申根签证表单

Disclaimer:Thistranslationisprovidedsolelyasacourtesy,inallcasestheEnglishversionshallbedecisiveregardinganyinterpretationofthetext.本译文仅供参考，所有对本文件的解释以英文版为准SchengenVisaApplicationform申根签证申请表ThisapplicationformshouldbefilledoutinEnglish此表格必须以英文填写1.Surname(Familyname)(x)姓Forofficialuseonly签证机关专用2.Surnameatbirth(Formerfamilyname(s)(x)出生时姓氏Dateofapplication:3.Firstname(s)(Givenname(s)(x)名Visaapplicationnumber:4.Dateofbirth(day-month-year)出生日期(日-月-年)5.Placeofbirth/出生地6.Countryofbirth/出生国7.Currentnationality/现国籍Nationalityatbirth,ifdifferent:出生时国籍，如与现国籍不同ApplicationlodgedatEmbassy/ConsulateCACServiceproviderCommercialintermediary8.Sex/性别Male/男Female/女9.Maritalstatus/婚姻状况Single/未婚Married/已婚Separated/分居Divorced/离异Widow(er)/丧偶Other/其它…………………………….BorderName:Other10.Inthecaseofminors:Surname,firstname,address(ifdifferentfromapplicant’s)andnationalityofparentalauthority/legalguardian/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Filehandledby:11.Nationalidentitynumber,whereapplicable身份证号码，如适用Supportingdocuments:Traveldocument12.Typeoftraveldocument护照种类：Ordinarypassport/普通护照Diplomaticpassport/外交护照Servicepassport/公务护照Officialpassport/因公护照Specialpassport/特殊护照Other(pleasespecify)/其它旅行证件（请注明）：……………………………………MeansofsubsistenceInvitationMeansoftransportTMIOther:13.Numberoftraveldocument旅行证件编号14.Dateofissue签发日期15.Validuntil有效期至16.Issuedby签发机关17.Applicant’shomeaddressande-mailaddress申请人住址及电子邮件Telephonenumber(s)电话号码18.Residenceinacountryotherthanthecountryofcurrentnationality是否居住在现时国籍以外的国家No否Yes.Residencepermitorequivalent……………………No…………………Validuntil..…………………………..是。居留证编号有效期至Visadecision:RefusedIssuedACLTV*19.Currentoccupation现职业*20.Employerandemployer’saddressandtelephonenumber.Forstudents,nameandaddressofeducationalestablishment.工作单位名称，地址和电话，学生填写学校名称及地址ValidFrom………………………Until………………………21.Mainpurpose(s)ofthejourney:旅程主要目的Tourism/旅游Business/商务VisitingFamilyorFriends/探亲访友Cultural/文化Sports/体育Officialvisit/官方访问Medicalreasons/医疗Study/学习Transit/过境Airporttransit/机场过境Other(pleasespecify)/其它(请注明）Numberofentries:12MultiplesNumberofdays:Thisapplicationformisfree此表格免费提供PHOTO照片Disclaimer:Thistranslationisprovidedsolelyasacourtesy,inallcasestheEnglishversionshallbedecisiveregardinganyinterpretationofthetext.本译文仅供参考，所有对本文件的解释以英文版为准(x)Fields1-3shallbefilledinaccordancewiththedatainthetraveldocument字段1-3须依据旅行证件填上相关资料22.MemberState(s)ofdestination/申根目的地23.MemberStateoffirstentry/首入申根国24.Numberofentriesrequested申请入境次数Singleentry/一次Multipleentries/多次Twoentries/两次25.DurationoftheintendedstayortransitIndicatenumberofdays预计逗留或过境日数Thefieldsmarkedwith*shallnotbefilledbyfamilymembersofEU,EEAorCHcitizens(spouse,childordependentascendant)whileexercisingtheirrighttofreemovement.FamilymembersofEU,EEAorCHcitizensshallpresentdocumentstoprovethisrelationshipandfillinfieldsNo34and35.欧盟、欧洲经济区或瑞士公民的家庭成员(配偶、子女或赡养的老人)行使其自由往来的权利，不必回答带（*）号的问题。欧盟、欧洲经济区或瑞士公民的家庭成员必须填写第34条及35条的问题并提交证明其亲属关系的文件。26.Schengenvisasissuedduringthepastthreeyears/过去三年获批的申根签证No/没有Yes.Date(s)ofvalidityfrom……………………………………….to…………………………………………..有。有效期由至27.FingerprintscollectedpreviouslyforthepurposeofapplyingforaSchengenvisa以往申请申根签证是否有指纹纪录No/没有Yes有…………………Date,ifknown/如有，请写明日期……………….28.Entrypermitforthefinalcountryofdestination,whereapplicable最后目的地之入境许可Issuedby………………….……...……………Validfrom……………………………until………………………………签发机关有效期由至29.IntendeddateofarrivalintheSchengenarea预定入境申根国日期30.IntendeddateofdeparturefromtheSchengenarea预定离开申根国日期*31.Surnameandfirstnameoftheinvitingperson(s)intheMemberState(s).Ifnotapplicable,nameofhotel(s)ortemporaryaccommodation(s)intheMemberStates(s)申根国的邀请人姓名。如无邀请人，请填写申根国的酒店或暂住居所名称Addressande-mailaddressofinvitingperson(s)/hotel(s)/temporaryaccommodation(s)邀请人/酒店/暂住居所的地址及电字邮件Telephoneandtelefax电话及传真号码*32.Nameandaddressofinvitingcompany/organization邀请公司或机构名称及地址Telephoneandtelefaxofcompany/organisation邀请方电话及传真号码Surname,firstname,address,telephone,telefax,ande-mailaddressofcontactpersonincompany/organisation邀请公司/机构的联系人姓名、地址、电话、传真及电子邮件*33.Costoftravelingandlivingduringtheapplicant’sstayiscovered旅费以及在国外停留期间的生活费用Disclaimer:Thistranslationisprovidedsolelyasacourtesy,inallcasestheEnglishversionshallbedecisiveregardinganyinterpretationofthetext.本译文仅供参考，所有对本文件的解释以英文版为准bytheapplicanthimself/herself/由申请人支付Meansofsupport/支付方式Cash/现金Traveller’scheques/旅行支票Creditcard/信用卡Prepaidaccommodation/预缴住宿Prepaidtransport/预缴交通Other(pleasespecify)/其它(请注明)byasponsor(host,company,organisation),pleaseSpecify/由赞助人（邀请人、公司或机构）支付，请注明referredtoinfield31or32/参照字段31及32other(pleasespecify)/其它(请注明)Meansofsupport/支付方式Cash/现金Accommodationprovided/提供住宿Allexpensescoveredduringthestay/支付旅程期间所有开支Prepaidtransport/预缴交通Other(pleasespecify)/其它(请注明)34.PersonaldataofthefamilymemberwhoisanEU,EEAorCHcitizen家庭成员为欧盟、欧洲经济区或瑞士公民，请填写其个人信息Surname姓Firstname(s)名Dateofbirth/出生日期Nationality/国籍NumberoftraveldocumentorIDcard旅行证件或身分证编号35.FamilyrelationshipwithanEU,EEAorCHcitizen申请人与欧盟、欧洲经济区或瑞士公民的关系spousechild…….……………………….grandchilddependentascendant配偶子女孙儿女受养人36.Placeanddate/地区及日期37.Signature(formino