Solicitud de visado Schengen Sello de la

Embajada o
Foto Application for Schengen Visa Consulado
Photo Stamp Embassy
Impreso gratuito/This application form is free or Consulate

1. Apellido(s) / Surname(s) (family name(s)) SPACE RESERVED FOR THE

EMBASSY OR CONSULATE
2. Si ha lugar, apellidos de soltera / Surname(s) at birth (earlier family name(s))
Fecha de solicitud:
3. Nombre / First names (given names)

4. Fecha de nacimiento (año-mes-día) / 5. Número del documento de identidad (optativo) / Tramitado por
Date of birth (year-month-day) ID-number (optional)

6. Lugar y país de nacimiento / Place and country of birth

7. Nacionalidad(es) actuales / Current nationality/ies 8. Nacionalidad de origen (nacionalidad por nacimento) / Documentos presentados:
Original nationality (nationality at birth)

9. Sexo / Sex 10. Estado civil / Marital status : Pasaporte válido

Varón/Male Mujer/Female Soltero/Single Casado(a)/ Married Medios financieros
Separado(a)/Separated Divorciado(a)/Divorced Invitación
Viudado(a)/Widow(er) Otro/Other
Medio de transporte
11. Nombre del padre / Father’s name 12. Nombre de la madre / Mother’s name
Seguro médico
13. Tipo de pasaporte /Type of passport: Otros:
Pasaporte nacional/National passport Pasaporte diplomático/Diplomatic passport Pasaporte de servicio/Service
passport Documento de viaje(Convención de 1951)/Travel document (1951 Convention)
Pasaporte para extranjeros/Alien’s passport Pasaporte para marinos/ Seaman’s passport Otro documento de viaje
(indíquese cuál)/Other travel document (please specify):
………………………………………………………………………
14. Número de pasaporte / 15. Expedido por / Issued by
Number of passport

16. Fecha de expedición / 17. Válido hasta / Valid until Visado:

Date of issue Denegado
Concedido
18. Si no reside usted en su país de orígen, ¿se le permite el regreso al país en que reside? / If you reside in a country
other than your country of origin, have you permission to return to that country?
No Sí (número y validez) / Yes, (number and validity) ……………….………………...........................
* 19. Ocupación actual / Current occupation Características del visado:
VTL
* 20. Nombre, dirección y número de teléfon de la empresa para la que trabaja. Para los estudiantes, nombre y
dirección del centro en el que estudian / Employer and employer’s address and telephone number. For A
students, name and address of school. B
C
21. Destino principal / 22. Tipo de visado / Type of Visa : 23. Visado / Visa : D
Main destination Tránsito aeroportuario/Airport transit Individual D+C
Tránsito/Transit Corta duración/ Short stay
Larga duración/Long stay Colectivo/Collective
Número de entradas:
24. Número de entradas que solicita / Number of entries 25. Duración de la estancia / Duration of stay
requested El visado se solicita para / Visa is requested for: 1 2 Múlt
Una sóla entrada/Single entry Dos entradas/Two entries ______ días / days
Entradas múltiples/Multiple entries
26. Otros visados (expedidos durante los tres últimos años) y período de validez de los mismos / Other visas (issued
during the past three years) and their period of validity

27. En caso de tránsito, ¿tiene permiso de entrada en el último país de destino? / In the case of transit, have you an Válido de ………………
entry permit for the final country of destination? a ………………………
No Válido para:
Sí, válido hasta/Yes , valid until: Autoridad que lo expidió/Issuing authority:
…………………………
* 28. Anteriores visitas a éste u otros Estados Schengen / Previous stays in this or other Schengen states

* Los familiares de ciudadanos de la UE o del EEE (cónyuge, hijos o ascendientes a su cargo) no tienen que responder a las preguntas marcadas
con un asterisco (*). Los familiares de ciudadanos de la UE o del EEE deben presentar documentos que prueben la relación familiar
29. Finalidad del viaje / Purpose of travel
SPACE RESERVED FOR
Turismo / Tourism Trabajo / Business Visita a familiares o amigos / Visit to Family or Friends
THE EMBASSY OR
Cultural/Deportiva / Cultural/Sports Oficial / Official Motivos médicos / Medical reasons
CONSULATE
Otros (indíquese) / Other (please specify): …………………………………………………..
*30. Fecha de llegada / Date of arrival * 31. Fecha de salida / Date of departure
* 32. Frontera de primera entrada o itinerario de tránsito/ * 33. Medio de transporte / Means of transport Once the visa request has
been submitted, a copy of the
Border of first entry or transit route form, sealed with the indication
of the date and place of
* 34. Nombre de la persona o empresa de acogida en los Estados Schengen y de la persona de contacto en la empresa reception, shall be returned to
de acogida. Si el solicitante no se encuentra en esta situación, nombre del hotel o dirección provisional en los the applicant.
Estados Schengen / 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 Arrangements can be made
Nombre / Name Teléfono y telefax / Telephone with the applicant as to the
and telefax channel to request corrections or
the supply of documents or
certificates, as well as to serve
Dirección completa / Full address Dirección de correo notice of summons and to notify
electrónico / e-mail address the decision adopted in due
course.
* 35. ¿Quién paga los gastos de viaje y los gastos de manutención del solicitante durante la estancia? / Who is paying Notices and requests shall be
for your cost of travelling and for your costs of living during your stay? served by telephone or fax to the
El solicitante/ Myself La persona que le acoge/Host person/s La empresa de acogida/ Host company. contact number provided by the
Indíquese quién y cómo y adjúntese la documentación correspondiente / State who and how and present interested party or his legal
corresponding representative. If they were to
documentation:……………………………………………………………………………………………………………. prove ineffective, they shall be
* 36. Medios de subsistencia durante la estancia / Means of support during your stay served in writing to the domicile
Dinero en efectivo/Cash Cheques de viaje/Travellers' cheques Tarjetas de crédito/Credit cards set out in the application, which
must be located within the
Alojamiento/Accommodation Otros/Other:
consular district.
Seguro de viaje o seguro médico. Válido hasta:…………..…../Travel and/or health insurance. Valid until:
37. Apellidos del cónyuge / Spouse’s family name 38. Si ha lugar, apellidos de soltera de la cónyuge/ Summons and requests
Spouse’s family name at birth served must be complied with
within a period not exceeding
39. Nombre del cónyuge / Spouse’s first name 40. Fecha de nacimiento del 41. Lugar de nacimiento del ten days, unless personal
cónyuge / Spouse’s date of birth cónyuge / Spouse’s place of attendance is required in which
birth case the deadline is fifteen days.
42. Hijos (es obligatorio presentar una solicitud por pasaporte) / Children (Applications must be submitted
Once all the possibilities of
separately for each passport) serving a notice have been
Apellido(s)/Name Nombre/First name Fecha de nacimiento/Date of birth exhausted, the notice shall be
1. served by means of an
2. announcement posted at the
3. relevant notice board of the
43. Datos personales del ciudadano de la UE o del EEE del que depende el solicitante. Sólo deben responder a esta Embassy or Consulate during ten
pregunta los familiares de ciudadanos de la UE o del EEE / Personal data of the EU or EEA citizen you depend days.
on. This question should be answered only by family members of EU or EEA citizens.
If a request or summons
Apellido(s)/Name Nombre/First Name remains unanswered, the
applicant shall be deemed as
Fecha de nacimiento/Date of Birth Ncionalidad/Nationality Número de pasaporte/Number having withdrawn his request
of passport and the resolution establishing
Relación de parentesco/Family relationship: this to be the case shall be
de un ciudadano de la UE o del EEE/of an EU or EEA citizen notified to him.
44. I am aware of and consent to the following: any personal data concerning me which appear on this visa application
The maximum time periods
form will be supplied to the relevant authorities in the Schengen states and processed by those authorities, if to notify a resolution pertaining
necessary, for the purposes of a decision on my visa application. Such data may be input into, and stored in, to a visa is of three months for
databases accessible to the relevant authorities in the various Schengen states. transit, short-term and residence
At my express request, the consular authority processing my application will inform me of the manner in which I visas. For the rest of visas, the
may exercise my right to check the personal data concerning me and have them altered or deleted, in particular, period is one month.
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. Once the maximum period to
I am aware that any false statements will lead to my application being rejected or to the annulment of a visa already adopt a resolution has elapsed,
granted and may also render me liable to prosecution under the law of the Schengen state which deals with the the visa request may be deemed
as rejected.
application.
I undertake to leave the territory of the Schengen states upon the expiry of the visa, if granted. The visa once granted must
I have been informed that possession of a visa is only one of the prerequisites for entry into the European territory of be collected within a month,
the Schengen states. The mere fact that a visa has been granted to me does not mean that I will be entitled to unless it is a visa for family
compensation if I fail to comply with the relevant provisions of Article 5.1 of the Schengen Implementing regroupment or a visa for study
Convention and am thus refused entry. The prerequisites for entry will be checked again on entry into the European purposes; in this particular case,
territory of the Schengen states. it must be collected before two
45. Domicilio personal del solicitante / Applicant’s home address 46. Teléfono/Telephone number months elapse.

If a visa is not collected

47. Lugar y fecha/Place and date 48. Firma (en el caso de los menores, firma del within the aforesaid periods, the
responsible o tutor) / Signature (for minors, applicant shall be deemed to
signature of custodian/guardian) have renounced to the visa
granted and the proceedings
shall be filed.