DVisa 253011 en
DVisa 253011 en
DVisa 253011 en
18. Family relationship with an EU, EEA or CH citizen, if applicable Number of entries:
Spouse Child Grandchild Dependent ascendant Multiple
Registered Partnership Other (please specify)
19. Applicant's home address and email address Telephone no. Number of days:
MIGR253011 2022-06-01
20. Residence in a country other than the country of current nationality FOR OFFICIAL USE ONLY
No
Yes. Residence permit or equivalent No. Valid until
21. Current occupation
22. Employer and employer’s address and telephone number. For students, name and address of
educational establishment
Surname, first name, address, telephone no. and email address of contact person
26. Intended date of arrival of the first intended stay in the Schengen area
Intended date of departure from the Schengen area after the first intended stay
I am aware that the visa fee is not refunded if the visa is refused.
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.
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 6(1) of
Regulation (EU) No 2016/399 (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.
Place and date Signature (signature of parental authority/legal guardian, if applicable)