荷兰签证申请表.doc

Application for Schengen Visa 申根国家签证申请表 This application form is free 此表免费 This application form must be filled out in Dutch or in English 此表格必须用荷兰语或英语填写 1. Surname(s) (family name(s)) /姓 For embassy / consulate use only 仅供使领馆使用 2. Surname(s) at birth (earlier family name(s))/ 出生时姓（原姓) Date application : 3. First names (given names)/ 名 4. Date of birth (year-month-day)/出生日期 5. ID-number (optional)/身份证号码（如有则填） File handled by : 6. Place and country of birth/出生地及国家 Supporting documents: 7. Current nationality/ies/现国籍 8. Original nationality (nationality at birth)/原国籍 ? Valid passport ? Financial means 9. Sex /性别 ? Male /男 ? Female/女 10. Marital status : /婚姻状况 ? Single/未婚 ? Married/已婚 ? Separated/分居 ? Divorced/离婚 ? Widow(er)/丧偶 ? Other/其它 ? Invitation ? Means of transport ? Health insurance ? Other : Characteristics of Visa : 11. Father’s name/父亲姓名 12. Mother’s name/母亲姓名 ? LTV ? A ? B ? C ? D ? D + C 13. Type of passport:/护照类型： ? National passport/私人护照 ? Diplomatic passport /外交护照 ? Service passport/公务护照 ? Travel document (1951 Convention)/旅行证件（1951年公约） ? Alien’s passport/外国人护照 ?Seaman’s passport/海员护照 ? Other travel document (please specify): 其它旅行证件（请注明）：……………………………………………………………………….… Number of entries : ? 1 ? 2 ? Multiple 14. Number of passport/护照号码： 15. Issued by/发照机关： Valid from ……………….. To ………………………… 16. Date of issue/发照日期： 17. Valid until/有效期至： Valid for : ……………………………. 18. If you reside in a country other than your country of origin, have you permission to return to that country?/如果你的居住国不是你的国籍所在国，你是否被允许返回居住国？ ? No /不是 ? Yes, (number and validity)/是，（号码和有效期至） ……………………………………………………………………………………………..…………… * 19. Current occupation/现职业 Visa : * 20. Employer and employer’s address and telephone number. For students, name and address of school./工作单位名称，地址和电话，学生填写学校名称及地址： ? Refused ? Granted 21. Main destination/主要目的地 22. Type of Visa :签证类型 ? Airport transit/机场过境