of birth / 出生地
6. Country of birth / 出生国
7. Current nationality / 现国籍
Nationality at birth, if different:
出生时国籍,如与现国籍不同
Application lodged at
Embassy/Consulate
CAC
Service provider
Commercial intermediary
8. Sex / 性别
Male / 男 Female / 女
9. Marital status / 婚姻状况
Single / 未婚 Married / 已婚 Separated / 分居 Divorced / 离异 Widow (er) / 丧偶 Other / 其它…………………………….
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
File handled by:
11. National identity number, where applicable
身份证号码,如适用
Supporting documents:
Travel document
12. Type of travel document 护照种类: Ordinary passport / 普通护照 Diplomatic passport / 外交护照
Service passport / 公务护照 Official passport / 因公护照 Special passport / 特殊护照
Other (please specify) / 其它旅行证件(请注明):……………………………………
Means of subsistence
In
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