Download as pdf
Download as pdf
You are on page 1of 2
"APFIX THE PHOTOGRAPH ‘AS PER THE SPECIFICATION _Antrag auf Erte cines Viewns fir inen PHOTO ‘Anfenthale von mer als 3 Monaten (Vicum D) Application fora Visa fora stay exceeding 3 months Fisa Dj AME SHOULD BE | SHANTHA, PER THE PASSPORT Vere) Sansn(a))/ Fier name) (Gien name) “Geb Toles Tae) | Gobet Has ofa Daw efbve damon BANGALOR= 23/06/1980 Noe re Fasiacestoaral Ta Qasele male a leg snle Sets fle 2 vette maried sNeraler es Oram paper _ Seadenass Spec paspor 2 biplensiepoe Diplinane pert | Senge: Redakunent (ite nae Angaben) /Otor Diets Somseepacor (paved decane plose per) Wamsoe des Receichunesty | Aecelnaplina’] Giigte Tal | Repeal Gach Eom nevreeanrertmces | “37173013 | 23/01/2005] _RPO BANGALORE “Wels ed Nn -Anci de Atos “aa Tapone Applicants hone ods cndomel adress TWO ALTERNATIVE CURRENT ADDRESS AND EMAILID OF APPLICANT | NUMBER. Wass cas ade Sans Gan core Stan ne) RSa Easdene na comity oh tha th coenay efosarent nana oieae “soem Envi ee seat ‘fea ode elashnasce Dsbanat Recto emt retin wn ae Tat | far Tecan fe ae Fo toe er Eipige on oupler ai sen neoeranbe:Forndons mean nibs eetcsoal caiman 006 Ene ‘aecie daae crousuascseor | Geambeaas. aSFERTASTICRET (ORLY Fapeatloftiejoanes: is Bordering pnts rs soap “Eas detest Earocen rf —| Drees pps Sein dd Darin Do reed rao oflvbemded ay or noc Eig Bim Sigl omy ean tage tasks dae member oe TOTAL NUNBER OF DAYS IN SCHENGEN AREA BS [Wares Tine Fingrsbal Verets A die Zee snes Anbaer uf n avons Oaeacnchey Vina AT Egan colecte revo fr th pps oem orator sasran ee Drum (falls bekannd / Dae frown MENTION NA (Gef Eyevcogenahonizung Fd Fndbocimmngland | Evy permit f coma affinal desnarion whore appicoBle ig ton ellie 5s a /APPEICABLE ONT IN TRANSIT CASE ‘Geplanie Ankunteisten /onded de @farvhel | Cphiniec Abreicdatun Tnonded dae of departs 10/3/2015 ti/a/2o1s “Tae and Vorname de ladenden Personen) in dam Nitgiedoaat tn den Migiciaaaten: Sone is alta {Bite Name desde Hot adr vercbergubende Unison (CntoLinfe) i dem (on) sebeionden gad ‘anie)snzsben. Sumame and frst name of the nae pecan) M the Member Sata) (no applicable rameah Tole) or eomporary accommadaton() tthe Member Sates) HOTEL NAME/INVITING PERSON NAME “Ribena ncn de enndenden Fase) jes Howes ede voribeczbenien Catala aa cand ermal edavecs of trviting person oelis!temporaryaecommodstions) “Teifon/Tdeptone: HOTEL ADDRESS “Nene snd Adresse dv clades Ulex calndendex O7SIuGE Nene ond aides ofonaing comperaoremiaie". vr TING COMPANY NAME ‘Telefon des Untenabmans/der Organisatir / Telephone of compa orsmicatin ‘Nae, Vorname, Adseoe, Telefon, Fax und E-Mal-Anscluift der Koniakipersea isn Unternehies/in der Organisation / Surname rt name. address. telephone. ef. and e-mail address af conact person in combo INVITING COMPANY ADDRESS/CONTACT NUMBER ‘Dis Resakertonund ds Labenchattmg:hoaan wilsend dex Knfthals der Annagtella werden 50035 (Cost afaveling and Tog darmng the applicant's iy ts covered = vom Antrapteller alist the applicant lim | = von andever Seite (Gustgcbr, Unternelanen Orzanisatios) sielf ‘Site mihare Angaben / pa panzer hac. company. organi anon) plesze spect) ‘Mitel au Bestreitang de: Letenauntetalts/ Means] © von socston Stlle(ittenshere Angaben) / ther (please afappon_xoucancHooseanrortion | sPeibi = Barada [ALWAYS CHODS: 2 Rebeschecks Trevolle's hogwas Mit Beng de Lennon /Mameaforret tanc opTioN 5 KreidteCradi ord = Bageld Cash Im Vornu besahite Untetunt Preaid (© Frue Unteunt/ Free Accommodation (seconmodaton (© Ubernme ssticher Kosten walvend des Anfnthals / 2 Ener bsahite Befirdensng Prpaid pone cnsrad daring he oop = ImVorus tesa Beforienms /Prezaid ransport { t i i I i = Sonstige (bite nthe Angaben) Other (lease Tir sens Gs Sie iss a Pls er inane nigenng Sana WT ere fe need oh a and “im Flleder Beantanune anes Vem ir mebrincheSnrasen Mir st beam das ichaber ene moenesene Rasen rscheung 5 meen “Gpieate menos mtpizann eat aptior lam uae he end ohmean gate ve nel enone mrt nd ce | gees. Nb takes ad bbe Ge cavavtnon, norms Fab sie Buf mune Vosmuanip: bes Geum Anmapeemin oe De ‘ten Werder msn, tn Led ven mu pax Wertn ans und segtenenas meu Pagesbalcesbemomnen Weta missen Die ANGsDen at ‘abe Daves dein dneum Vinmanees asain snd consemess Ferbane unl sas afd wed secs Eurehang wbe mee Ve ‘Sag a de astaiiom Sein Wetetuele und woa desea bese ‘ebvarschere dr sch he ortnenden asses ans bess aren tn Gevie ceachtte und ae a siigund volts sind Met bt, Gs ken Pitatungea a Aldea mces Anaesoeray Anaulleug ens beets ela Vise ea wa ie Suaflefoung ausisea oa ‘Ehewrpliche mach dam ae Hassett er opus Ouanechor Abas doc Views mrvarbne, tors aee mand eb weds Svan ‘emus 2s ass ca Bez ces suns me er Vorausecangea fr ie urge Aus der Enetng des suas fl Fen Ansprmh au Scat ‘Sevens ean oh dh Vermcernmo mich rsa Sabre ar Varro (2G) SE 200 (Shang Cena) lens a Pleedase yey rion part or | iambdereiihen Serge ae: Vorsam) SIGNATURE OF THE APPLICANT IFIT’s FOR MINOR (BELOW 16YEAR) FATHER AND MOTHER OR LEGAL GUARDIAN SIGNATURE IS REQUIRED| SUBMISSION AND FLACE

You might also like