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首页 签证申请表

签证申请表.pdf

签证申请表

冰川与火焰
2012-03-19 0人阅读 举报 0 0 暂无简介

简介:本文档为《签证申请表pdf》,可适用于职业岗位领域

Disclaimer:Thistranslationisprovidedsolelyasacourtesy,inallcasestheEnglishversionshallbedecisiveregardinganyinterpretationofthetext本译文仅供参考所有对本文件的解释以英文版为准SchengenVisaApplicationform申根签证申请表ThisapplicationformshouldbefilledoutinEnglish此表格必须以英文填写Surname(Familyname)(x)姓Forofficialuseonly签证机关专用Surnameatbirth(Formerfamilyname(s)(x)出生时姓氏Dateofapplication:Firstname(s)(Givenname(s)(x)名Visaapplicationnumber:Dateofbirth(daymonthyear)出生日期(日月年)Placeofbirth出生地Countryofbirth出生国Currentnationality现国籍Nationalityatbirth,ifdifferent:出生时国籍如与现国籍不同Applicationlodgedat�EmbassyConsulate�CAC�Serviceprovider�CommercialintermediarySex性别�Male男�Female女Maritalstatus婚姻状况�Single未婚�Married已婚�Separated分居�Divorced离异�Widow(er)丧偶�Other其它……………………………�BorderName:�OtherInthecaseofminors:Surname,firstname,address(ifdifferentfromapplicant’s)andnationalityofparentalauthoritylegalguardian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Filehandledby:Nationalidentitynumber,whereapplicable身份证号码如适用Supportingdocuments:�TraveldocumentTypeoftraveldocument护照种类:�Ordinarypassport普通护照�Diplomaticpassport外交护照�Servicepassport公务护照�Officialpassport因公护照�Specialpassport特殊护照�Other(pleasespecify)其它旅行证件(请注明):……………………………………�Meansofsubsistence�Invitation�Meansoftransport�TMI�Other:Numberoftraveldocument旅行证件编号Dateofissue签发日期Validuntil有效期至Issuedby签发机关Applicant’shomeaddressandemailaddress申请人住址及电子邮件Telephonenumber(s)电话号码Residenceinacountryotherthanthecountryofcurrentnationality是否居住在现时国籍以外的国家�No否�YesResidencepermitorequivalent……………………No…………………Validuntil…………………………是。居留证编号有效期至Visadecision:�Refused�Issued�A�C�LTV*Currentoccupation现职业*Employerandemployer’saddressandtelephonenumberForstudents,nameandaddressofeducationalestablishment工作单位名称地址和电话学生填写学校名称及地址�ValidFrom………………………Until………………………Mainpurpose(s)ofthejourney:旅程主要目的�Tourism旅游�Business商务�VisitingFamilyorFriends探亲访友�Cultural文化�Sports体育�Officialvisit官方访问�Medicalreasons医疗�Study学习�Transit过境�Airporttransit机场过境�Other(pleasespecify)其它(请注明)Numberofentries:���MultiplesNumberofdays:Thisapplicationformisfree此表格免费提供PHOTO照片Disclaimer:Thistranslationisprovidedsolelyasacourtesy,inallcasestheEnglishversionshallbedecisiveregardinganyinterpretationofthetext本译文仅供参考所有对本文件的解释以英文版为准(x)Fieldsshallbefilledinaccordancewiththedatainthetraveldocument字段须依据旅行证件填上相关资料MemberState(s)ofdestination申根目的地MemberStateoffirstentry首入申根国Numberofentriesrequested申请入境次数�Singleentry一次�Multipleentries多次�Twoentries两次DurationoftheintendedstayortransitIndicatenumberofdays预计逗留或过境日数Thefieldsmarkedwith*shallnotbefilledbyfamilymembersofEU,EEAorCHcitizens(spouse,childordependentascendant)whileexercisingtheirrighttofreemovementFamilymembersofEU,EEAorCHcitizensshallpresentdocumentstoprovethisrelationshipandfillinfieldsNoand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、欧洲经济区或瑞士公民的家庭成员必须填写第条及条的问题并提交证明其亲属关系的文件。Schengenvisasissuedduringthepastthreeyears过去三年获批的申根签证�No没有�YesDate(s)ofvalidityfrom………………………………………to…………………………………………有。有效期由至FingerprintscollectedpreviouslyforthepurposeofapplyingforaSchengenvisa以往申请申根签证是否有指纹纪录�No没有�Yes有…………………Date,ifknown如有请写明日期………………Entrypermitforthefinalcountryofdestination,whereapplicable最后目的地之入境许可Issuedby……………………………………Validfrom……………………………until………………………………签发机关有效期由至IntendeddateofarrivalintheSchengenarea预定入境申根国日期IntendeddateofdeparturefromtheSchengenarea预定离开申根国日期*Surnameandfirstnameoftheinvitingperson(s)intheMemberState(s)Ifnotapplicable,nameofhotel(s)ortemporaryaccommodation(s)intheMemberStates(s)申根国的邀请人姓名。如无邀请人请填写申根国的酒店或暂住居所名称Addressandemailaddressofinvitingperson(s)hotel(s)temporaryaccommodation(s)邀请人酒店暂住居所的地址及电字邮件Telephoneandtelefax电话及传真号码*Nameandaddressofinvitingcompanyorganization邀请公司或机构名称及地址Telephoneandtelefaxofcompanyorganisation邀请方电话及传真号码Surname,firstname,address,telephone,telefax,andemailaddressofcontactpersonincompanyorganisation邀请公司机构的联系人姓名、地址、电话、传真及电子邮件*Costoftravelingandlivingduringtheapplicant’sstayiscovered旅费以及在国外停留期间的生活费用Disclaimer:Thistranslationisprovidedsolelyasacourtesy,inallcasestheEnglishversionshallbedecisiveregardinganyinterpretationofthetext本译文仅供参考所有对本文件的解释以英文版为准�bytheapplicanthimselfherself由申请人支付Meansofsupport支付方式�Cash现金�Traveller’scheques旅行支票�Creditcard信用卡�Prepaidaccommodation预缴住宿�Prepaidtransport预缴交通�Other(pleasespecify)其它(请注明)�byasponsor(host,company,organisation),pleaseSpecify由赞助人(邀请人、公司或机构)支付请注明�referredtoinfieldor参照字段及�other(pleasespecify)其它(请注明)Meansofsupport支付方式�Cash现金�Accommodationprovided提供住宿�Allexpensescoveredduringthestay支付旅程期间所有开支�Prepaidtransport预缴交通�Other(pleasespecify)其它(请注明)PersonaldataofthefamilymemberwhoisanEU,EEAorCHcitizen家庭成员为欧盟、欧洲经济区或瑞士公民请填写其个人信息Surname姓Firstname(s)名Dateofbirth出生日期Nationality国籍NumberoftraveldocumentorIDcard旅行证件或身分证编号FamilyrelationshipwithanEU,EEAorCHcitizen申请人与欧盟、欧洲经济区或瑞士公民的关系�spouse�child……………………………�grandchild�dependentascendant配偶子女孙儿女受养人Placeanddate地区及日期Signature(forminors,signatureofparentalauthoritylegalguardian)签字(未成年人由其监护人代签)Iamawarethatthevisafeeisnotrefundedifthevisaisrefused本人知道即使签证被拒也不能退还签证费Applicableincaseamultipleentryvisaisappliedfor(cffieldNo):适用于申请多次入境签证(参照字段)IamawareoftheneedtohaveanadequatetravelmedicalinsuranceformyfirststayandanysubsequentvisitstotheterritoryofMemberStatus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Iamawareofandconsenttothefollowing:thecollectionofthedatarequiredbythisapplicationformandthetakingofmyphotographand,ifapplicable,thetakingoffingerprints,aremandatoryfortheexaminationofthevisaapplicationandanypersonaldataconcerningmewhichappearonthevisaapplicationform,aswellasmyfingerprintsandmyphotographwillbesuppliedtotherelevantauthoritiesoftheMemberStatesandprocessedbythoseauthorities,forthepurposesofadecisiononmyvisaapplicationSuchdataaswellasdataconcerningthedecisiontakenonmyapplicationoradecisionwhethertoannul,revokeorextendavisaissuedwillbeenteredinto,andstoredintheVisaInformationSystem(VIS)()foramaximumperiodoffiveyears,duringwhichitwillbeaccessibletothevisaauthoritiesandtheauthoritiescompetentforcarryingoutchecksonvisasatexternalbordersandwithintheMemberStates,immigrationandasylumauthoritiesintheMemberStatesforthepurposesofverifyingwhethertheconditionsforthelegalentryinto,stayandresidenceontheterritoryoftheMemberStatesarefulfilled,ofidentifyingpersonswhodonotorwhonolongerfulfilltheseconditions,ofexamininganasylumapplicationandofdeterminingresponsibilityforsuchexaminationUndercertainconditionsthedatawillbealsoavailabletodesignatedauthoritiesoftheMemberStatesandtoEuropolforthepurposeoftheprevention,detectionandinvestigationofterroristoffencesandofotherseriouscriminaloffencesTheauthorityoftheMemberStateresponsibleforprocessingthedatais:MinistryofCitizenProtection,GreekPolice,InternationalPoliceCooperationDivision,rdDivisionSIRENE,Kanellopoulou,GRAthens,Tel:,Fax:,Email:infosirenegrcomIamawarethatIhavetherighttoobtaininanyoftheMemberStatesnotificationofthedatarelatingtomerecordedintheVISandoftheMemberStatewhichtransmittedthedata,andtorequestthatdatarelatingtomewhichareinaccuratebecorrectedandthatdatarelatingtomeprocessingunlawfullybedeletedAtmyexpressrequest,theauthorityexaminingmyapplicationwillinformmeofthemannerinwhichImayexercisemyrighttocheckthepersonaldataconcerningmeandhavethemcorrectedordeleted,includingtherelatedremediesaccordingtothenationallawoftheStateconcernedThenationalsupervisoryauthorityofthatMemberStateHellenicDateProtectionAuthority,Kifisiasstr,stfloor,GRAthens,Tel:,Fax:,Email:contactdpagrwillhearclaimsconcerningtheprotectionofpersonaldataIdeclarethattothebestofmyknowledgeallparticularssuppliedbymearecorrectedandcompletedIamawarethatanyfalsestatementswillleadtomyapplicationbeingrejectedortotheannulmentofavisaalreadygrantedandmayalsorendermeliabletoprosecutionunderthelawoftheMemberStatewhichdealswiththeapplicationIundertaketoleavetheterritoryoftheMemberStatesbeforetheexpiryofthevisa,ifgrantedIhavebeeninformedthatpossessionofavisaisonlyoneoftheprerequisitesforentryintotheEuropeanterritoryoftheMemberStatesThemerefactthatavisahasbeengrantedtomedoesnotmeanthatIwillbeentitledtocompensationifIfailtocomplywiththerelevantprovisionsofArticle()ofRegulation(EC)No(SchengenBordersCode)andIamthereforerefusedentryTheprerequisitesforentrywillbecheckedagainonentryintotheEuropeanterritoryoftheMemberStatesDisclaimer:Thistranslationisprovidedsolelyasacourtesy,inallcasestheEnglishversionshallbedecisiveregardinganyinterpretationofthetext本译文仅供参考所有对本文件的解释以英文版为准本人知悉并同意以下条款:该申请表中所有关于本人的个人信息、照片或采集的指纹样本均为审核本人的签证所需。本人在该申请表中所填写的所有个人信息、指纹样本和照片均可提供给申根国家的相关主管部门以便其受理本人的签证申请并对申请作出决定。该信息以及签证结果甚或签证注销、撤消或延期的决定将一并收录到签证信息系统()(VIS系统)并最长保存五年在此期间有根成员国的相关签证部门、边境及境内的签证检查部门以及移民局和难民局均有权登入VIS系统核查签证申请人是否已满足入申根国境并在境内逗留的相应前提件核实不满足或不再满足该前提条件的签证申请人审核难民申请并确定出该申请的主管部门。必要时各申根成员国的特定部门以及欧盟刑警组织均有权参考该信息用于预防、侦察和调查恐怖活动及其它严重犯罪行为。希腊负责管理该类信息的部门是居民保护部希腊警察局国际警察合作司第三处SIRENE,雅典Kanellopoulou,GR电话:,传真:,Email:infosirenegrcom。本人知悉本人有权要求任何一个申根成员国告知VIS系统中都收录了本人哪些个人信息是由哪个申根成员国收录进去的。除此之外本人亦有权申请更正系统中收录的错误信息并删除不合法信息。审核本人签证申请的领事机构会应本人要求提供相关说明性信息如签证申请人应如何行使审核个人信息的权力依据相关申根成员国的法律规定要求更正甚或删除不正确的个人信息的权力以及如何行使向相关申根成员国的主管部门{希腊数据保护机构雅典Kifisiasstr,stfloor,GR,电话:,传真:,Email:contactdpagr}就个人信息保护事宜依法申诉的权力。本人确保以上信息均系本人如实提供确保信息正确而完整。本人知悉提供虚假信息可导致本人签证申请被拒签或已得到的签证被注销甚或受理本人签证的申根国会因此而对本人追究刑事责任。如本人的签证申请被批准本人有义务在在签证到期前离开申根国境。本人亦获悉得到签证仅是具备了进入申根国境的前提条件之一如果本人因未满足编号为EC的欧洲共同体协定中第条第款中所述前提条件而被拒绝入境本人不得要求赔偿。在进入申根成员国的领土时入境条件将被再次审核。Placeanddate地区及日期Signature(forminors,signatureofparentalauthoritylegalguardian)签字(未成年人由其监护人代签)()InsofarastheVISisoperationalSex性别

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