DOCUMENT PREPARATION SERVICE- ITALY

APPLICANT INFORMATION

SURNAME SURNAME AT BIRTH Former family name FIRST NAME(S)

DATE OF BIRTH PLACE OF BIRTH COUNTRY OF BIRTH

CURRENT NATIONALITY NATIONALITY AT BIRTH, IF DIFFERENT GENDER

Male Female

MARITAL STATUS IF OTHER, PLEASE ENTER DETAILS:

Married Divorced Single Single Widowed Other

APPLICANTS UNDER 18 YEARS OF AGE? If yes please complete this section* If not, skip to next section
NUMBER OF GUARDIANS

One Two

FIRST GUARDIAN'S FULL NAME SECOND GUARDIAN'S FULL NAME

ADDRESS

CITY POSTCODE COUNTRY

TELEPHONE NATIONALITY OF GUARDIAN APPLICANT ID NUMBER

IS THE APPLICANT'S SPOUSE OR FAMILY MEMBER OF EU, EEA, OR A SWISS CITIZEN?

Yes No

TRAVEL DOCUMENT INFORMATION

TYPE OF TRAVEL DOCUMENT IF OTHER, PLEASE ENTER DETAILS:

Ordinary passport Official passport Diplomatic passport Service passport Special passport Other

TRAVEL DOCUMENT NUMBER DATE OF ISSUE DATE OF EXPIRY ISSUING AUTHORITY/ISSUED BY

CONTACT INFORMATION

APPLICANT'S ADDRESS

CITY POSTCODE COUNTRY

TELEPHONE NUMBER MOBILE NUMBER EMAIL ADDRESS

COUNTRY OF RESIDENCE DIFFERENT TO NATIONALITY? IF YES, PROVIDE RESIDENCE PERMIT NUMBER RESIDENCE PERMIT EXPIRY DATE

No Yes

OCCUPATION

CURRENT OCCUPATION EMPLOYER'S NAME NAME OF EDUCATIONAL ESTABLISHMENT

ADDRESS OF EMPLOYEUR OR EDUCATIONAL ESTABLISHEMENT

CITY POSTCODE

COUNTRY TELEPHONE NUMBER

1
TRAVEL DOCUMENT INFORMATION

PURPOSE OF TRAVEL

Business Tourism Airport transit Cultural event

Medical reasons Official visit Sporting event Study

Transit Visit to family or friends Other Work related conference/training/seminar

IF OTHER, PLEASE ENTER DETAILS:

COUNTRY(IES) OF DESTINATION SCHENGEN STATE OF FIRST ENTRY NUMBER OF ENTRIES

Multiple Double Single

DURATION OF INTENDED STAY WAS A SCHENGEN VISA ISSUED IN THE LAST 3 YEARS IF YES, DATE OF ISSUE

No Yes

DATE OF EXPIRY WERE SCHENGEN FINGERPRINTS TAKEN PREVIOUSLY IF YES, DATE FINGERPRINTS WERE TAKEN (IF KNOWN)

No Yes

INTENDED DATES OF ARRIVAL IN THE SCHENGEN AREA INTENDED DATE OF DEPARTURE FROM THE SCHENGEN AREA

TYPE OF INVITING PARTY *please complete appropriate section below based on your answer

No invite Private invitation Company Invitation Hotel/Temporary accommodation

IF YOU SELECTED COMPANY INVITATION COMPLETE THIS SECTION

NAME OF INVITING COMPANY OR ORGANISATION ADDRESS

CITY POSTCODE

COUNTRY TELEPHONE

FAX SURNAME OF INVITING CONTACT

FIRST NAME OF INVITING CONTACT ADDRESS

CITY POSTCODE COUNTRY

TELEPHONE FAX EMAIL ADDRESS

IF YOU SELECTED HOTEL/TEMPORARY ACCOMMODATION COMPLETE THIS SECTION

NAME OF THE HOTEL OR TEMPORARY ACCOMMODATION ADDRESS

CITY POSTCODE

COUNTRY TELEPHONE

FAX EMAIL ADDRESS

IF YOU SELECTED PRIVATE INVITATION COMPLETE THIS SECTION

SURNAME OF THE INVITING PERSON FIRST NAME OF THE INVITING PERSON

ADDRESS CITY

POSTCODE COUNTRY

TELEPHONE FAX

EMAIL ADDRESS

2
TRAVEL COST

TRAVELLING AND LIVING COST WILL BE COVERED BY? IF COST IS NOT COVERED BY YOURSELF BUT BY A SPONSOR, PLEASE STATE WHO

Myself Sponsor

MEANS OF SUPPORT

Credit card Cash Prepaid accommodation Prepaid transport Traveller's cheque Other

PERSONAL DATA OF FAMILY MEMBER WHO IS AN EU, EEA OR CH CITIZEN

SURNAME FIRST NAME

DATE OF BIRTH CURRENT NATIONALITY

NUMBER OF PASSPORT OR PERSONAL ID APPLICANT'S RELATIONSHIP FOR THE EU, EEA OR CH CITIZEN

APPLICANT IS AWARE OF THE NEED TO HAVE AN ADEQUATE TRAVEL MEDICAL INSURANCE FOR THE FIRST AND ANY SUBSEQUENT VISITS TO THE SCHENGEN AREA

Yes No

DECLARATION

I have read and understand the information provided to me at the beginning of the application. I am aware of the conditions that will apply to my visa and that I am required to
abide by them.
SIGNATURE DATE