Schengen Visa Application form_10542：申根签证申请form_10542

Schengen Visa Application form_10542：申根签证申请form_10542 This application form should be filled out in English 此#格#必须以英文填写 PHOTO 照片 Schengen Visa Application form 申根须须申须表 This application form is free 此表格免须提供 1. Surname (Family name) (x)For official use only 姓须须机须须用 2. Surname at birth (Former family name (s) (x)Date of application: 出生须姓氏 3. First name (s) (Given name (s) (x)Visa application number: 名 4. Date of birth (day-month-year)Application lodged at5. Place of birth / 出生地7. Current nationality / 须籍国 出生日期 (日-月-年) 须 Embassy/ConsulateNationality at birth, if different:须 CAC6. Country of birth / 出生国出生须籍～如须须籍不同国与国须 Service provider 须 Commercial intermediary 8. Sex / 性须9. Marital status / 婚姻 状况须 Single / 未婚 须 须 Border 须 Male / 男 须 Female / 女Married / 已婚 Name: 须 Separated / 分居 须 Divorced / 离异 须 Other须 Widow (er) / 须偶 须 Other / 其 ……………………………它.10. In the case of minors: Surname, first name, address (if different from applicant’s) and nationality of parental authority / File handled by:legal guardian / 未成年申须人 须上合法须须人的姓名、住址填(如申须人不同与) 、及国籍 11. National identity number, where applicableSupporting documents: 身须须须～如适用份号须 Travel document12. Type of travel document 须照须须, 须 Ordinary passport / 普通须照 须 Diplomatic passport / 外交须照 须 Means of subsistence 须 Invitation 须 Service passport / 公须须照 须 Official passport / 因公须照 须 Special passport / 特殊须照须 Means of transport 须 Other (please specify) / 其旅行须件;须注明,,……………………………………它须 TMI 须 Other: 13. Number of travel 14. Date of issue 须须日期15. Valid until 有效期至16. Issued by 须须机须document 旅行须件须号 Telephone number(s) Visa decision:17. Applicant’s home address and e-mail address 申须人住址及须子须件须须须号须 Refused 须 Issued 须 A18. Residence in a country other than the country of current nationality 是否居住在须须籍以外的家国国 须 No 否 须 C 须 Yes. Residence permit or equivalent …………………… No ………………… Valid until..…………………………..须 LTV 是。 居留须 须号 有效期至*19. Current occupation 须须须 *20. Employer and employer’s address and telephone number. For students, name and address of educational establishment. 工作须位名～地址和须须～生校名及地址称学填写学称须 Valid From ……………………… Until ………………………Disclaimer: This translation is provided solely as a courtesy, in all cases the English version shall be decisive regarding any interpretation of the text. 本须文须供考～所有参须本文件的解须以英文版须准 Number of entries:21. Main purpose(s) of the journey: 旅程主要目的须 1 2 Multiples须 Tourism / 旅游 须 Business / 商须 须 Visiting Family or Friends / 探须须友 Number of days:须 Cultural / 文化 须 Sports / 体育 须 Official visit / 官 方须须 须 Medical reasons / 医须 须 Study / 学须 须 Transit / 须境 须 Airport transit / 机须须境 须 Other (please specify) / 其 它(须注明, (x) Fields 1-3 shall be filled in accordance with the data in the travel document 字段1-3 须依据旅行须件上相须须料填 22. Member State (s) of destination / 申根目的地23. Member State of first entry / 首入申根国 25. Duration of the intended stay or transit24. Number of entries requested 申须入境次数 Indicate number of days须 Single entry / 一次 须 Multiple 须须逗留或须境日数entries / 多次 须 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 ascendant) 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.欧欧区盟、洲须须或瑞士公民的家庭成须(配偶、子女或须须的老人)行使其自由往的须利～不必回答须;来*,的须须。盟、洲须须或瑞士公民的家庭成号欧欧区 须必须第填写34条及35条并属的须须提交须明其须须系的文件。 26. Schengen visas issued during the past three years / 须去三年须批的申根须须 须 No / 没有 须 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 以往申须申根须须是否有指须须须 须 No / 没有 须 Yes 有 …………………Date, if known / 如有～须明日期………………写. 28. Entry permit for the final country of destination, where applicable 最后目的地之入境须可 Issued by ………………….……...…………… Valid from ……………………………until ……………………………… 须须机须 有效期由 至29. Intended date of arrival in the Schengen area30. Intended date of departure from the Schengen area 须定入境申根日期国 须定须申根日期离国 *31. 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 States (s) 申根的邀须人姓名。如国无邀须人～ 须申根的酒店或须住居所名填写国称 Address and e-mail address of inviting person (s) / hotel (s) / temporary Telephone and telefax 须须 及 须须真号accommodation (s) 邀须人/酒店/须住居所的地址及须字须件 *32. Name and address of inviting company / organizationTelephone and telefax of company / 邀须公司或机名及地址构称organisation 邀须方须须及须须真号 Surname, first name, address, telephone, telefax, and e-mail address of contact person in company / organisation 邀须公司/机的须系人姓名、地址、须须、须及须字须件构真 Disclaimer: This translation is provided solely as a courtesy, in all cases the English version shall be decisive regarding any interpretation of the text. 本须文须供考～所有参须本文件的解须以英文版须准 *33. Cost of traveling and living during the applicant’s stay is covered 旅须以及在外停留期须的生活须用国 须 by the applicant himself/herself / 由申须人支付须 by a sponsor (host, company, organisation), please Specify / 由须助人;邀须人、公司或机,支付～须构Means of support / 支付方式注明须 Cash / 须金 须 referred to in field 31 or 32 / 参照字段31及32须 Traveller’s cheques / 旅行支票 须 other (please specify) / 其 它(须注明)须 Credit card / 信用卡 须 Prepaid accommodation / 须须住宿Means of support / 支付方式须 Prepaid transport / 须须交通须 Cash / 须金须 Other (please specify) / 其它(须注明)须 Accommodation provided / 提供住宿 须 All expenses covered during the stay / 支付旅程期须 所有须支 须 Prepaid transport / 须须交通 须 Other (please specify) / 其它(须注明) 34. Personal data of the family member who is an EU, EEA or CH citizen 家庭成须须盟、洲须须或瑞士公民～须其人信息欧欧区填写个 SurnameFirst name(s) 姓名 Number of travel document or ID cardDate of birth / 出生日期Nationality / 国籍旅行须件或身分须须号 35. Family relationship with an EU, EEA or CH citizen 申须人盟、洲须须或瑞士公民的须系与欧欧区 须 spouse child …….………………………. grandchild dependent ascendant 配偶 子女 须女 受须人儿37. Signature (for minors, signature of parental authority/legal guardian)36. Place and date / 地 及 日期区 须字;未成年人由其须须人代须, I am aware that the visa fee is not refunded if the visa is refused / 本人知道使须须被拒也不能退须须须须即 Applicable in case a multiple-entry visa is applied for (cf. field No24): / 适用于申须多次入境须须 (参照字段24)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 Status. 本人知道须须须有足须保须的旅游须保须作须首次及其后各次出须到申根家须域之用医国 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 visa application; and any personal data concerning me which appear on the visa 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 visa 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 1stored 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 fulfill 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 investigation of terrorist offences and of other serious criminal offences. The authority of the Member State responsible for processing the data is the Directorate of Immigration, Skógarhlíð 6, 105 Reykjavik. www.utl.is 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 processing 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 State concerned. The national supervisory authority of that Member State Data Protection Authority, Persónuvernd, Rauðarárstíg 10, 105 Reykjavik. will hear claims concerning the protection of personal data. I declare that to the best of my knowledge all particulars supplied by me are corrected and completed. 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. Disclaimer: This translation is provided solely as a courtesy, in all cases the English version shall be decisive regarding any interpretation of the text. 本须文须供考～所有参须本文件的解须以英文版须准 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 5(1) of Regulation (EC) No 562/2006 (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. 本人知悉同意以下款,须申须表中所有须于本人的人信息、照片或采集的指须须本均须须核本人的须须所需。本人在须申须表中所的所有人信息、并条个填写个 指须须本和照片均可提供须申根家的相须主管部须～以便其受理本人的须须申须须申须作出定。国并决 须信息以及须须须果甚或须须注须、撤消或延期的定一收须到须须信息系须决将并(1);VIS系须,最须保存五年～在此期须～所有申根成须的相须须须部须、须境及并国 境的须须须须部须以及移民局和须民局均有须登入内VIS系须～核须须须申须人是否已须足入申根境在境逗留的相须前提件～核须不须足或不再须足须前提国并内条条 件的须须申须人～须核须民申须定出须申须的主管部须。必要须～各申根成须的特定部须以及盟刑警须须均有须考须信息～用于须防、须察和须须恐怖活须及其并确国欧参 它须重犯罪行须。须须管理须须信息的部须是: 须移民局冰: Skógarhlíð 6, 105 Reykjavik. www.utl.is. 本人知悉本人有须要求任何一申根成须告知个国VIS系须中都收须了本人些人信息～是由申根成须收须须去的。除此之外～本人亦有须申须更正系哪个哪个国 须中收须的须须信息须除不合法信息。须核本人须须申须的须事机须本人要求提供相须须明性信息～如须须申须人须如何行使须核人信息的须力～依据相须申根并构会个 成须的法律须定国～要求更正甚或须除不正的人信息的须力确个～并向相须申根成须的主管部须国,须信息安保局冰: Rauðarárstíg 10, 105 Reykjavik.就人信个息保须事宜依法申须的须力。 本人保以上信息均系本人如须提供～保信息正而完整。本人知悉提供假信息可须致本人须须申须被拒须或已得到的须须被注须甚或受理本人须须的申根确确确虚 国会因此而须本人追究刑事须任。 如本人的须须申须被批准～本人有须须在在须须到期前须申根境。本人亦须悉得到须须须是具须了须入申根境的前提件之一～如果本人因未须足须须离国国条号 EC562/2006的洲欧体共同须定中第5第条1款中所述前提件而被拒须入境～本人不得要求须须。在须入申根成须的须条国条将土须～入境件被再次须核。 Signature (for minors, signature of parental authority/legal guardian)Place and date / 地 及 日期区须字;未成年人由其须须人代须, 1() In so far as the VIS is operational Disclaimer: This translation is provided solely as a courtesy, in all cases the English version shall be decisive regarding any interpretation of the text. 本须文须供考～所有参须本文件的解须以英文版须准