How to fill-in the short stay visa application form

Overview

- The short stay visa application form bears the reference “cerfa No. -14076*01” (do not use outdated forms bearing the reference “cerfa No. -12160*01”);
- You may use either an original form, or a legible photocopy of a form, or a copy downloaded from the Internet;
- You must write legibly;
- Please make sure to write down the place and date and that you sign both at the bottom of the page AND in boxes # 36 and # 37;
- Any false statements will result in your visa being refused;
- Addresses in France must specify: the number, street name, city, and postal code.

How to fill out each section of the form

Section 1 - Last Name

Write your name as indicated on your passport (do not add the words “married name” and the name of your husband).

Section 2 - Birth Name

Write the name you had at your birth if different than the one indicated in section 1.

Section 3 - First Name(s)

Write your first name(s) as indicated on your passport.

Section 4 - Date of Birth

Write your date of birth in day-month-year order.

Section 5 - Place of Birth

Write your place of birth as indicated on your passport.

Section 6 - Country of Birth

Add the name of the country, even if it is not specified on the passport.

Section 7 - Current Nationality

Nationality at Birth. In principle, write your passport’s nationality, and, where appropriate, your nationality at birth if different.

Section 8 - Gender

Check the box corresponding to your gender.

Section 9 - Civil Status

Check the box corresponding to your legal marital status For a common-law marriage, please check “Other” and write “common-law marriage” For a PACS [French civil union contract] with a French national, please check “Other“ and write “PACS”.

Section 10 - Minors

Write the full name, address, and nationality of the person holding parental authority or legal guardianship.

Section 11 - National Identity Number

Write your national identity number, if applicable.

Section 12 - Travel Document Type

Specify the type of travel document.

Section 14 - Issue Date

Write the date your passport was issued (not the extension date).

Section 15 - Expiration Date

Write the date as indicated in your passport, taking into account any extension.

Section 16 - Issued By

Specify the authority that issued the passport and the place of issue.

Section 17 - Home Address / E-mail Address / Telephone Number

Write the mailing address specifying whether it is your personal mailbox or that of another person or company (in this case, write the name of the mailbox owner).
Write your landline and mobile telephone numbers in your country of residence and, where appropriate, in the country where you are submitting your visa application.

Section 18 - Residence in Another Country

Specify whether you live in a country other than your current nationality, stating, if you answer yes, the number of your residence permit and its expiration date.

Section 19 - Current Occupation

In principle, write the occupation indicated on the passport; if you indicate a different occupation, please write a short explanation, for example: “professor (former student)” or “retired (former sales manager)”. If you have no occupation, write “no occupation”.

Section 20 - Employer or Educational Institution

Write the name of the organization (firm, public service, educational institution) where you work and its contact information.

Section 21 - The Main Purpose for Your Trip

Check the corresponding box.

Section 22 - Destination Member State

Write the name of the country that is your primary destination (in principle, France). If it is a French overseas department (DROM) or territory (CTOM), write “France” and the name of the DROM or CTOM.

Section 23 - First Entry Member State

Specify the country where you will be entering the Schengen area.

Section 24 - Number of Entries Requested

Check the box corresponding to your desired number of entries.

Section 25 - Length of Stay

Write the duration corresponding to your desired length of stay.

Section 26 - Schengen Visas Issued during the Last 3 Years

Specify the number of visas that you have obtained to enter the Schengen area during the last 3 years.

Section 27 - Fingerprints

Check the corresponding box. If your fingerprints have already been taken for a visa application, indicate the date.

Section 28 - Entry Permit for Your Final Destination Country, If Applicable

Write the number and validity dates for your visa at your final destination, if this country is outside the Schengen area.

Section 29 - Arrival Date

Write your expected arrival date in the “Schengen area”.

Section 30 - Departure Date

Write your departure date from the “Schengen area”.

Section 31 - Inviting Person’s Name

Write the name of the person who invited you, or the contact information for a hotel, specifying all the details (telephone and fax).

Section 32 - Host Organization / Firm Name and Address

Write the name and address of the firm or organization that invited you (telephone and fax) and the contact information for your contact person in the firm.

Section 33 - Travel and Living Expenses During Your Stay Are Covered by?

Check the corresponding box (you may check several boxes).

Section 34 - Personal Information Regarding a Family Member who is a European Union, EEA, or Swiss National

Write the full name, date of birth, nationality, passport number, and relationship only if you are the dependent spouse, child, father, or mother of a person who is a citizen of another State of the European Union.

Section 35 - Relationship

Check the corresponding box if you are family member of a European Union, EEA, or Swiss national.

Section 36 - Date and Location

Write the place and date where you are filling-in the form, even if this date is different than the day you are going to the visa service.

Section 37 - Signature

The visa applicant must sign and not another person. If the visa applicant is a minor (under 18), the application must be signed by a person having parental authority and their relationship should be included in parentheses (father, mother, guardian). If the visa applicant cannot sign, a cross may be used.

I am aware of Read these boxes carefully
Place and date Write the name of the city you are in at the time you fill out your application form and the date (it doesn’t have to be the same as your appointment)
Signature You must sign for yourself


If the application is for your minor child (under 18 years old), the parents or the tutor(s) have to sign for him/her (provide a document that prooves your legal relation to the child)

Dernière modification : 26/12/2015

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