保加利亚签证申请表

 STAMP OF EMBASSY OR CONSULATE PHOTO Application for Bulgarian Visa /this application form is free/ 1. SURNAME (FAMILY NAME) 2. EARLIER FAMILY NAMES / SURNAMES AT BIRTH 3. FIRST NAME 4. DATE OF BIRTH (year – month –day) 6. PLACE AND COUNTRY OF BIRTH 7. CITIZENSHIPS 9. SEX □ Male □ Female 11. FATHER’S NAMES FOR VISA ISSUING AUTHORITY USE ONLY Date of application: 5. NATIONAL ID-NUMBER (if any) File handled by: Supporting documents: □ Valid passport □ Financial means □ Invitation □ Means of transport □ Health insurance □ Other 8. PREVIOUS CITIZENSHIP (citizenship at birth) 10. MARITAL STATUS: □ Single □ Married □ Separated □ Divorced □ Widow(er) □ Other 12. MOTHER’S NAMES 13. TYPE OF TRANSPORT: □ National passport □ Diplomatic passport □ Service passport □ Travel document (1951 Geneva Convention) □ Alien's passport □ Seaman’s passport □ Other travel document (please specify) 14. NUMBER OF PASSPORT 16. DATE OF ISSUE 15. ISSUED BY 17. VALID UNTIL 18. IF YOU RESIDE IN A COUNTRY OTHER THAN YOUR COUNTRY OF ORIGIN, DO Visa: YOU HAVE PERMISSION TO RETURN TO THAT COUNTRY? □ No □ Yes (number and validity of permission) 19. CURRENT OCCUPATION 20. EMPLOYER AND EMPLOYER’S ADDRESS AND TELEPHONE NUMBER (for students: name and address of school) 21. FINAL COUNTRY OF DESTINATION 22. TYPE OF VISA: 23. VISA: □ Airport transit □ Individual □ Group □ Transit □ Short stay □ Long stay 24. NUMBER OF ENTRIES REQUESTED 25. DURATION OF STAY □ Single entry □ Two entries □ Multiple entries Visa is requested for: days □ Refused □ Granted Characteristics of Visa: □ LTV □ A □ B □ C □ D □ D+C Number of entries: 26. OTHER BULGARIAN VISAS (issued during the past three years) AND THEIR PERIOD □ 1 □ 2 OF VALIDITY □ Multiple 27. IN THE CASE OF TRANSIT, DO YOU HAVE AN ENTRY PERMIT FOR THE FINAL Valid from .................. COUNTRY OF DESTINATION? To .............................. □ No □ Yes, valid until: Issuing authority: Valid for:

28. TRAVELS ABROAD IN THE PAST FIVE YEARS 29. PURPOSE OF TRAVEL □ Tourism □ Business □ Private visit □ Cultural/Sports □ Official □ Medical reasons □ Other (please specify): .................................... 30. DATE OF ARRIVAL 31. DATE OF DEPARTURE 32. BORDER OF FIRST ENTRY OR TRANSIT ROUTE 33. MEANS OF TRANSPORT FOR VISA ISSUING AUTHORITY USE ONLY 34. DETAILS OF HOST PERSON, ORGANIZATION, OR HOTEL Name of person/Name of organization or hotel Full address Telephone and telefax Е-mail address 35. WHO IS PAYING YOUR TRAVELLING AND LIVING EXPENSES DURING YOUR STAY? □ Myself □ Host person □ Host organization (State who and how and present corresponding documentation) .................................................. …………………………………………………………………………………………………… 36. MEANS OF SUPPORT DURING YOUR STAY □ Cash □ Traveller’s cheques □ Credit cards □ Guaranteed accommodation □ Other: ....................................... □ Travel and/or health insurance. Valid/and until: ..................... 37. SPOUSE’S FAMILY NAME 39. SPOUSE’S FIRST NAME 38. SPOUSE’S PREVIOUS FAMILY NAMES 40. SPOUSE’S DATE OF BIRTH 41. SPOUSE’S PLACE OF BIRTH 42. CHILDREN Middle name and family name First namе 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 and EEA citizens.) Middle name and family name Date of birth First name Citizenship Number of passport Family relationship: .................................................................... of an EU or EEA citizen 44. I consent to the following: any data which appear on this application form, my photograph and, if applicable, my fingerprints, will be supplied to the relevant authorities and processed by those authorities for the purposes of the examination of the visa application and a decision on it. Such data, as well as my photograph and my fingerprints, will be entered into and stored in databases.. I declare that the particulars above are correct. I am aware that I incur criminal liability under Bulgarian legislation for making false statements, as well as that this may lead to my application being rejected or to the annulment of a visa already granted. I undertake to leave the territory of the Republic of Bulgaria upon the expiry of the visa, if granted. I have been informed that the possession of a visa is not the only condition for entry into the territory of the Republic of Bulgaria. 45. APPLICANT’S HOME ADDRESS 46. TELEPHONE NUMBER 47. PLACE AND DATE 48. SIGNATURE