"Italian Schengen Visa Application Form - Consolato Generale D'italia" - Karachi, Pakistan

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Download "Italian Schengen Visa Application Form - Consolato Generale D'italia" - Karachi, Pakistan

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Photo
Consolato Generale d’Italia
Karachi
Application for Schengen Visa
1.
Surname(s)
(family name(s))
F
/
OR EMBASSY
CONSULATE USE ONLY
2.
Surname(s)
at birth (earlier family name(s))
Date application :
3. First names (given names)
4. Date of birth (year-month-day)
5. ID-number (optional)
File handled by :
6. Place and country of birth
Supporting documents:
Valid passport
7. Current nationality/ies
8. Original nationality (nationality at birth)
Financial means
Invitation
9. Sex
10. Marital status :
Male
Female
Single Married Separated
Divorced Widow(er)
Means of transport
Health insurance
Other
Other :
11. Father’s name
12. Mother’s name
13. Type of passport:
National passport
Diplomatic passport
Service passport
Travel document (1951 Convention)
Alien’s passport
Seaman’s passport
Other travel document (please specify):
………………………………………………………………………… ………….…
14. Number of passport
15. Issued by
16. Date of issue
17. Valid until
18. If you reside in a country other than your country of origin, have you permission to return to that country?
No
Yes, (number and validity) ……………….……………………………………………………
* 19. Current occupation
Visa :
Refused
* 20. Employer and employer’s address and telephone number.
For students, name and address of school.
Granted
Characteristics of Visa :
LTV
21. Main destination
22. Type of Visa :
23. Visa :
Airport transit
Transit
Short stay
Individual
Collective
A
Long stay
B
C
D
D + C
24. Number of entries requested
25. Duration of stay
Number of entries :
Single entry Two entries
Multiple entries
Visa is requested for: ______ days
1
2
Multiple
26. Other visas
(issued during the past three years)
and their period of validity
Valid from ………………..
27. In the case of transit, have you an entry permit for the final country of destination?
No
Yes , valid until:
Issuing authority:
To …………………………
* 28. Previous stays in this or other Schengen states
Valid for :
…………………………… .
This application form is free
* 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.
Photo
Consolato Generale d’Italia
Karachi
Application for Schengen Visa
1.
Surname(s)
(family name(s))
F
/
OR EMBASSY
CONSULATE USE ONLY
2.
Surname(s)
at birth (earlier family name(s))
Date application :
3. First names (given names)
4. Date of birth (year-month-day)
5. ID-number (optional)
File handled by :
6. Place and country of birth
Supporting documents:
Valid passport
7. Current nationality/ies
8. Original nationality (nationality at birth)
Financial means
Invitation
9. Sex
10. Marital status :
Male
Female
Single Married Separated
Divorced Widow(er)
Means of transport
Health insurance
Other
Other :
11. Father’s name
12. Mother’s name
13. Type of passport:
National passport
Diplomatic passport
Service passport
Travel document (1951 Convention)
Alien’s passport
Seaman’s passport
Other travel document (please specify):
………………………………………………………………………… ………….…
14. Number of passport
15. Issued by
16. Date of issue
17. Valid until
18. If you reside in a country other than your country of origin, have you permission to return to that country?
No
Yes, (number and validity) ……………….……………………………………………………
* 19. Current occupation
Visa :
Refused
* 20. Employer and employer’s address and telephone number.
For students, name and address of school.
Granted
Characteristics of Visa :
LTV
21. Main destination
22. Type of Visa :
23. Visa :
Airport transit
Transit
Short stay
Individual
Collective
A
Long stay
B
C
D
D + C
24. Number of entries requested
25. Duration of stay
Number of entries :
Single entry Two entries
Multiple entries
Visa is requested for: ______ days
1
2
Multiple
26. Other visas
(issued during the past three years)
and their period of validity
Valid from ………………..
27. In the case of transit, have you an entry permit for the final country of destination?
No
Yes , valid until:
Issuing authority:
To …………………………
* 28. Previous stays in this or other Schengen states
Valid for :
…………………………… .
This application form is free
* 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.
F
/
OR EMBASSY
29. Purpose of travel
CONSULATE USE ONLY
Tourism Business
Visit to Family or Friends
Cultural/Sports Official
Medical reasons
….……………………………………………………..
Other (please specify):
*
* 31. Date of departure
30. Date of arrival
33. Means of transport
*
32. Border of first entry or transit route
*
34. Name 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
Name
Telephone and telefax
Full address
e-mail address
*
35. Who is paying for your cost of travelling and for your costs of living during your stay?
Myself
Host person/s Host company. (State who and how and present corresponding
documentation):………………………………………………
…………………………………………………………………………………………………………………………
……………… ………………………………….
*
36. Means of support during your stay
Cash Travellers' cheques Credit cards Accommodation Other:
Travel and/or health insurance. Valid until: ………………………………………………..
37. Spouse’s family name
38. Spouse’s family name at birth
39. Spouse’s first name
40. Spouse’s date of birth
41. Spouse’s place of birth
42. Children (Applications must be submitted separately for each passport)
Name
First name
Date of birth
1
2
3
43. Personal data of the EU or EEA citizen you depend on. This question should be answered only by family members of
EU or EEA citizens.
Name
First Name
Date of Birth
Nationality
Number of passport
Family relationship :
of an EU or EEA citizen
44. 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 the relevant 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.
45. Applicant’s home address
46. Telephone number
47. Place and date
48. Signature
(for minors, signature of
custodian/guardian)
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