-
This application form should be filled out
in English
此表格必须以英文填写
PHOTO
照片
Schengen Visa Application form
申根签证申请表
This
application form is free
此表格免费提供
For
official use only
签证机关专用
Date of application:
Visa
application number:
1. Surname (Family
name) (x)
姓
2. Surname at birth (Former family name
(s) (x)
出生时姓氏
3. First name (s) (Given name (s) (x)
名
4. Date of birth (day-month-year)
出生日期
(
日
-
月
-
年
)
5. Place of birth /
出生地
6. Country of birth /
出生国
9. Marital status /
婚姻状况
?
Single /
未婚
?
Married /
已婚
?
Separated /
分居
?
Divorced /
离异
?
Widow
(er) /
丧偶
?
Other /
其它
…………………………….
10.
In the case of minors: Surname, firs
t
name, address (if different from applicant’s) and
nationality of parental authority
/
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
11. National identity number, where
applicable
身份证号码，如适用
12.
Type of travel document
护照种类：
?
Ordinary passport /
普通护照
?
Diplomatic passport /
外交护照
?
Service passport /
公务护照
?
Official passport /
因公护照
?
Special passport /
特殊护照
?
Other (please specify) / <
/p>
其它旅行证件（请注明）：
……………………………………
13. Number of travel
14. Date of issue
签发日期
15. Valid
until
有效期至
16.
Issued by
签发机关
document
旅行证件编号
Telephone
number(s)
17. Applicant’s home address
and e
-mail address
申请人住址及电子邮件
电话号码
18.
Residence in a country other than the country of
current nationality
是否居住在现时国籍以外的国家
?
No
否
?
Yes. Residence
permit or equivalent …………………… No
…………………
Valid
until..
…………………………..
是。
居留证
编号
有效期至
*19. Current
occupation
现职业
*20. Employer
and employer’s address and telephone number. For
student
s, name and address of
educational establishment.
工作单位名称，地址和电话，学生填写学校名称及地址
7. Current nationality /
现国籍
Nationality at birth, if different:
出生时国籍，如与现国籍不同
Application lodged at
?
Embassy/Consulate
?
CAC
?
Service provider
?
Commercial intermediary
?
Border
Name:
?
Other
File handled by:
Supporting documents:
?
Travel document
?
Means of subsistence
?
Invitation
?
Means of transport
?
TMI
?
Other:
8. Sex /
性别
?
Male /
男
?
Female /
女
Visa decision:
?
Refused
?
Issued
?
A
?
C
?
LTV
?
Valid
From ………………………
Until ………………………
Number of entries:
?
1
?
2
?
Multiples
Number of days:
21. Main purpose(s) of the
journey:
旅程主要目的
?
Tourism /
旅游
?
Business /
商务
?
Visiting Family or Friends
/
探亲访友
?
Cultural /
文化
?
Sports /
体育
?
Official visit /
官方访问
?
Medical reasons /
医疗
?
Study /
学习
?
Transit /
过境
?
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 travel document
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
23. Member
State of first entry /
首入申根国
24. Number of entries requested
申请入境次数
?
Single entry /
一次
?
Multiple entries /
多次
?
Two entries /
两次
25. Duration of the intended stay or
transit
Indicate number of days
预计逗留或过境日数
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. Intended
date of arrival in the Schengen area
预定入境申根国日期
30.
Intended date of departure from the Schengen area
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) or
temporary 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) / temporary
Telephone and telefax
电话
及
传真号码
accommodation (s)
邀请人
/
酒店
/
暂住居所的地址及电
字邮件
*32. Name and
address of inviting company / organization
Telephone and telefax of company /
邀请公司或机构名称及地址
organisation
邀请方电话及传真号码
Surname, first name, address,
telephone, telefax, and e-mail address of contact
person in company / 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
is covered
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
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
)
?
by a sponsor (host,
company, organisation), please
Specify /
由赞助人（邀请人、公司或机构）支付，
请注明
?
referred to in field 31 or
32 /
参照字段
31
及
32
?
other (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
)