Application for Schengen Visa
This application form is free
Zhang
OR OFFICIAL USE ONLY
Visa application number:
San
(day-month-year)
01 JAN 2000
BEIJING CHINA
6. Country of birth
CHINA
Nationality at birth, if different:
Application lodged at □ Embassy/consulate CAC
□ Service provider
□□ Border
■ Male □ Female
Name: Other
File handled by:
Single □ Married
Separated □ Divorced □ Widow(er) Other (please specify)
Travel document nationality of parental authority/legal guardian □ Means of subsistence
□ Invitation
□ Means of transport
□ TMI
□ Other:
11xxxxxxxxxxxx
Visa decision: □ Refused □ Issued: □ A □ C LTV
12. Type of travel document ■ Ordinary passport
□ Diplomatic passport □ Service passport □ Official passport □ Special passport 16. Issued by 13. Number of travel
document
01 JAN 2012 31 DEC 2021 Exit & Entry
Administration Ministry of G12345678
Public Security
□ Valid: From Until
Number of entries: □ 1 □ 2 □ Multiple
17. Applicant's home address and e-mail address
Telephone number(s)
Room XXX, No. XXX, XXX Road Haidian District, Beijing, China xxx@xxx.com
138xxxxxxxx
Number of days:
18. Residence in a country other than the country of current nationality ■ No
□ Yes. Residence permit or equivalent No Valid until
* 19. Current occupation
Farmer
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. (x) Fields 1-3 shall be filled in in accordance with the data in the travel document.
1 Insofar as the VIS is operational.
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