申根签证申请表中文翻译本

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

For official use only

签证机关专用

Date of application:

Visa application number:

1. Surname (Family name) (x)

姓氏

2. Surname at birth (Former family name (s) (x)

出生时姓氏

3. First name (s) (Given name (s) (x)

名字

4. Date of birth (day-month-year)

出生日期

(

日

-

月

-

年

)

8. Sex /

性别

?

Male /

男

?

Female /

女

5. Place of birth /

出生地

6. Country of birth /

出生国

7. Current nationality /

现国籍

Nationality at birth, if different:

出生时国籍，如不同

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:

9. Marital status /

婚姻状况

?

Single /

未婚

?

Married /

已婚

?

Separated /

分居

?

Divorced /

离婚

?

Widow (er) /

丧偶

?

Other /

其它

…………………………….

10. In the case of minors: Surname, first name, address (if different from applicant’s) and nationality of parental authority

/

legal guardian /

未成年人士须填上 合法监护人的姓名、地址

(

如与申请人不同

)

、及国

籍

11. National identity number, where applicable

国民身份证号码，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 /

官员护照

?

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

申请人地址及电邮

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

?

Y

es. 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 an

d employer’s address and telephone number. For students, 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

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 /

升学

?

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