欧洲申根签证申请表 word 版

ApplicationforSchengenVisaPleasefillinthisapplicationformonlyinEnglishThisapplicationformisfree此表免费1.Surname(s)(familyname(s))/姓forembassy/CONSULATEUSEONLY仅供使领馆使用Dateapplication:Filehandledby:Supportingdocuments:口Validpassport口Financialmeans口Invitation口Meansoftransport口Healthinsurance口Other:Visa:口Refused口Granted、CharacteristicsofVisa:口LTV口A口B口C口D口D+CNumberofentries:口1口2口MultipleValidfromToValidfor:2.Surname(s)atbirth(earlierfamilyname(s))/出生时姓(原姓)3.Firstnames(givennames)/名4.Dateofbirth(year-month-day)/出生日期5.ID-number(optional)/身份证号码(如有则填)6.Placeandcountryofbirth/出生地及国家7.Currentnationality/ies/现国籍8.Originalnationality(nationalityatbirth)/原国籍9.Sex/性别□Male/男□Female/女10.Maritalstatus:/婚姻状况Single/未婚口Married/已婚口Separated/分居Divorced/离婚□Widow(er)/丧偶□Other/苴他11.Father'sname/父亲姓名12.Mother'sname/母亲姓名13.Typeofpassport:/护照类型Nationalpassport/私人护照□DiplomatiAlien'spassport/外国人护照口Seaman'Othertraveldocument(pleasespecify):/其cpassport/外交护照口Servicepassport/公务护照spassport/海员护照口Traveldocument(1951Convention)/旅行证件其他旅行证件(请注明)14.Numberofpassport/护照号码15.Issuedby/发照机关16.Dateofissue/发照日期17.Validuntil/有效期至18.Ifyouresideinacountryotherthanyourcountryoforigin,haveyoupermissiontoreturntothatcountry?/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？□No/不是□Yes(numberandvaliditv)/是(号码和有效期)*19.Currentoccupation/现职业*20.Employerandemployer'saddressandtelephonenumber.Forstudents,nameandaddressofschool./工作单位名称、地址和电话，学生填学校名称及地址21.Maindestination/主要目的地22.TypeofVisa:/签Airporttransit/机场Shortstay/短期停留匚证类型过境口Transit/过境□Longstay/长期停留23.Visa:Individual/个人签证Collective/团队签证24.Numberofentriesrequested/申请入境次数Singleentry/一次入境口Twoentries/两次入境Multipleentries/多次入境25.Durationofstay/停留时间Visaisrequestedfor：/由请签证days/天26.Othervisas(issuedduringthepastthreeyears)andtheirperiodofvalidity/其他签证(最近三年内)及有效期至27.Inthecaseoftransit,haveyouanentrypermitforthefinalcountryofdestination?/如需过境，你是否有进入最终目的地国家的入境许可？□No/没有□Yes.validuntil:/有，有效期至Issuingauthority：/签发机关*28.PreviousstaysinthisorotherSchengenstates/以前在本申根国或其他申根国家停留情况*Thequestionsmarkedwith*donothavetobeansweredbyfamilymembersofEUorEEAcitizens(spouse,childordependentascendant).FamilymembersofEUorEEAcitizenshavetopresentdocumentstoprovethisrelationship.*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*问题。欧盟或欧洲经济区公民的家庭成员必须提交 证明 住所证明下载场所使用证明下载诊断证明下载住所证明下载爱问住所证明下载爱问 其家属关系的文件29.Purposeoftravel/旅行目的□Tourism/旅游□Business/商务□VisittoFamilyorFriends/探亲□Official/公务□Medicalreasons/医疗□Other(pleasespecify)，/苴他访友DCultural/Sports/文化/体育他（请详细注明）Forembassy/CONSULATEUSEONLY仅供使领馆使用*30.Dateofarrival/抵达日期*31.Dateofdeparture/离境日期*32.Borderoffirstentryortransitroute/首次入境地或过境路线33.Meansoftransport/交通工具*34.NameofhostorcompanyintheSchengenstatesandcontactpersoninhostcompany.Ifnotapplicable,givenameofhotelortemporaryaddressintheSchengenstates/申根国的邀请人或公司名称及该公司的联系人：如不适.请埴写在由根国的旅馆或暂住地址Name/姓名Telephoneandtelefax/电话及传真号Fulladdress/详细地址e-mailaddress/电子邮件*35.Whoispayingforyourcostoftravellingandforyourcostsoflivingduringyourstay?谁支付你的路费和在国外停留期间的生活费用？□Myself/申请人□Hostperson/s/邀请人□Hostcompany.(Statewhoandhowandpresentcorrespondingdocumentation)*/邀请公司(请注明何人和如何支付-并出示相关材料)*36.Meansofsupportduringyourstay/在国外停留期间的支付方式□Cash/现金□Travellers'cheques/旅行支票□Creditcards/信用卡□Accommodation/有住房□Other:/其它□Traveland/orhealthinsuranceValiduntil，/旅行和/或医疗保险.有效期至.37.Spouse'sfamilyname/配偶姓38.Spouse'sfamilynameatbirth/配偶原姓39.Spouse'sfirstname/配偶名40.Spouse'sdateofbirth/配偶出生日期41.Spouse'splaceofbirth/配偶出生地42.Children(Applicationsmustbesubmittedseparatelyforeachpassport)/子女(每本护照都须分别递交申请表)Name/姓Firstname/名Dateofbirth/出生日期1)2)3)43.PersonaldataoftheEUorEEAcitizenyoudependon.ThisquestionshouldbeansweredonlybyfamilymembersofEUorEEAcitizens•/凡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埴写Name/姓FirstName/名DateofBirth/出生日期Nationality/国籍Numberofpassport/护照号码Familyrelationship:/与欧盟或欧洲经济区公民的亲属关系ofanEUorEEAcitizen44.Iamawareofandconsenttothefollowing:anypersonaldataconcerningmewhichappearonthisvisaapplicationformwillbesuppliedtotherelevantauthoritiesintheSchengenstatesandprocessedbythoseauthorities,ifnecessary,forthepurposesofadecisiononmyvisaapplication.Suchdatamaybeinputinto,andstoredin,databasesaccessibletotherelevantauthoritiesinthevariousSchengenstates.Atmyexpressrequest,theconsularauthorityprocessingmyapplicationwillinformmeofthemannerinwhichImayexercisemyrighttocheckthepersonaldataconcerningmeandhavethemalteredordeleted,inparticular,shouldtheybeinaccurate,inaccordancewiththenationallawofthestateconcerned.Ideclarethattothebestofmyknowledgeallparticularssuppliedbymearecorrectandcomplete.IamawarethatanyfalsestatementswillleadtomyapplicationbeingrejectedortotheannulmentofavisaalreadygrantedandmayalsorendermeliabletoprosecutionunderthelawoftheSchengenstatewhichdealswiththeapplication.IundertaketoleavetheterritoryoftheSchengenstatesupontheexpiryofthevisa,ifgranted.IhavebeeninformedthatpossessionofavisaisonlyoneoftheprerequisitesforentryintotheEuropeanterritoryoftheSchengenstates.ThemerefactthatavisahasbeengrantedtomedoesnotmeanthatIwillbeentitledtocompensationifIfailtocomplywiththerelevantprovisionsofArticle5.1oftheSchengenImplementingConventionandamthusrefusedentry.TheprerequisitesforentrywillbecheckedagainonentryintotheEuropeanterritoryoftheSchengenstates.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一45.Applicant'shomeaddress/申请人家庭地址46.Telephonenumber/电话号码47.Placeanddate/申请地点和日期48.Signature(forminors,signatureofcustodian/guardian)/签名(未成年人由其监护人代签)