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Schengen Visa Applicationform
申根签证申请表
This application form isfree 此表格免费提供
1. Surname (Family name)(x) For official useonly 姓 签证机关专用 2. Surname at birth (Former family name (s)(x) Date ofapplication: 出生时姓氏 3. First name (s) (Given name (s)(x) Visa applicationnumber: 名 4. Date of birth(day-month-year) 5. Place of birth /出生地 7. Current nationality /现国籍 Application 出生日期(日-月-年) lodgedatEmbassy/C Nationality at birth, ifdifferent: onsulateCAC 6. Country of birth /出生国 出生时国籍，如与现国籍不同 ServiceproviderCommercialintermediary 8. Sex / 性别 9. Marital status /婚姻状况 Single /未婚 Married /已婚BorderMale /男 Female /女 Separated /分居 Divorced /离异 Widow (er) /丧偶Name:Other / 其它……………………………. Other 10. Inthecaseofminors:Surname,firstname,address (ifdifferentfromapplicant’s)andnationalityofparentalauthority/legal guardian / 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 File handledby: 11. National identity number, whereapplicable Supportingdocuments:身份证号码，如适用 Traveldocument 12. Type of travel document护照种类： Ordinary passport /普通护照 Diplomatic passport /外交护照Means ofsubsistenceInvitatiService passport /公务护照 Official passport /因公护照 Special passport /特殊护照on Means Other (please specify) /其它旅行证件（请注明）：…………………………………… oftransportTMI Other: 13. Number 14. Date of issue签发日期 15. Valid until有效期至 16. Issued by签发机关 oftraveldocument旅行 证件编号 17. Applicant’s home address and e-mail address申请人住址及电子邮件 Telephonenumber(s) Visadecision:电话号码 Refused IssuedA 18.Residenceinacountryotherthanthecountryofcurrentnationality是否居住在现时国籍以外的国家 No否 CLTYes.Residencepermitorequivalent……………………No…………………Validuntil..………………………….. V 是。 居留证 编号 有效期至 *19. Currentoccupation 现职业 *20. Employer and employer’s address and telephone number. For students, name and address of educationalestablishment. 工作单位名称，地址和电话，学生填写学校名称及地址 Valid From………………………Until………………………
Disclaimer: This translation is provided solely as a courtesy, in all cases the English version shall be decisive regarding any interpretationof thetext.
本译文仅供参考，所有对本文件的解释以英文版为准
21. Main purpose(s) of the journey:旅程主要目的 Tourism /旅游 Business /商务 Sports /体育 Study /学习 Visiting Family or Friends /探亲访友 Official visit /官方访问 Transit /过境 Number ofentries: 1 2 Multiples Cultural /文化 Number ofdays: Medical reasons /医疗 Airport transit /机场过境 Other (please specify) / 其它(请注明） (x) Fields 1-3 shall be filled in accordance with the data in the traveldocument 字段1-3须依据旅行证件填上相关资料
22. Member State (s) of destination /申根目的地 24. Number of entries requested申请入境次数 Single entry /一次 23. Member State of first entry /首入申根国 25. Duration of the intended stay ortransitIndicate number ofdays预计逗留或过境日数 Multiple entries /多次 Two entries /两次 The fieldsmarkedwith*shallnotbe filledbyfamilymembersofEU,EEAorCHcitizens(spouse,childordependentascendant)while exercisingtheirrighttofree movement. Family members of EU, EEA or CH citizens shall present documents to prove this relationship and fill in fields No 34 and35.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. Schengen visas issued during the past three years /过去三年获批的申根签证 No / 没有 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以往申请申根签证是否有指纹纪录 No /没有 Yes有 …………………Date, if known /如有，请写明日期………………. 28. Entry permit for the final country of destination, where applicable最后目的地之入境许可 Issued by ………………….……...…………… Valid from ……………………………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. Surname and first name of the inviting person (s) in the Member State (s). If not applicable, name of hotel (s)ortemporary accommodation (s) in the Member States(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 Address and e-mail address of inviting person (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. Name and address of inviting company /organization 邀请公司或机构名称及地址 Telephone and telefax of company/organisation邀请方电话及传真号码 Disclaimer: This translation is provided solely as a courtesy, in all cases the English version shall be decisive regarding any interpretationof
thetext.
本译文仅供参考，所有对本文件的解释以英文版为准
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. Cost of traveling and living during the applicant’s stay iscovered 旅费以及在国外停留期间的生活费用 by the applicant himself/herself / 由申请人支付 by a sponsor (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 (please specify) / 其它(请注明) Means of support /支付方式 Cash / 现金 Accommodation provided /提供住宿 All expenses covered during the stay /支付旅程期间 所有开支 Prepaid transport /预缴交通 Other (please specify) /其它(请注明) Means of support /支付方式 Cash / 现金 Traveller’s cheques /旅行支票 Credit card /信用卡 Prepaid accommodation /预缴住宿 Prepaid transport /预缴交通 Other (please specify) /其它(请注明) 34. Personal data of the family member who is an EU, EEA or CHcitizen 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 Date of birth /出生日期 Nationality /国籍 Firstname(s) 名 Number of travel document or IDcard 旅行证件或身分证编号 35. Family relationship with an EU, EEA or CH citizen申请人与欧盟、欧洲经济区或瑞士公民的关系 spouse 配偶 child…….………………………. 子女 grandchild 孙儿女 dependentascendant 受养人 36.Placeand date /地区及日期 37.Signature(forminors,signatureofparentalauthority/legalguardian) 签字（未成年人由其监护人代签）
I am aware that the visa fee is not refunded if the visa is refused /本人知道即使签证被拒也不能退还签证费 Applicable in case a multiple-entry visa is applied for (cf. field No24): / 适用于申请多次入境签证 (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 MemberStatus. 本人知道须预备有足够保额的旅游医疗保险作为首次及其后各次出发到申根国家领域之用
Disclaimer: This translation is provided solely as a courtesy, in all cases the English version shall be decisive regarding any interpretationof thetext.
本译文仅供参考，所有对本文件的解释以英文版为准
Iamawareofandconsenttothefollowing:thecollection ofthedatarequiredbythisapplication formandthetaking ofmyphotograph and,ifapplicable,thetakingoffingerprints,aremandatoryfortheexaminationofthevisaapplication;andanypersonaldataconcerningmewhichappearonthevisaapplicationform,aswellasmyfingerprintsandmyphotographwillbesuppliedtotherelevantauthoritiesoftheMemberStatesandprocessedbythoseauthorities,forthepurposes of a decision on my visaapplication. 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,andstoredin theVisaInformation System(VIS)(1)foramaximumperiodoffiveyears,during which itwillbeaccessibletothevisaauthoritiesandtheauthoritiescompetentforcarrying outcheckson visasatexternalbordersandwithin theMemberStates,immigration andasylumauthoritiesin theMemberStatesforthepurposes of verifying whether the conditions for the legal entry into, stay and residence on the territory of the Member States are fulfilled, of identifyingpersonswhodonotorwhonolongerfulfilltheseconditions,ofexamininganasylumapplicationandofdeterminingresponsibilityforsuchexamination.UndercertainconditionsthedatawillbealsoavailabletodesignatedauthoritiesoftheMemberStatesandtoEuropolforthepurposeoftheprevention,detectionandinvestigationofterroristoffencesandofotherseriouscriminaloffences.TheauthorityoftheMemberStateresponsibleforprocessingthedatais:MinistryforForeignAffairsofFinland,P.O.Box176,00023Government,Finland,e-mail:visas.passports@formin.fi. 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 Statewhichtransmittedthedata,andtorequestthatdatarelating tomewhich areinaccuratebecorrectedandthatdatarelating tomeprocessing unlawfullybedeleted.Atmyexpressrequest,theauthorityexaminingmyapplicationwillinformmeofthemannerinwhichImayexercisemyrighttocheckthepersonaldataconcerning me and have them corrected or deleted, including the related remedies according to the national law of the State concerned. The nationalsupervisoryauthorityof thatMemberState(OfficeoftheDataProtectionOmbudsman,P.O.Box315,00181Helsinki,Finland,e-mail:tietosuoja@om.fi)willhearclaimsconcerning the protection of personaldata. Ideclarethattothebestofmyknowledgeallparticularssuppliedbymearecorrectedandcompleted.Iamawarethatanyfalsestatementswillleadtomyapplication rejectedortotheannulmentofavisaalreadygrantedandmayalsorendermeliabletoprosecution underthelaw oftheMemberStatewhichdeals with theapplication. being IundertaketoleavetheterritoryoftheMemberStatesbeforetheexpiryofthevisa,ifgranted.Ihavebeeninformedthatpossessionofa visa isonlyoneoftheprerequisites for entry into the European territory of the Member States. The mere fact that a visa has been gra nted to me does not mean that I will be entitledtocompensationifIfailtocomplywiththerelevantprovisionsofArticle5(1)ofRegulation(EC)No562/2006(SchengenBordersCode)andIamthereforerefused entry. The prerequisites for entry will be checked again on entry into the European territory of the MemberStates. 本人知悉并同意以下条款：该申请表中所有关于本人的个人信息、照片或采集的指纹样本均为审核本人的签证所需。本人在该申请表中所填写的所有个人信息、指纹样本和照片均可提供给申根国家的相关主管部门，以便其受理本人的签证申请并对申请作出决定。 该信息以及签证结果甚或签证注销、撤消或延期的决定将一并收录到签证信息系统(1)（VIS系统）并最长保存五年，在此期间，所有申根成员国的相关签证部门、边境及境内的签证检查部门以及移民局和难民局均有权登入VIS系统，核查签证申请人是否已满足入申根国境并在境内逗留的相应前提条件；核实不满足或不再满足该前提条件的签证申请人；审核难民申请并确定出该申请的主管部门。必要时，各申根成员国的特定部门以及欧盟刑警组织均有权参考该信息，用于预防、侦察和调查恐怖活动及其它严重犯罪行为。西班牙负责管理该类信息的部门是受理该签证申请的所属领事馆。 本人知悉本人有权要求任何一个申根成员国告知VIS系统中都收录了本人哪些个人信息，是由哪个申根成员国收录进去的。除此之外，本人亦有权申请更正系统中收录的错误信息并删除不合法信息。审核本人签证申请的领事机构会应本人要求提供相关说明性信息，如签证申请人应如何行使审核个人信息的权力，依据相关申根成员国的法律规定要求更正甚或删除不正确的个人信息的权力以及如何行使向相关申根成员国的主管部门就个人信息保护事宜依法申诉的权力。 本人确保以上信息均系本人如实提供，确保信息正确而完整。本人知悉提供虚假信息可导致本人签证申请被拒签或已得到的签证被注销甚或受理本人签证的申根国会因此而对本人追究刑事责任。 如本人的签证申请被批准，本人有义务在在签证到期前离开申根国境。本人亦获悉得到签证仅是具备了进入申根国境的前提条件之一，如果本人因未满足编号为EC562/2006的欧洲共同体协定中第5条第1款中所述前提条件而被拒绝入境，本人不得要求赔偿。在进入申根成员国的领土时，入境条件将被再次审核。 Placeand date/ 地区及日期 Signature(forminors,signatureofparentalauthority/legalguardian) 签字（未成年人由其监护人代签） (1) In so far as the VIS isoperational Disclaimer: This translation is provided solely as a courtesy, in all cases the English version shall be decisive regarding any interpretationof
thetext.
本译文仅供参考，所有对本文件的解释以英文版为准
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