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i c a t .1 o n for Schengen visa
T h .1 s app I .1 cat i o n form i s f r
e
* 20. Employer and employer's address and telephone number. For students, name and address of educational establishment.
Beijing XXXX Co., Ltd.
Room XXX, No. XXX, XXX Road, Haidian District, Beijing, China
010-88888888
21. Main purpose(s) of the journey:
■ Tourism □ Business □ Visiting family or friends □ Cultural □ Sports □ Official visit
Medical reasons
Study □ Transit □ Airport transit □ Other (please specify)
22. Member State(s) of destination Belgium, France
23. Member State of first entry Belgium
24. Number of entries requested
■ Single entry
Two entries
Multiple entries
25. Duration of the intended stay or transit
Indicate number of days
15 Days
* The fields marked with * shall not be filled in by family members of EU, EEA or CH citizens (spouse, child or dependent ascendant) while exercising their right to free movement. Family members of EUZ EEA or CH citizens shall present documents to prove this relationship and fill in fields no 34 and 35.
(x) Fields 1-3 shall be filled in in accordance with the data in the travel document.
26. Schengen visas issued during the past three years
■ No
□ Yes. Date(s) of validity from to
27. Fingerprints collected previously for the purpose of applying for