网上填写申请表.pdf

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1、N°14076*01ApplicationforSchengenvisaPHOTOThisapplicationformisfreeForofficialuseonly1.Surname(Familyname)(x)ZHOUDateofapplication:2.Surnameatbirth(Formerfamilyname(s))(x)Visaapplicationnumber:3.Firstname(s)(Givenname(s))(x)JIMINFilehandledby:4.Dateofbirth5.Placeofbirth:7.Curren

2、tnationality:(day-month-year)HENANCHINA23-12-19936.Countryofbirth:Nationalityatbirth,ifdifferent::Applicationlodgedat:UNITEDKINGDOMCHINA□Embassy/consulate8.Sex9.MaritalStatus□CACXSingleMarriedSeparatedDivorcedWidow(er)□ServiceproviderXMaleFemale□CommercialintermediaryOther(plea

3、sespecify)□Border10.Inthecaseofminors:Surname,firstname,address(ifdifferentfromapplicant's)andnationalityofparentalauthority/legalguardianName:□Other11.Nationalidentitynumber,whereapplicable:12.TypeoftraveldocumentSupportingdocuments:XOrdinarypassportDiplomaticpassportServicepa

4、ssportOfficialpassportSpecialpassport□TraveldocumentOthertraveldocument(pleasespecify):□Meansofsubsistence□Invitation13.Traveldocumentnumber14.Dateofissue15.Validuntil16.Issuedby□MeansoftransportE4374764915-02-201514-02-2025CHINA□TMI□Other:17.Applicant'shomeaddressande-mailaddr

5、essTelephonenumber(s)495-505BRISTOLROADBIRMINGHAMB296AU,+447843821694ZYS0831@163.COMVisadecision:□Refused□Issued:18.Residenceinacountryotherthanthecountryofcurrentnationality□A□CNoXYes:ResidencepermitorequivalentN°…………………RD7561004.…….……Validuntil………………19-01-2018..….□LTVSTUDENT*

6、19.Currentoccupation□Valid:From…………………………*20.Employerandemployer'saddressandtelephonenumber.Forstudents,nameandaddressofeducationalestablishment.Until………………………….UNIVERSITYOFBIRMINGHAM,EDGBASTONBIRMINGHAMB152TT,+441214143344Numberofentries:□1□2□Multiple21.Mainpurpose(s)ofthejour

7、ney:XTourismBusinessVisitingfamilyorfriendsCulturalSportsOfficialvisitStudyNumberofdays:…………….MedicalreasonsTransitAirporttransitOther(pleasespecify):22.MemberState(s)ofdestination23.MemberStateoffirstentryFRANCEFRANCE24.Numberofentriesrequested25..Durationoftheintendedstayortr

8、ansitSingleentryTwoentriesXMultipleentriesIndicatenumb