Text on a Schengen visa application form
The application form for a Schengen visa consists of 37 entry fields and 3 declarations. You do not have to fill in the column on the right, it is intended for processing your application.
Use passport information
It is important that you use the same data for fields 1 -3 (surname, surname and first name) as in your passport stand.
Schengen visa application
1. Surname (family name(s)) (x)
2. Surname at birth (former family name) (x)
3. First name(s) (x)
4. Date of birth (day-month-year)
5. Birthplace
6. Country of birth
7. Current nationality or Nationality at birth, if different:
8. Gender
9. Marital status
10. For minors: Last name, first name, address (if different from the applicant's) and nationality of parental authority/guardian
11. National Identity Number, if applicable
12. Type of travel document
13. Travel document number
14. Date of issue
15. Valid until:
16. Issued by:
17. Applicant's home address and email address Telephone number(s)
18. Stay in a country other than the country of current nationality
*19. Current job
*20. Employer and address and telephone number of the employer. For students, name and address of the educational institution
21. Main purpose(s) of the trip
22. Member State(s) of destination
23. Member State of first entry
* Questions with an * may not be answered by family members of EU, or EEA or CH nationals (dependent ascendant) exercising their right to free movement. Prove family members of EU, EEA relationship with documents and fill in fields 34 and 35.
(x) Fields 1-3 must be completed in accordance with the information on the travel document.
24. Number of entries requested
25. Duration of intended stay or transit (indicate number of days)
26. Schengen visas issued within the past three years
27. Fingerprints (…) previously taken for the application for a Schengen visa
28. Any entry permit for the country that is the final destination of the trip
29. Intended date of arrival in the Schengen area
30. Intended date of departure from the Schengen area
*31. Surname and first name of host(s) in the Member State(s). If not applicable: name of hotel(s) or temporary accommodation(s) in the Member State(s).
*32. Name and address of inviting company inviting organization
*33. Travel expenses and living expenses will be borne during the applicant's stay
34. Personal details of the family member who is an EU, EEA or CH citizen
35. Family relationship with an EU, EEA or CH citizen
36. Place and date
37. Signature (for minors: signature of person exercising parental authority/guardian)
* Questions with an * may not be answered by family members of EU, or EEA or CH nationals (spouse, child or dependent ascendant) exercising their right of free movement. Family members of EU, EEA or CH nationals must prove this relationship with documents and fill in fields 34 and 35.
I understand that the fee will not be refunded if the visa is refused.
Applicable if applying for a multiple-entry visa (see field 24): I am aware that I must have adequate travel health insurance for my first visit and all subsequent visits to the territory of the Member States.
I declare that I have taken note of and agree to the following: In order to examine my visa application, the data requested in this application form must be collected, a photograph must be taken of me and, where appropriate, my fingerprints must be decreased. All my personal data provided on the visa application form, as well as my fingerprints and the photograph taken of me, will be provided to the competent authorities of the Member States and processed by those authorities for the purpose of deciding on my visa application. This data and the data concerning the decision taken on my application or a decision to cancel, revoke or extend an issued visa are entered into the Visa Information System VIS and stored there for a maximum of five years. During that period, they shall be accessible to the visa authorities and the authorities responsible for carrying out visa checks at the external borders and within the Member States, immigration and asylum authorities in the Member States, so that they can verify that the conditions for legal entry and legal residence on the territory of the Member States, to identify persons who do not or no longer fulfill these conditions, to examine an asylum application and to determine who is responsible for this examination. Under certain conditions, the data is also available to the designated authorities of the Member States and to Europol for the purpose of preventing, detecting and investigating terrorist offenses and other serious crime.
The authority of the member state responsible for processing the data is: Ministry of Foreign Affairs, Directorate of Consular Affairs and Visa Policy (DCV), Postbus 20061, 2500 EB DEN HAAG.
I am aware that I have the right to require a Member State to inform me of the data concerning me stored in the VIS and which Member State has sent this data to the VIS, and that I have the right to request that incorrect data about me will be corrected and that unlawfully processed data about me will be destroyed. At my express request, the authority examining my application will inform me of how I can exercise my right to control my personal data and have it corrected or destroyed, including the related measures under national law. legislation of the Member State concerned.
A request with regard to the protection of personal data can be submitted to the national supervisory authority of that Member State (contact details). For the Netherlands, this is: Autoriteit Persoonsgegevens, Postbus 93374,2509, XNUMX AJ DEN HAAG.
I declare that all personal data provided by me is correct and complete to the best of my knowledge. I am aware that false statements will in all cases result in my application being rejected or a visa already issued being canceled and furthermore that I may be subject to prosecution under the law of the Member State processing the application. I declare that I will leave the territory of the Member State before the expiry of the validity of any visa issued. I have been informed that having a visa is only one of the requirements for entering the European territory of the Member States. Possession of a visa does not in itself automatically entitle me to compensation if I do not comply with the relevant provisions of Article 5(1) of Regulation (EC) No 562/2006 (Schengen Borders Code) and I am therefore access is denied. Upon entry into the European territory of the Member States, it will be checked again whether the requirements have been met.
Place and date
Signature (for minors: signature of person exercising parental authority/guardian)
