Harmonised application form

Application for Schengen Visa

This application form is free

Family members of EU, EEA or CH citizens or of UK nationals who are Withdrawal Agreement beneficiaries shall
not fill in fields no.21, 22, 30, 31 and 32 (marked with*).
Fields 1-3 shall be filled in in accordance with the data in the travel document.

1. Surname (Family name):

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

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

Photo
Date of birth (day-month-year): 5. Place of birth: 7.Current nationality:

Nationality at birth, if
6. Country of birth: different:
FOR OFFICIAL USE ONLY

Other nationalities: Date of application:

8. Sex: 9. Civil status: Application number:

□ Male □ Female □ Single □ Married □ Registered Partnership □ Separated □
Divorced □ Widow(er) □ Other (please specify):
10. Parental authority (in case of minors) /legal guardian (surname, first name, address, if Application lodged at:
different from applicant’s, telephone no., e-mail address, and nationality): □ Embassy/consulate
□ Service provider
□ Commercial
intermediary
11. National identity number, where applicable: □ Border (Name):
…………………………
12. Type of travel document: ………………
□ Ordinary passport □ Diplomatic passport □ Service passport □ Official passport □ Special □ Other:
passport
□ Other travel document (please specify):

13. Number of travel 14. Date of issue: 15. Valid until: 16. Issued by File handled by:
document: (country):

17. Personal data of the family member who is an EU, EEA or CH citizen or a UK national Supporting documents:
who is a Withdrawal Agreement beneficiary, if applicable □ Travel document
Surname (Family name): First name(s) (Given name(s)): □ Means of subsistence
□ Invitation
□ TMI
Date of birth (day-month-year): Nationality: Number of travel □ Means of transport
document or ID card: □ Other:

18. Family relationship with an EU, EEA or CH citizen or a UK national who is a Withdrawal Visa decision:
Agreement beneficiary, if applicable: □ Refused
□ spouse □ child □ grandchild □ dependent ascendant □ Issued:
□ Registered Partnership □ other: □A
□C
□ LTV
19. Applicant's home address and e-mail address: Telephone no.: □ Valid:
From:
Until:

E-mail address: ................................................................

20. Residence in a country other than the country of current nationality:

□ No
□ Yes. Residence permit or equivalent ………………… No. …………………….. Valid
until……………

*
21. Current occupation: Number of entries:
□ 1 □ 2 □ Multiple
*
22. Employer and employer’s address and telephone number. For students, name and address Number of days:
of educational establishment:

23. Purpose(s) of the journey:

□ Tourism □ Business □ Visiting family or friends □ Cultural □ Sports □ Official visit □
Medical reasons □ Study □ Airport transit □ Other (please specify):

24. Additional information on purpose of stay:

25. Member State of main destination (and other 26. Member State of first entry:
Member States of destination, if applicable):

27. Number of entries requested:

□ Single entry □ Two entries □ Multiple entries

Intended date of arrival of the first intended stay in the Schengen area:

Intended date of departure from the Schengen area after the first intended stay:

28. Fingerprints collected previously for the purpose of applying for a Schengen visa:
□ No □ Yes.
Date, if known ……………………..

Visa sticker number, if known …………………………………………………………

29. Entry permit for the final country of destination, where applicable:
Issued by ………………………………..Valid from ……………………until
……………………

*
30. 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 State(s):

Address and e-mail address of inviting Telephone no.:

person(s)/hotel(s)/temporary
accommodation(s):

*
31. Name and address of inviting company/organisation:

Surname, first name, address, telephone no., and Telephone no. of company/organisation:
e-mail address of contact person in
company/organisation:
32. Cost of travelling and living during the applicant’s stay is covered:
*

□ by the applicant himself/herself □ by a sponsor (host, company,

Means of support: organisation), please specify:
□ Cash …….□ referred to in field 30 or 31
□ Traveller’s cheques …….□ other (please specify):
□ Credit card Means of support:
□ Pre-paid accommodation □ Cash
□ Pre-paid transport □ Accommodation provided
□ Other (please specify): □ All expenses covered during the stay
□ Pre-paid transport
□ Other (please specify):

I am aware that the visa fee is not refunded if the visa is refused.

Applicable in case a multiple-entry visa is applied for:

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 Member States.
I am aware of and consent to the following: the collection of the data required by this application form and the taking of my
photograph and, if applicable, the taking of fingerprints, are mandatory for the examination of the application; and any
personal data concerning me which appear on the application form, as well as my fingerprints and my photograph will be
supplied to the relevant authorities of the Member States and processed by those authorities, for the purposes of a decision
on my application.

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, and stored in the Visa Information System (VIS) for a maximum period of five years,
during which it will be accessible to the visa authorities and the authorities competent for carrying out checks on visas at
external borders and within the Member States, immigration and asylum authorities in the Member States for the purposes
of verifying whether the conditions for the legal entry into, stay and residence on the territory of the Member States are
fulfilled, of identifying persons who do not or who no longer fulfil these conditions, of examining an asylum application and
of determining responsibility for such examination. Under certain conditions the data will be also available to designated
authorities of the Member States and to Europol for the purpose of the prevention, detection and investigation of terrorist
offences and of other serious criminal offences. The authority of the Member State responsible for processing the data is:
[National Directorate General for Aliens Policing; Address: H- 1117 Budapest, Budafoki út 60. Tel.: +36 1 4639100].
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 State which transmitted the data, and to request that data relating to me which are inaccurate be
corrected and that data relating to me processed unlawfully be deleted. At my express request, the authority examining my
application will inform me of the manner in which I may exercise my right to check the personal data concerning me and
have them corrected or deleted, including the related remedies according to the national law of the Member State
concerned. The national supervisory authority of that Member State [Authority for Data Protection and Freedom of Information;
Address: H-1055 Budapest, Falk Miksa utca 9-11.; Tel.: +36 (1) 391-1400; Fax:+36 (1) 391-1410; e-mail: [email protected]
website: www.naih.hu] will hear claims concerning the protection of personal data.

I declare that to the best of my knowledge all particulars supplied by me are correct and complete. I am aware that any false
statements will lead to my application being rejected or to the annulment of a visa already granted and may also render me
liable to prosecution under the law of the Member State which deals with the application.
I undertake to leave the territory of the Member States before the expiry of the visa, if granted. I have been informed that
possession of a visa is only one of the prerequisites for entry into the European territory of the Member States. The mere
fact that a visa has been granted to me does not mean that I will be entitled to compensation if I fail to comply with the
relevant provisions of Article 6(1) of Regulation (EU) No 2016/399 (Schengen Borders Code) and I am therefore refused
entry. The prerequisites for entry will be checked again on entry into the European territory of the Member States.

Place and date: Signature:

(signature of parental authority/legal guardian, if
applicable):