21. Main purpose(s) of the journey:
Tourism Business Visiting family or friends Cultural Sports Official visit
Medical reasons
Study Transit Airport transit Other (please specify)
22. Member State(s) of destination
23. Member State of first entry
24. Number of entries requested
Single entry Two entries Multiple entries
25. Duration of the intended stay or transit
Indicate number of days
26. Schengen visas issued during the past three years No Yes: date(s) of validity from …………………. to
27.Fingerprints collected previously for the purpose of applying for a Schengen visa
No Yes. Date, if known …………………………………………………………….
28. Entry permit for the final country of destination, where applicable
Issued by ………………………………..Valid from …………………………until……………………………………………….
29. Intended date of arrival in the Schengen area
30. Intended date of departure from the Schengen area
* 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 State(s)
Address of inviting person(s)/hotel(s)/temporary accommodation(s)
Email address: Telephone nr:
*32. Surname, first name, address, telephone, telefax, and e-mail address of contact person in company/organisation
*33. Cost of travelling and living during the applicant's stay is covered
by the applicant himself/herself
Means of support
Cash
Traveller's cheques
Credit card
Pre-paid accommodation
Pre-paid transport
Other (please specify)
by a sponsor (host, company, organisation), please specify:
…… referred to in field 31 or 32 other (please specify)
Means of support
Cash
Accommodation provided
All expenses covered during the stay
Pre-paid transport
Other (please specify)
34. Personal data of the family member who is an EU, EEA or CH citizen
Surname
First name(s)
Date of birth Nationality Number of travel document or ID card
35. Family relationship with an EU, EEA or CH citizen
spouse child grandchild dependent ascendant
36. Place and date 37. Signature (for minors, signature of parental authority/legal guardian)