Austrian Embassy
L o n d o n

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Application for Schengen Visa

			

1. Surname(s) (family name(s))
	
For 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:	
7. Current nationality/ies	8. Original nationality (nationality at birth)
	 O Valid passport
 O Financial means	
9. Sex 
  O Male    O Female	10. Marital status : 
 O Single  O Married  O Separated  O Divorced
 O Widow(er)  O Other	 O Invitation
 O Means of transport
 O Health insurance
 O Other : 	
11. Father’s name
	12. Mother’s name

13. Type of passport:
  O National passport   O Diplomatic passport   O Service passport   O Travel document (1951 Convention)
  O Alien’s passport   O Seaman’s passport    O  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?
     O No    O  Yes, (number and validity)    ……………….……………………………………………………		
* 19. Current occupation
	
Visa :	
* 20. Employer and employer’s address and telephone number.  For students, name and address of school.
	  O Refused
  O Granted	
	Characteristics of Visa : 	
21. Main destination
	22. Type of Visa :
  O Airport transit   O Transit
  O Short stay  O Long stay	23. Visa : 
  O  Individual  O  Collective	  LTV
  O A
  O B
  O C
  O D
  O D + C	
24. Number of entries requested
   O  Single entry   O  Two entries  O  Multiple entries	25. Duration of stay 

Visa is requested for: ______  days	Number of entries :	
26. Other visas (issued during the past three years) and their period of validity
	  O  1    O  2
  O  Multiple	
27. In the case of transit, have you an entry permit for the final country of destination?
  O  No  O  Yes, valid until:                                              Issuing authority:	Valid from ………………..
To …………………………	
*   28. Previous stays in this or other Schengen states
	Valid for :
…………………………… .	

* 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.

29. Purpose of travel
  O  Tourism   O  Business   O  Visit to Family or Friends   O  Cultural/Sports   O  Official   O  Medical reasons
  O  Other (please specify): ….……………………………………………………..	
For embassy / consulate use only	
		
* 30. Date of arrival	* 31. Date of departure		
* 32. Border of first entry or transit route	33. Means of transport		
		
* 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?
  O Myself  O Host person/s  O Host company. (State who and how and present corresponding documentation):………………………………………………………..…………………………………………………………………………………………………………………………………….………………………………….		
* 36. Means of support during your stay
  O Cash  O Travellers' cheques  O Credit cards  O Accommodation  Other:
  O 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)