Harmonised application form

Application for Schengen Visa

This application form is free

Family members of EU, EEA or CH citizens shall not fill in fields no.21, 22, 30, 31 and 32 (marked
with*).

Fields 1-3 shall be filled in in accordance with the data in the travel document.

1. Surname (Family name): FOR OFFICIAL USE

ONLY

2. Surname at birth (Former family name(s)):

Date of application:

3. First name(s) (Given name(s)):

Application number:

4. Date of birth 5. Place of birth: 7.Current nationality: Application lodged at:

(day-month-year):
6. Country of birth: Nationality at birth, if □ Embassy/consulate
different:
□ Service provider
Other nationalities:
□ Commercial
intermediary

8. Sex: 9. Civil status: □ Border (Name):

□ Male □ Female □ Single □ Married □ Registered Partnership □ ………………………

Separated □ Divorced □ Widow(er) □ Other …………………
(please specify): □ Other:

1 No logo is required for Norway, Iceland, Liechtenstein and Switzerland.

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10. Parental authority (in case of minors) /legal guardian (surname, first File handled by:
name, address, if different from applicant’s, telephone no., e-mail address,
and nationality):

11. National identity number, where applicable: Supporting

documents:

12. Type of travel document:

□ Travel document

□ Ordinary passport □ Diplomatic passport □ Service passport □ Official

passport □ Special passport □ Means of
subsistence

□ Other travel document (please specify):

□ Invitation

13. Number of 14. Date of issue: 15. Valid until: 16. Issued by □ TMI
travel document: (country):

□ Means of transport

□ Other:
17. Personal data of the family member who is an EU, EEA or CH citizen if
applicable
Visa decision:

Surname (Family name): First name(s) (Given name(s)):

□ Refused

□ Issued:

Date of birth Nationality: Number of travel □A

(day-month-year): document or ID
card:
□C

18. Family relationship with an EU, EEA or CH citizen if applicable:

□ LTV

□ spouse □ child □ grandchild □ dependent ascendant

□ Valid:
□ Registered Partnership □ other:

From:
19. Applicant's home address and e-mail address: Telephone no.:

Until:

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20. Residence in a country other than the country of current nationality: Number of entries:

□ No □ 1 □ 2 □ Multiple
□ Yes. Residence permit or equivalent ………………… No.
…………………….. Valid until…………… Number of days:

*21. Current occupation:

*22. Employer and employer’s address and telephone number. For students,
name and address of educational establishment:

23. Purpose(s) of the journey:

□ Tourism □ Business □ Visiting family or friends □ Cultural □ Sports

□ Official visit □ Medical reasons □ Study □ Airport transit □ Other (please
specify):

24. Additional information on purpose of stay:

25. Member State of main destination 26. Member State of first entry:
(and other Member States of
destination, if applicable):

27. Number of entries requested:

□ Single entry □ Two entries □ Multiple entries

Intended date of arrival of the first intended stay in the Schengen area:
Intended date of departure from the Schengen area after the first intended
stay:

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28. Fingerprints collected previously for the purpose of applying for a
Schengen visa: □ No □ Yes.

Date, if known …………………….. Visa sticker number, if known

…………………………………………………………

29. Entry permit for the final country of destination, where applicable:

Issued by ………………………………..Valid from

……………………until ……………………

*30. Surname and first name of the inviting person(s) in the

Member State(s). If not applicable, name of hotel(s) or temporary
accommodation(s) in the Member State(s):

Address and e-mail address of Telephone no.:

inviting person(s)/hotel(s)/temporary
accommodation(s):

*31. Name and address of inviting company/organisation:

Surname, first name, address, Telephone no. of

telephone no., and e-mail address of company/organisation:
contact person in
company/organisation:

*32. Cost of travelling and living during the applicant’s stay is covered:

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□ by the applicant himself/herself □ by a sponsor (host, company,
organisation), please specify:
Means of support:
…….□ referred to in field 30
or 31 …….□ other (please
□ Cash
specify):

□ Traveller’s cheques
Means of support:

□ Credit card
□ Cash

□ Pre-paid accommodation
□ Accommodation provided

□ Pre-paid transport
□ All expenses covered during
the stay
□ Other (please specify):
□ Pre-paid transport

□ Other (please specify):

I am aware that the visa fee is not refunded if the visa is refused.

Applicable in case a multiple entry visa is applied for:

I am aware of the need to have an adequate travel medical insurance for my first stay and any subsequent
visits to the territory of Member States.

I am aware of and consent to the following: the collection of the data required by this application form and
the taking of my photograph and, if applicable, the taking of fingerprints, are mandatory for the examination
of the application; and any personal data concerning me which appear on the application form, as well as my
fingerprints and my photograph will be supplied to the relevant authorities of the Member States and
processed by those authorities, for the purposes of a decision on my application.

Such data as well as data concerning the decision taken on my application or a decision whether to annul,
revoke or extend a visa issued will be entered into, and stored in the Visa Information System (VIS) for a
maximum period of five years, during which it will be accessible to the visa authorities and the authorities
competent for carrying out checks on visas at external borders and within the Member States, immigration
and asylum authorities in the Member States for the purposes of verifying whether the conditions for the
legal entry into, stay and residence on the territory of the Member States are fulfilled, of identifying persons
who do not or who no longer fulfil these conditions, of examining an asylum application and of determining
responsibility for such examination. Under certain conditions the data will be also available to designated
authorities of the Member States and to Europol for the purpose of the prevention, detection and

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investigation of terrorist offences and of other serious criminal offences. The authority of the Member State
responsible for processing the data is:
[(A autoridade do Estado-Membro responsável pelo tratamento dos dados é a Direção Geral dos Assuntos
Consulares e Comunidades Portuguesas (DGACCP)].
I am aware that I have the right to obtain, in any of the Member States, notification of the data relating to me
recorded in the VIS and of the Member State which transmitted the data, and to request that data relating to
me which are inaccurate be corrected and that data relating to me processed unlawfully be deleted. At my
express request, the authority examining my application will inform me of the manner in which I may
exercise my right to check the personal data concerning me and have them corrected or deleted, including the
related remedies according to the national law of the Member State concerned.The national supervisory
authority of that Member State is the "Comissão Nacional de Proteção de Dados (CNPD) [contact
details: Rua de São Bento nº. 148 – 3º, 1200-821 Lisboa, (www.cnpd.pt)] will hear claims concerning
the protection of personal data.

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 granted and may also render me liable to prosecution under the law of the Member State which deals
with the application.

I undertake to leave the territory of the Member States before the expiry of the visa, if granted. I have been
informed that possession of a visa is only one of the prerequisites for entry into the European territory of the
Member 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 6(1) of Regulation (EU) No 2016/399
(Schengen Borders Code) and I am therefore refused entry. The prerequisites for entry will be checked again
on entry into the European territory of the Member States

Place and date: Signature:

(signature of parental authority/legal guardian,

if applicable):