Consulate General of Italy in Dubai

Harmonised application form - Application for Schengen Visa

This application form is free

PHOTO

Family members of EU, EEA or CH citizens shall not fill in fields no.21, 22, 30, 31 and 32 (marked with*).

Fields 1-3 shall be filled in in accordance with the data in the travel document.

1. Surname (Family name): For official use only

2. Surname at birth (Former family name(s)): Date of application:

Application number:
3. First name(s) (Given name(s)):

Date of birth 5. Place of birth: 7.Current Application lodged

(day-month-year): nationality: at:
6. Country of birth:
Nationality at □ Embassy/consulate
birth, if different:
□ Service provider
Other
□ Commercial
nationalities:
intermediary

8. Sex: 9. Civil status: □ Border (Name):

□ Male □ Female □ Single □ Married □ Registered Partnership □ ………………………………

Separated □ Divorced □ Widow(er) □ Other (please …………
specify):
□ Other:

10. Parental authority (in case of minors) /legal guardian (surname, first name, File handled by:
address, if different from applicant’s, telephone no., e-mail address, and
nationality):

11. National identity number, where applicable: Supporting

documents:
12. Type of travel document:
□ Travel document
□ Ordinary passport □ Diplomatic passport □ Service passport □ Official passport
□ Special passport □ Means of
subsistence
□ Other travel document (please specify):
 □ Invitation

13. Number of 14. Date of issue: 15. Valid until: 16. Issued by □ TMI
travel document: (country):
□ Means of transport
17. Personal data of the family member who is an EU, EEA or CH citizen if
□ Other:
applicable
Visa decision:
Surname (Family name): First name(s) (Given name(s)):
□ Refused
Date of birth Nationality: Number of travel
(day-month-year): document or ID card: □ Issued:

18. Family relationship with an EU, EEA or CH citizen if applicable: □A

□ spouse □ child □ grandchild □ dependent ascendant □C

□ Registered Partnership □ other: □ LTV
19. Applicant's home address and e-mail address: Telephone no.: □ Valid:

20. Residence in a country other than the country of current nationality: From:

□ No Until:
□ Yes. Residence permit or equivalent ………………… No. …………………….. Valid
until……………
*
21. Current occupation: Number of entries:

*
22. Employer and employer’s address and telephone number. For students, □ 1 □ 2 □ Multiple
name and address of educational establishment: Number of days:
23. Purpose(s) of the journey:

□ Tourism □ Business □ Visiting family or friends □ Cultural □ Sports □ Official

visit □ Medical reasons □ Study □ Airport transit □ Other (please specify):

24. Additional information on purpose of stay:

25. Member State of main destination 26. Member State of first entry:
(and other Member States of destination,
if applicable):

27. Number of entries requested:

□ Single entry □ Two entries □ Multiple entries

Intended date of arrival of the first intended stay in the Schengen area: Intended
date of departure from the Schengen area after the first intended stay:
28. Fingerprints collected previously for the purpose of applying for a Schengen
visa: □ No □ Yes.

Date, if known …………………….. Visa sticker number, if known

…………………………………………………………

29. Entry permit for the final country of destination, where applicable:

Issued by ………………………………..Valid from ……………………until ……………………

*
30. Surname and first name of the inviting person(s) in the Member State(s). If
not applicable, name of hotel(s) or temporary accommodation(s) in the
Member State(s):

Address and e-mail address of inviting Telephone no.:

person(s)/hotel(s)/temporary
accommodation(s):
*
31. Name and address of inviting company/organisation:

Surname, first name, address, telephone Telephone no. of

no., and e-mail address of contact person company/organisation:
in company/organisation:
*
32. Cost of travelling and living during the applicant’s stay is covered:

□ by the applicant himself/herself □ by a sponsor (host, company,

organisation), please specify:
Means of support:
…….□ referred to in field 30
□ Cash
or 31 …….□ other (please
□ Traveller’s cheques specify):

□ Credit card Means of support:

□ Pre-paid accommodation □ Cash

□ Pre-paid transport □ Accommodation provided

□ Other (please specify): □ All expenses covered during

the stay

□ Pre-paid transport

□ Other (please specify):

I am aware that the visa fee is not refunded if the visa is refused.

Applicable in case a multiple-entry visa is applied for:

I am aware of the need to have an adequate travel medical insurance for my first stay and any subsequent
visits to the territory of Member States.
I am aware of and consent to the following: the collection of the data required by this application form
and the taking of my photograph and, if applicable, the taking of fingerprints, are mandatory for the
examination of the application; and any personal data concerning me which appear on the application
form, as well as my fingerprints and my photograph will be supplied to the relevant authorities of the
Member States and processed by those authorities, for the purposes of a decision on my application.

Such data as well as data concerning the decision taken on my application or a decision whether to annul,
revoke or extend a visa issued will be entered into, and stored in the Visa Information System (VIS) for a
maximum period of five years, during which it will be accessible to the visa authorities and the authorities
competent for carrying out checks on visas at external borders and within the Member States, immigration
and asylum authorities in the Member States for the purposes of verifying whether the conditions for the
legal entry into, stay and residence on the territory of the Member States are fulfilled, of identifying
persons who do not or who no longer fulfil these conditions, of examining an asylum application and of
determining responsibility for such examination. Under certain conditions the data will be also available
to designated authorities of the Member States (for Italy the Ministry of Interior and the Police authority)
and to Europol for the purpose of the prevention, detection and investigation of terrorist offences and of
other serious criminal offences. The Ministry of Foreign Affairs and International Cooperation – MAECI
(Piazzale della Farnesina 1, 00135 Roma) www.esteri.it tel. 0039 06 36911 (switchboard), through the
Diplomatic Representation or Consulate where the visa application has been lodged, is the authority
responsible for processing the data.

I am aware that I have the right to obtain, in any of the Member States, notification of the data relating to
me recorded in the VIS and of the Member State, which transmitted the data, and to request that data
relating to me which are inaccurate be corrected and that data relating to me processed unlawfully be
deleted. At my express request, the authority examining my application (for the Diplomatic
Representations or Consulates please visit www.esteri.it e http://vistoperitalia.esteri.it) will inform me
of the manner in which I may exercise my right to check the personal data concerning me and have them
corrected or deleted, including the related remedies according to the national law of the Member State
concerned. The Italian national supervisory competent authority on the protection of personal data is
the MAECI Data Protection Officer / DPO (email: rpd@esteri.it, certified email: rpd@cert.esteri.it) or the
Italian Data Protection Authority (Piazza Venezia 11, 00187 ROMA; tel. 0039 06 696771 (switchboard);
email: garante@gpdp.it; pec: protocollo@pec.gpdp.it).

I declare that to the best of my knowledge all particulars supplied by me are correct and complete. I am
aware that any false statements will lead to my application being rejected or to the annulment of a visa
already granted and may also render me liable to prosecution under the law of the Member State which
deals with the application.

I undertake to leave the territory of the Member States before the expiry of the visa, if granted. I have
been informed that possession of a visa is only one of the prerequisites for entry into the European
territory of the Member States. The mere fact that a visa has been granted to me does not mean that I will
be entitled to compensation if I fail to comply with the relevant provisions of Article 6(1) of Regulation (EU)
No 2016/399 (Schengen Borders Code) and I am therefore refused entry. The prerequisites for entry will
be checked again on entry into the European territory of the Member States.

Place and date: Signature:

(signature of parental authority/legal

guardian, if applicable):
INFORMATION SHEET TO VISA HOLDERS
You have been issued a visa for the territories of the Schengen States1.
As soon as you receive your short-stay visa, make sure that all the information
it contains is correct.
Check the following:
 Your passport number matches the one also indicated on the visa sticker.
 You applied for your visa for a specific period or periods. Check that your
air ticket corresponds with the entry and exit dates indicated on the visa
sticker.
 Check the correct spelling in correct.
Do this yourself in order to avoid any problems or extra costs arising when using
your visa. If you think that the information on the visa is incorrect, tell the Consulate
or Embassy immediately, so that any errors can be corrected.
How to read the visa sticker
DURATION OF STAY………DAYS indicates the number of days, you may stay
in the Schengen area. The days should be counted from the date you enter the
Schengen area (the entry stamp) to the date you exit the Schengen area (the exit
stamp), i.e. both days included.
The period of time between “FROM …UNTIL” is usually longer than the number
of days printed in the “DURATION OF STAY” field. The difference in period is
meant to give you flexibility to plan your entry into and exit from the Schengen area,
but your stay in the Schengen area must never exceed the exact number of days in
the “DURATION OF STAY …DAYS” field. No matter how many days you have
stayed in the Schengen area, you must leave no later than the date printed in the
“UNTIL” field."
Border Controls
1
Austria, Belgium, Czech Republic, Denmark, Estonia, Finland, France,
Germany, Greece, Hungary, Iceland, Italy, Latvia, Liechtenstein, Lithuania,
Your short-stay visa allows you to travel to Italy and usually to other Schengen
States. But it does not automatically entitle you to enter the Schengen area.
Therefore you may have to provide additional information at border or other
controls. You may, for instance, have to provide information on your means of
support, how long you intend to stay in Italy or other Schengen Member States, and
why you are visiting Italy. In some cases, such checks may result in a refusal for the
visa holder to enter Italy or the Schengen area.
It is therefore recommended that you carry with you copies of the documents that
you provided when you applied for the visa (e.g. letters of invitation, travel
confirmations, other documents stating the purpose of your stay). This will help
to make the border control procedure easier and avoid delays.
NB: You must stick to the period of stay allowed by your visa. Misuse and overstay
may result in you being expelled and banned from obtaining a new visa for a certain
period of time.
Important notice on COVID-19 related travel restrictions
As part of the measures to contain the spreading of COVID-19, individual
Schengen States have introduced travel restrictions, including at certain borders
between those states.
Depending on the development of the epidemiological situation both within and
outside the EU, travel restrictions may be eased or reintroduced.
All travelers are responsible for verifying the travel restrictions in place before
departure. Holders of a Schengen visas are not automatically entitled to enter the
Schengen area but must respect the travel restrictions in place.
For more information about travel restrictions in force in Italy, kindly visit the
website of the Ministry of Foreign Affairs and International Cooperation
(https://www.esteri.it/mae/en/) and the information portal Viaggiare Sicuri
(http://www.viaggiaresicuri.it).
Luxembourg, Malta, The Netherlands, Norway, Poland, Portugal, Slovakia,
Slovenia, Spain, Sweden, Switzerland