申根签证申请表填写样本

Schengen Visa Application form 申根签证申请表字段1-3 须依据旅行证件填上相关资料This application form is free 此表格免费此表格以“张三”为例子辅导如何填写申根申请表The fields marked with * shall not be filled by family members of EU, EEA or CH citizens (spouse, child or 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.欧盟、欧洲经济区或瑞士公民的家庭成员(配偶、子女或赡养的老人)行使其自由往来的权利，不必回答带*的问题，欧盟、欧洲经济区或瑞士公民的家庭成员必须根据字段34及35的数据提交证明其亲属关系的文件。

34. Personal data of the family member who is an EU, EEA or CH citizen 家庭成员为欧盟、欧洲经济区或瑞士公民，请填上其个人资料 Surname 姓氏First name(s) 名字Date of birth / 出生日期Nationality / 国籍Number of travel document or ID card 旅行证件或身分证编号35. Family relationship with an EU, EEA or CH citizen 申请人与欧盟、欧洲经济区或瑞士公民的关系spouse child …….………………………. grandchild dependent ascendant 配偶 子女 孙儿女 受养人 36. Place and date / 地区 及 日期37. Signature (for minors, signature of parental authority/legal guardian) 签署（未成年人由其监护人代签）I am aware that the visa fee is not refunded if the visa is refused / 本人知道即使签证被拒也不能退还签证费Applicable in case a multiple-entry visa is applied for (cf. field No24): / 适用于申请多次入境签证 (参照字段24)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 Status. 本人知道须预备有足够保额的旅游医疗保险作为首次及其后各次出发到申根国家领域之用Place and date / 地区 及 日期Signature (for minors, signature of parental authority/legal guardian) 签署（未成年人由其监护人代签）(1) In so far as the VIS is operationalI 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 visa application; and any personal data concerning me which appear on the visa 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 visa 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) (1) 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 fulfill 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 andinvestigation of terrorist offences and of other serious criminal offences. The authority of the Member State responsible for processing the data is: Commission Nationale de l'Informatique et des Libertés – 8, rue Vivienne – 75083 PARIS cedex 02I 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 processing 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 State concerned. The national supervisory authority of that Member State (Commission Nationale de l'Informatique et des Libertés – 8, rue Vivienne – 75083 PARIS cedex 02) will hear claims concerning the protection of personal data.I declare that to the best of my knowledge all particulars supplied by me are corrected and completed. 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 5(1) of Regulation (EC) No 562/2006 (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.我知道并同意以下条款：必须提供本签证申请表上所收集的数据，包括我的照片、以及指纹样本，用作核实我的签证申请。

A1申根签证个人资料表申根签证个人资料表-样板姓名曾用名身份证号婚姻状况目前住址邮编家庭电话手机电子邮箱单位名称单位负责人姓名地址邮编单位电话传真入职时间职务月收入元/月访问目的商务?旅游?探亲?是否有同行人是□否□拟往返日期(必填)2015.11.09-2015.11.17 拟停留天数(必填) 8 前往目的地城市巴塞罗那目的地有无亲戚朋友? 无□有□联系人单位（商务）联系人电话联系地址费用由谁支付自行支付大概花费1000欧元是否有旧护照是否被申根国家拒签过?如有拒签情况请提供细节（国家，何种类型，时间）：曾到过的国家与时间家庭成员（如已过世，仍需提供以下信息）称谓姓名出生日期地址配偶父亲母亲子女曾在某个国家被宣判有罪吗？是否曾以精神病，精神失常或心智不全为理由被宣布无罪释放吗？是否曾被某个国家遣返吗？是否曾在执行遣返命令之前自愿离开某个国家吗？是否曾被拒绝入境或要求离境某个国家吗？是否曾有入欧洲，澳大利亚，新西兰，美洲或日本申请被拒签或者赴这些国家的签证被取消吗？是否曾从事对其它国家安全将带来危险的活动吗？是否曾犯下或参与犯下战争罪行或者反人性或人权的罪行吗？是否对其它政府有未偿还的债务吗？是否曾患过或目前患过肺结核或任何其他严重疾病（包括神经病），病情或残疾？是否如果您对以上任何问题回答“是”，就必须填写所有有关详情：请认真阅读“宣誓”内容及出行前“注意事项1.宣誓：●我宣誓，我在此表中提供了完整，真实，准确的材料。

●我出境旅游的目的是真诚的，我将遵守签证的各项条件。

●我有足够的资金维持本人及列入此申请中包括的所有人往返旅游目的地的一切费用。

●我已就我的健康和品行提供了所有有关的详情。

●我已阅读并理解赴出境游游客须遵守的条件，我愿意并会遵守所有这些条件。

●我不会背离或离开所批准的旅行安排；我明白，我不能申请留在境外超出签证标签上所标明的批准逗留时间，确认在这一日期或之前离开当地。

●我明白我所申请的签证不准许我在任何一国工作。

申根签证申请表Demande de visa Schengen此表免费Ce formulaire est gratuit(x) Les données des cases 1 à 3 doivent correspondre aux données figurant sur le document de voyage.欧盟、欧洲经济区或者瑞士公民的家属（配偶、子女或有赡养关系的长辈）不必回答带有 * 标记的问题。

欧盟、欧洲经济区或者瑞士公民的家属必须提交证明其亲属关系的文件并填写No.34和No.35。

Les rubriques assorties d’un * ne doivent pas être remplies par les membres de la famille de ressortissants de l’Union européenne, de l’EEE ou de la Confédération suisse (conjoint, enfant ou ascendant dépendant) dans l’exercice de leur droit à la libre circulation. Les membres de la famille de ressortissants de l’Union européenne, de l’EEE ou de la Confédération suisse doivent présenter les documents qui prouvent ce lien de parenté et remplissent les cases nos 34 et 35欧盟、欧洲经济区或者瑞士公民的家属（配偶、子女或有赡养关系的长辈）不必回答带有 * 标记的问题。

1. Cognome/cognomi Surname(s) (family name/s)姓A D USO ESCLUSIVODELL’AMBASCIATA O DELCONSOLATOF OR E MBASSY/C ONSULATE USE ONLY办公室保留2. Cognome/cognomi alla nascita (cognome /cognomi precedenti)Surname(s) at birth (earlier family name-s)出生时姓 (其它姓氏)Data della domanda:3. Nome Given name(s) 名Fascicolo esaminato da:4. Data di nascita (anno-mese- giorno)Date of birth (year-month-day)出生日期 (年-月-日)5. Numero di carta d’identità (facoltativo)Id-Number (optional)身份证号(也可不填)Documenti giustificativi :Passaporto validoMezzi di sostentamento6. Luogo di nascita e Stato. Place and country of birth.出生地点和国家 InvitoMezzi di trasportoAssicurazione malattiaDi altro tipo:7. Cittadinanza/cittadinanze attualiCurrent nationality/ies现国籍8.Cittadinanza di origine (cittadinanza alla nascita)Original nationality (nationality at birth)出生时国籍9. Sesso Sex 性别Maschile Male男Femminile Female女10. Stato civile Marital Status婚姻状况Non coniugato Single 未婚 Coniugato Married己婚Separato Separated 分居 Divorziato Divorced离婚Vedovo Widow(er)丧偶 Altro: Other:其它:11.Cognome del padre Father’s name父亲姓名12.Cognome della madre Mother’s name母亲姓名Visto:RifiutatoConcesso13. Tipo di passaporto:Type of passport:护照类别:Passaporto nazionale National passport普通护照Passaporto diplomatico Diplomatic passport 外交护照Passaporto di servizio Service passport公务护照Documento di viaggio (Convenzione del 1951) Travel document (1951 Convention)旅行证 (1951年协议规定)Passaporto per stranieri Alien’s passport外国人护照Passaporto per marittimi Seaman’s passport海员证Documento di viaggio di altro tipo (specificare): Other travel document (please specify):其它种类的旅行证(说明):Caratteristiche del vistoVTLABCDD + CNumero di ingressi1 2 Mult14.Numero del passaporto:Number of passport: 护照号码15. Rilasciato da:Issued b y:签发机关:Valido da............................a…………………….. 16. Data del rilascio:Date of issue: 签发日期17.Valido fino al: Valid until::有效期至:Valido per:* I familiari dei cittadini dell'UE o SEE (coniuge, figlio o ascendente a carico) non devono rispondere ai quesiti indicati con * .Essi devono presentare la documentazione comprovante i loro vincoli familiari.* The questions marked with * do not have to be answered by family members of EU or EEA citizens (spouse, child or dependent ascendant). Family members of EU or EEA citizens have to present documents to prove this relationship.欧盟或欧洲经济处公民的直系亲属(配偶, ,父母,子女)不填写 * 栏目的内容. 但时应提供证明其亲属关系的有效证件和材料.18 .Se soggiorna in uno Stato diverso dallo Stato di origine è autorizzato a rientrare in detto Stato?If you reside in a country other than your country of origin, have you permission to return to that country?若在其它国家居留是否具有再次入境该国的许可证?No 无 Sì (numero e validità) Yes,(number and validity)如果有,许可证种类和有效期：* 19. Occupazione attuale Current occupation现职业:* 20.Datore di lavoro, indirizzo e numero di telefono. Per gli studenti nome e indirizzo dell'istituto di insegnamentoEmployer and employer’s address and telephone number. For students, name and address of school雇主姓名和地址和电话. 学生应该填写学校的名称,地址和电话21. Destinazione principale Main destination主要意大利目的地22. Tipo di visto: Type of visa所申请签证的类别:Transito aeroportuale Airport transit 机场过境Transito Transit过境Soggiorni di breve durata Short stay 短期停留Soggiorni di lunga durata Long stay长期停留23. Visto:Visa: 签证:Individuale individual个人签证Collettivo Collective团体签证24. Numero di ingressi richiesti Number of entries requested 申请入境次数 Uno One entry 一次Due Two Entries 两次Multiplo Multiple entries 多次25. Durata del soggiorno Duration of stay停留时间Visto chiesto per: .........................giorniVisa is requested for:……………..days申请签证的天数..........................26. Altri visti (rilasciati negli ultimi tre anni) e rispettivo periodo di validitàOther visas (issued during the past three years) and their period of validity签发停留的时间和有效期(三年之内签发的)27. In caso di transito, è titolare dell'autorizzazione di ingresso per lo Stato di destinazione finale?In the case of transit, have you an entry permit for the final country of destination? 如属过境签证,是否具有目的地国发出的入境许可证? No无 Sì, valido fino a: Yes, valid until:如果有,许可证有效期至:Autorità che rilascia: Issuing authority:签发机关.................................................................................................................................................................... * 28. Precedenti soggiorni nel presente Stato o in altri Stati SchengenPrevious stays in this or other Schengen states 是否曾经在意大利或其它申根国家停留过?29. Scopo del viaggio Purpose of travel旅行目的Turismo Tourism旅游 Affari Business 商务 Soggiorno presso la famiglia o amici Visit to Family or Friends 探亲或访问朋友Cultura/Sport Cultural/Sport文化/体育活动 Ufficiale Official官方访问Motivi sanitari Medical reasons医疗 Di altro tipo (specificare): Other (please specify):其它种类(说明):.........................................*30. Data di arrivo Date of arrival到达日期…………………………………………………………………………………. •31 Data di partenza Date of departure 离开日期…………………………………………………………………………………….. *32. Frontiera dello Stato del primo ingresso o rotta di transito. Border of first entry or transit route首次入境地点或过境点……………………………………………………..*33 Mezzi di trasporto Means of transport交通工具……………………………………………………………………* 34. Cognome dell'ospite o nome dell'impresa negli Stati Schengen e persona di contatto dell'impresa ospite. Altrimenti indicare il nome dell'albergo o l'indirizzo provvisorio negli Stati SchengenName of host or company in the Schengen states and contact person in host company. If not applicable, give name of hotel or temporary address in the Schengen states ………………………………………………………………………………………………………………在申根国家邀请人姓名或邀请公司名称. 在申根国家居住的饭店地址或短期停留期间住址.Cognome dell'ospite o nome dell'impresa e relativo indirizzo: Name of host or company and address::邀请人姓名或邀请公司名称和地址:…………………………….. Telefono e fax:Telephone and telefax:电话和传真:………………………………………… Indirizzo di posta elettronica E-mail address 电子信箱地址:* 35. A carico di chi sono le spese di viaggio e le spese di soggiorno?Who is paying for your cost of travelling and for your costs of living during your stay? 交通和停留住宿费用承担情况Mio M yself 本人 Ospite/ospiti Host person/s邀请人 Impresa ospite Host company邀请公司Dichiarare le modalità e presentare i documenti giustificativi:State who and how and present corresponding documentation: 提供方式的证明材料:……………………………………………………………………………………………………………………………………….............................................. ……………………………………………………………………………………………………………………………………………………………………… * 36. Mezzi di finanziamento durante il soggiorno Means of support during your stay停留期间的经济担保方式Contanti Cash现金. Travellers’ cheques旅行支票 Carte di credito Credit Cards国际信用卡Assicurazione di viaggio e/o malattia. Valida fino a :Travel and/or health insurance.Valid until:人身意外保险.保险有效期至:............................. (Valida per lo spazio Schengen e con copertura minima di 30.000 EURO/ Valid for the Schengen Countries and with minimum coverage required30.000 EURO/ 在申根国家有效的和保险金额不能低于30.000 欧元 )37．Cognome del coniuge Spouse’s family name配偶姓38. Cognome del coniuge alla nascitaSpouse’s family name at birth配偶出生时所用姓名39. Nome del coniuge Spouse’s name配偶名40.Data di nascita del coniugeSpouse’s date of birth配偶出生日期41. Luogo di nascita del coniugeSpouse’s place of birth 配偶出生地点42. Figli(Le domande devono essere presentate separatamente per ciascun passaporto)Children (Application must be submitted separately for each passport)子女(如果子女各有护照必须分别申请签证)Cognome Surname 姓 Nome First Name名Data di nascita Date of birth 出生日期1 …………………………. ……………………………. ……………………………………………..................2 …………………………. ……………………………. ……………………………………………..................3 …………………………. ……………………………. ……………………………………………..................43. Dati anagrafici del cittadino dell'UE o SEE di cui è a carico. Alla domanda rispondono soltanto i familiari dei cittadini dell'UE o SEEPersonal data of the EU or EEA citizen you depend on. This question should be answered only by family members of EU or EEA citizens.欧盟或欧洲经济处公民的直系亲属的情况. 上述个人情况由与欧盟或欧洲经济处公民有直系亲属关系的申请人填写Cognome Surname姓Nome First Name名Data di nascita Date of birth出生日期Cittadinanza Nationality 国籍Numero del passaporto Number of passport 护照号码Vincolo familiare: del cittadino dell'UE o SEE Family Relationship: of an EU or EEA citizen 与欧盟或欧洲经济处公民具有何种亲属关系:44. Sono informato del fatto e accetto che i miei dati anagrafici che figurano nel presente modulo di domanda di visto siano comunicati alle autorità competenti degli Stati Schengen e, se necessario, trattati dalle stesse, ai fini dell'esame della mia domanda di visto. Tali dati potranno essere introdotti e archiviati in basi di dati alle quali possono avere accesso le autorità competenti dei singoli Stati Schengen.Su mia richiesta espressa, l'autorità consolare che esamina la mia domanda m'informerà di come esercitare il mio diritto a verificare i miei dati anagrafici e a modificarli o sopprimerli, in particolare, qualora fossero inesatti, in conformità del diritto nazionale dello Stato interessato. Dichiaro che a quanto mi consta tutti i dati da me forniti sono completi ed esatti.Sono consapevole che dichiarazioni false comporteranno il respingimento della domanda o l'annullamento del visto già concesso nonché possono comportare azioni giudiziarie ai sensi della legislazione dello Stato Schengen che ha in trattazione la domanda. Mi impegno a lasciare il territorio degli Stati Schengen allo scadere del visto, se concesso.Sono informato che il possesso di un visto è soltanto una delle condizioni necessarie per l'ingresso nel territorio europeo degli Stati Schengen. La meraconcessione del visto non mi dà diritto ad indennizzo qualora non soddisfi le condizioni previste dall'articolo 5, paragrafo 1, della convenzione di applicazione di Schengen e mi venga pertanto rifiutato l'ingresso. Il rispetto delle condizioni d'ingresso sarà verificato ancora all'atto dell'ingresso nel territorio europeo degli Stati Schengen.I am aware of and consent to the following: any personal data concerning me which appear on this visa application form will be supplied to therelevant authorities in the Schengen states and processed by those authorities, if necessary, for the purposes of a decision on my visa application. Such data may be input into, and stored in, databases accessible to the relevant authorities in the various Schengen states.At my express request, the consular authority processing 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 altered or deleted, in particular, should they be inaccurate, in accordance with the national law of the state concerned. 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 Schengen state which deals with the application.I undertake to leave the territory of the Schengen states upon 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 Schengen 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 5.1 of the Schengen Implementing Convention and am thus refused entry. The prerequisites for entry will be checked again on entry into the European territory of the Schengen states我了解并接受将我在此签证申请表格中填写的个人情况资料通报给申根国家主管当局作为签证申请之用. 这些资料可以由申根国家的主管当局使用并由他们存档. 根据我的要求, 领事当局审查我的申请表时将告知根据该国国民权利, 如果发现我的材料不准确时应及时通知我更改或取消. 我非常清楚, 所提供材料完全正确. 我知道, 如果提供虚假材料, 将导致申请不被接受; 如已签证, 可能会被取消; 按照申根国家的法律, 也可能被指控. 如果签证, 本人保证将在签证到期之日前离开申根国家. 我明白, 获得签证只是进入申根国家的前提条件, 根据申根协定第五条第一款, 如被拒入境, 本人将不要求任何赔偿.入境申根国家时有关机构可以检查我是否遵守入境规定. 45. Domicilio d'origine Applicant’s home address 申请人地址46. Telefono Telephone number 电话号码Mobile 手迹(Reserved to the office, 办公室保留) AnnotazioniVisti Schengen…………………….………………………………………………………………………………………Altri Visti……………..…………………………………………………………………………………………………..Viaggia con…………………………………………………………………………………….…………………………Titolo di Studio…………………………………………………………….……………………….…………………….Professione………………………………………………………………..…………………………..………………….Salario…..…………………………………………………………….………………………………..…………………Immobili…..………………………………………………………..………………………………….…………………Automobile…………………………………………………………………………………………….…………………Note Particolari………………………………………………………………………………………….……………….……………………………………………………………………………………………………………………………………….…………………...……………………………………………………………………………………………………………………………………….………………………….…………………………………………………………………………………………………………………………………………………..47. Luogo e data Place ad date 申请地点和日期48. Firma (per i minori firma del titolare dell'affidamento, del tutore)Signature (for minors, signature of custodian/guardian ) 申请人签名(未成年者由监护人签名)。

Schengen Visa Application form 申根签证申请表字段1-3 须依据旅行证件填上相关资料This application form is free 此表格免费此表格以“张三”为例子辅导如何填写申根申请表The fields marked with * shall not be filled by family members of EU, EEA or CH citizens (spouse, child or 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.欧盟、欧洲经济区或瑞士公民的家庭成员(配偶、子女或赡养的老人)行使其自由往来的权利，不必回答带*的问题，欧盟、欧洲经济区或瑞士公民的家庭成员必须根据字段34及35的数据提交证明其亲属关系的文件。

34. Personal data of the family member who is an EU, EEA or CH citizen 家庭成员为欧盟、欧洲经济区或瑞士公民，请填上其个人资料 Surname 姓氏First name(s) 名字Date of birth / 出生日期Nationality / 国籍Number of travel document or ID card 旅行证件或身分证编号35. Family relationship with an EU, EEA or CH citizen 申请人与欧盟、欧洲经济区或瑞士公民的关系spouse child …….………………………. grandchild dependent ascendant 配偶 子女 孙儿女 受养人 36. Place and date / 地区 及 日期37. Signature (for minors, signature of parental authority/legal guardian) 签署（未成年人由其监护人代签）I am aware that the visa fee is not refunded if the visa is refused / 本人知道即使签证被拒也不能退还签证费Applicable in case a multiple-entry visa is applied for (cf. field No24): / 适用于申请多次入境签证 (参照字段24)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 Status. 本人知道须预备有足够保额的旅游医疗保险作为首次及其后各次出发到申根国家领域之用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 visa application; and any personal data concerning me which appear on the visa 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 visa 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) (1) 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 fulfill 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 andinvestigation of terrorist offences and of other serious criminal offences. The authority of the Member State responsible for processing the data is: Commission Nationale de l'Informatique et des Libertés – 8, rue Vivienne – 75083 PARIS cedex 02I 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 processing 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 State concerned. The national supervisory authority of that Member State (Commission Nationale de l'Informatique et des Libertés – 8, rue Vivienne – 75083 PARIS cedex 02) will hear claims concerning the protection of personal data.I declare that to the best of my knowledge all particulars supplied by me are corrected and completed. 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 5(1) of Regulation (EC) No 562/2006 (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.我知道并同意以下条款：必须提供本签证申请表上所收集的数据，包括我的照片、以及指纹样本，用作核实我的签证申请。

申根签证申请表申根签证申请表集团标准化⼯作⼩组 #Q8QGGQT-GX8G08Q8-GNQGJ8-MHHGN#Schengen Visa Application form 申根签证申请表This application form should be filled out in English此表格必须以英⽂填写1. Surname (Family name) (x)姓For official use only 签证机关专⽤ 2. Surname at birth (Former family name (s) (x) 出⽣时姓⽒Date of application: 3. First name (s) (Given name (s) (x) 名Visa application number:4. Date of birth (day-month-year) 出⽣⽇期 (⽇-⽉-年)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，如与现国籍不同Application lodged at Embassy/Consulate CACService providerCommercial intermediary 8. Sex / 性别Male / 男 Female / ⼥9. Marital status / 婚姻状况Single / 未婚 Married / 已婚 Separated / 分居 Divorced / 离异 Widow (er) / 丧偶 Other / 其它 ……………………………. Border Name: Other10. In the case of minors: Surname, first name, address (if different from applicant’s) and nationality of parental authority / legal guardian / 未成年申请⼈须填上合法监护⼈的姓名、住址(如与申请⼈不同) 、及国籍File handled by:11. National identity number, where applicable ⾝份证号码，如适⽤Supporting documents: Travel document 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 / 因公护照 Special passport / 特殊护照 Other (please specify) / 其它旅⾏证件（请注明）：…………………………………… Means of subsistence InvitationMeans of transport TMI Other:13. Number of travel document 旅⾏证件编号14. Date of issue 签发⽇期 15. Valid until 有效期⾄ 16. Issued by 签发机关17. Applicant’s home address and e -mail address 申请⼈住址及电⼦邮件Telephone number(s) 电话号码Visa decision:Refused Issued A C LTV18. 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Yes. Residence permit or equivalent …………………… No ………………… Valid until..………………………….. 是。

申根签证申请表填写样本在线申根签证申请表从本馆网站“赴德须知—签证规定—签证申请表格—在线申根签证申请表”或直接从hp://visdiplde网站下载选择语言（目前可选语言仅为德语和英语），点击“k”确认仔细阅读在线填表信息并点击“eie”继续仔细阅读领区划分信息并点击“eie”继续点击“Neung”图标打开新申请，如曾将申请表存入电脑，则从硬盘下载申请表填表说明（按项目编号排列）1 申请者姓（如“Wng”）曾用姓（没有则不填，勿填“-”或“NO”）3 申请者名（与护照一致）4 申请者出生日期（日/月/年）5 不填6 出生地点（与护照一致）；出生国家（通常为中国即“Chin”）目前国籍（通常为中国即“Chin”）8 最初国籍（通常为中国即“Chin”）9 性别（选择）1婚姻状况（选择）11父亲姓名（填字母，勿填撇号'如Pei'n、连接号-、斜线号/或句号等标点符号。

父母姓名必须填写，无论在世与否。

）1母亲姓名（填字母，勿填撇号'如Pei'n、连接号-、斜线号/或句号等标点符号。

父母姓名必须填写，无论在世与否。

）13护照类型（选择；因公护照选“ndees Reisedkuen”,填写PASSPORT FOR PUBLIC AFFAIRS）14护照号码（仔细填写。

勿将数字1误写为字母l）15签发国家（通常为中国即“Chin”）16签发日期（日/月/年）1有效期至（日/月/年，护照须至少还有六个月有效）18不填19目前职业工作单位或学生就读学校地址、电话；1主要目的地（通常为德国即“Deushlnd”）签证类型（通常为短期居留即“Kuzufenhl”）3签证（为个人签证即“Einzelvisu”）4入境次数（通常为一次入境即“einlige Eineise”）5居留时间（填入计划居留天数，至多“9”）（以市外办批件天数为准）6曾获签证及年份（国名用缩写，如BNL 、USA 、D 4、UK 3）不填8曾在申根国家居留（用缩写，同上）9旅行目的（选择）3到达日期（日/月/年，护照须在居留期满后至少还有三个月有效）31离开日期（日/月/年，护照须在居留期满后至少还有三个月有效）3首次入境地（法兰克福“Fnkfu”、慕尼黑“Münhen”或其他申根国家机场）33交通工具（通常为飞机即“Flugzeug”）34邀请人姓名/单位名称、电话和传真号码、详细地址（包括邮编和城市如8519 Münhen）、电子邮件35旅费承担者（选择）36居留费用类型（选择，医疗保险填写有效期）3配偶姓（填字母，勿填撇号'如Pei'n、连接号-、斜线号/或句号等标点符号）38配偶原姓（填字母，勿填撇号'如Pei'n、连接号-、斜线号/或句号等标点符号）39配偶名（填字母，勿填撇号'如Pei'n、连接号-、斜线号/或句号等标点符号）4配偶出生日期（日/月/年）41配偶出生地点4不填43德国或其他欧盟成员国公民子女或配偶填写44供阅读45申请人详细住址46电话或手机号码4填表地点和日期。

申请申根签证个人资料表
备注：1、请逐项填写上述信息并确保要内容完整、字迹清晰2、电话号码前请注明区号
本人声明：1本人保证以上所填内容完全属实，否则本人将接受被取消申请资格，并由本人承担因此造成的所有风险和损失。

2本人理解是否给予签证的最终决定权是使馆的行政权力，若我被拒签或退签，我愿意承担因此造成的损失。

3本人清楚了解自己在本国籍国家的政治、法律权利及义务，如我因个人原因导致的无法出境或边检扣留等情况带来的所有损失将自行承担。

申请日期：2017年月日
申请人签名：。

捷克签证申根表格填写范例
[姓名] [性别] [出生年月] [国籍]
[护照号码] [护照签发日期] [护照有效期] [家庭住址]
[联系电话] [电子邮件]
申请人拥有的旅行文件：
□ 护照
□ 身份证
□ 其他（请注明）
您计划在捷克停留的时间：
□ 不超过90天
□ 超过90天
□ 其他（请注明）
您计划在捷克的停留目的：
□ 旅游
□ 商务
□ 探亲
□ 学习
□ 其他（请注明）
在捷克停留期间，您计划住在何处：
[住址]
您是否已预订机票：
□ 是
□ 否
您计划在捷克停留期间购买旅游保险：
□ 是
□ 否
以下是您在申请过程中需要提供的材料，请确保您已准备好它们：
1. 护照照片
2. 签证申请表格
3. 护照复印件
4. 预订机票复印件
5. 旅游保险证明
6. 资金证明
7. 酒店预订证明
8. 行程安排
9. 申请费支付证明
请务必在填写表格之前仔细阅读填写说明，并确保填写准确无误。

如果有任何问题，请咨询您的签证代理或有关部门。

[签名] [日期]。

德国申根签证申请表
申根签证申请表
一、个人基本信息
1.基本信息：
（1）姓名：XXX
（2）性别：男
（3）出生日期：xxxx年x月x日
（4）出生地：xx省xx市
（5）民族：xx族
（6）健康状况：XXXX
2.职业：xxxx
3.身份证件信息：
（1）证件号码：xxxxxxxxxxxx
（2）发证机关：xxxxxxxx
（3）有效期：xxxx年x月x日至xxxx年x月x日4.联系方式：
（1）电子邮箱：******************
（2）联系电话：xxxxxxxxxxx
（3）地址：xxxxxx街道xx号
二、申根签证申请
1.申请目的：
（1）访问签证
（2）停留期限：xxxx年x月x日至xxxx年x月x日
（3）将访问哪些国家：德国
2.旅行信息：xxxx
3.费用负担说明：xxxx
4.具体旅行计划：
（1）目的地：德国
（2）预计到达日期：xxxxxxx年x月x日
（3）预计离开日期：xxxxxxx年x月x日。

三、其他资料
1.有效护照及其复印件；
2.近期2寸白底彩色免冠照片2张；
3.近期三个月内银行流水（经营收入及支出）；
4.配偶及未成年子女及成年子女出具监护关系证明；
5.健康保险复印件；
6.经济实力认证；
7.由本人所留办公电话及刻有彩色个人照片的申请人确认函；
8.其他资料：xxxxxx。

foto / 照片Solicitud de visado Schengen申根签证申请表Impreso gratuito / 免费表格Sello de la Embajada o Consulado 使、领馆盖章No se admitirá este formulario cumplimentado en caracteres chinos.此表格不能直接用中文填写。

（中文姓名及中文地址，请用汉语拼音拼写）1. Apellido(s) / 姓2. Si ha lugar, apellidos de soltera / 出生时姓 (其他姓氏)Espacio reservado parala Embajada o Consulado / 使、领馆填写部分 3. Nombre / 名Fecha de solicitud: 4. Fecha de nacimiento (año-mes-día) / 出生日期(年/月/日)5. Número del documento de identidad (optativo) /身份证号(也可不填)Tramitado por: 6. Lugar y país de nacimiento /出生地点和国家7. Nacionalidad o nacionalidades actuales / 现国籍 8. Nacionalidad de origen (nacionalidad pornacimiento) / 出生时国籍Documentos presentados:9. Sexo / 性别Varón / 男 Mujer / 女 10. Estado civil / 婚姻状况: Soltero(a) / 未婚 Casado(a) / 已婚Separado(a) / 分居 Divorciado(a) / 离婚 Viudo(a) / 丧偶 Otro / 其它:11. Nombre del padre / 父亲姓名 12. Nombre de la madre / 母亲姓名Pasaporte válido Medios financieros InvitaciónMedio de transporte Seguro médico Otros:13. Tipo de pasaporte / 护照类别: Pasaporte nacional/ 普通护照 Pasaporte diplomático/ 外交护照 Pasaporte de servicio/ 公务护照Documento de viaje (Convención de 1951)/ 旅行证 (1951年协议规定) Pasaporte para extranjeros/ 外国人护照 Pasaporte para marinos/ 海员证 Otro documento de viaje (indíquese cuál)/ 其他种类的旅行证 (说明): ……………………………………………………………………………………………………………………. 14. Número de pasaporte / 护照号码15. Expedido por / 签发机关 16. Fecha de expedición / 签发日期17. Válido hasta / 有效期至 18. Si no reside usted en su país de origen, ¿se le permite el regreso al país en que reside? / 若在其它国家居留是否具有再次入境该国的许可证? No /无 Sí (número y validez) / 如果有，许可证种类和有效期…………………………………………. Visado: Denegado Concedido * 19. Ocupación actual / 现职业* 20. Nombre, dirección y número de teléfono de la empresa para la que trabaja. Para los estudiantes,nombre y dirección del centro en el que estudian / 雇主姓名，地址和电话。

申根签证申请表Schengen Visa Application formThis application form should be filled outin English此表格必须以英⽂填写1. Surname (Family name) (x) 姓For official use only签证机关专⽤2. Surname at birth (Former family name (s) (x) 出⽣时姓⽒Date of application: 3. First name (s) (Given name (s) (x) 名Visa application number: 4. Date of birth (day-month-year)出⽣⽇期 (⽇-⽉-年)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，如与现国籍不同Application lodged at Embassy/Consulate CACService providerCommercial intermediary 8. Sex / 性别Male / 男 Female / ⼥9. Marital status / 婚姻状况Single / 未婚 Married / 已婚 Separated / 分居 Divorced / 离异 Widow (er) / 丧偶 Other / 其它 ……………………………. Border Name: Other10. In the case of minors: Surname, first name, addres s (if different from applicant’s) andnationality of parental authority / legal guardian / 未成年申请⼈须填上合法监护⼈的姓名、住址(如与申请⼈不同) 、及国籍File handled by:11. National identity number, where applicable ⾝份证号码，如适⽤Supporting documents: Travel document12. 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 / 因公护照 Special passport / 特殊护照Other (please specify) / 其它旅⾏证件（请注明）：…………………………………… Means of subsistence Invitation Means of transport TMI Other:13. Number of travel document 旅⾏证件编号 14. Date of issue 签发⽇期 15. Valid until 有效期⾄16. Issued by 签发机关17. Applicant’s home address and e -mail address 申请⼈住址及电⼦邮件Telephone number(s) 电话号码 Visa decision: RefusedIssued A C LTV 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Yes. Residence permit or equivalent …………………… No ………………… Valid until..…………………………..是。

Schengen Visa Application form 申根签证申请表
This application form should be filled out in English 此表格必须以英文填写
This application form is free 此表格免费提供
(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
The fields marked with * shall not be filled by family members of EU, EEA or CH citizens (spouse, child or dependent ascendant) while exercising their righ 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.
欧盟、欧洲经济区或瑞士公民的家庭成员(配偶、子女或赡养的老人)行使其自由往来的权利，不必回答带（*）号的问题。

欧盟、欧洲经济区或瑞公民的家庭成员必须填写第34条及35条的问题并提交证明其亲属关系的文件。

(1) In so far as the VIS is operational。

申根签证申请表<i>申根签证申请表</i>申根签证申请表姓Application for Schengen VisaTHIS *****TION FORM IS FREE免费领取申请表FOR *****L USE ONLY2. ***** AT BIRTH (Former family name(s)) 出生时姓Date of Application:名Visa Application No:7. ***** *****LITYNationality at birth, if different 现国籍4. DATE OF BIRTH (day-month-year)5. PLACE *****出生地出生日期（日/月/年）Application lodged at6. ***** OF BIRTH出生国家8. SEX 性别9. ***** STATUS 婚姻状况□ Male 男□ Female 女□ Single 单身□ Married 已婚□ Separated 分居□ Divorced 离婚□ Widow(er) 丧偶□ Other 其他（请说明）Embassy/Consulate CACService providerCommercial intermediary BorderName:10. In the case of minors : Surname, first name, address (if different from applicant’s) and nationality ofparental authority/legal guardian 未成年人：须填写合法监护人的姓名、地址(如与申请人相同可不填)及其国籍OtherFile handled by :11. *****L *****Y N°, where applicable 身份证号码12. TYPE OF TRAVEL ***** 旅行证件类型Supporting documents:□ Ordinary Passport 普通护照□ Diplomatic Passport 外交护照□ Service Passport 公务护照□ Official Passport 因公普通护照□ Special Passport 特殊护照□ Other travel docu ment 其他旅行证件，请注明：13. TRAVEL *****T N°证件号码14. DATE OF *****. VALID UNTIL签发日期有效期至16. ISSUED BY签发地区Travel documentMeans of subsistence InvitationMeans of transport TMI Other: Visa decision:17. *****NT’S HOME ***** AND EMAIL ***** 申请人家庭住址及e-mail地址*****NE NUMBER电话号码18. *****CE IN A ***** OTHER THAN THE ***** OF ***** *****LITYRefused Issued: □ A □ C □ VTL是否居住在现国籍以外的国家ValidFrom ……………………. Until …………………….□ No 否□ Yes 是Res idence Permit or equivalent ………………………. N° ……… …… Valid Until……… ……居留许可类型………………………. 编号……………………有效期至……………………….19*. ***** *****ION 现职业Number of entries:□ 1 □ 2 □ MultipleNumber of days:<i>申根签证申请表</i>20.* *****R AND *****R’S ***** AND TEL N°. FOR *****S, NAME AND ***** OF*****ONAL *****SHMENT公司名称、地址和电话，学生填写学校名称及地址21. MAIN *****(S) OF THE *****□ Tourism 旅游□ Business 商务□ Visiting family or friends 探亲访友□ Culture 文化交流□ Sports 体育□ Official Visit 官方访问□ Medic al Reasons 医疗□ Study 学习□ Transit 过境□ Airport Transit 机场过境□ Other (please specify) 其他（需说明）22. MEMBER STATE(S) OF *****TION最终目的地申根国首次入境申根国23. MEMBER STATE OF FIRST ENTRY申请入境次数24. NUMBER OF ***** *****ED25. *****N OF THE *****D STAY OR*****. Indicate number of days□ Single Entry 一次入境□ Two entries 两次入境□ Multiple entries 多次入境预计停留或过境天数The fields marked with * shall not be filled in by family members of EU, EEA or CH citizens (spouse, child or 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.鉴于欧盟、欧洲经济共和体或瑞士公民的家属(配偶、子女或赡养的老人)有行使其自由往来的权力，签证申请人可不必填写表格中带*号的问题项，但必须提交其相应的亲属关系证明文件并如实填写表格中的第34和35项。