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Request

Belgium Visa Application Form

This application form will take approximately 15 minutes to complete.

Step 1 of 2 - Personal Details

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Given names*

Surname*

Was your surname different at birth?*

Yes

No

Surname at birth*

Gender*

Male

Female

Marital status*

Specify your marital status*

Date of birth*

DD slash MM slash YYYY

Type of passport*

Country of birth*

Place of birth*

Current citizenship*

Was your citizenship at birth different than the current citizenship?*

Yes

No

Citizenship at birth*

Do you hold dual citizenship?*

Yes

No

Second citizenship*

UK residence permit/visa number*

Do you hold an Indefinite Leave to remain (ILR) status in the UK?*

No

Yes

UK residence permit/visa expiry date*

DD slash MM slash YYYY

E-mail address*

Phone number*

Current Address*

City*

Postcode*

Do you have a family member who is an EU, EEA or Swiss citizen?*

Yes

No

Relationship with the EU, EEA or Swiss citizen*

Spouse

Child

Granchild

Dependent ascendant

Registered Partnership

Other

Please specify if ''other''*

Citizenship of the EU, EEA or Swiss citizen*

Given Names of the EU, EEA or Swiss citizen*

Surname of the EU, EEA or Swiss citizen*

Date of birth of the EU, EEA or Swiss citizen*

DD slash MM slash YYYY

Passport/ID card number of the EU, EEA or Swiss citizen*

Occupation*

Employed

Self-employed

Unemployed

Student

Position*

Employer*

Employer's address*

Employer's phone number*

Employer's e-mail address*

Trading name*

Trading address*

Trading contact number*

Educational establishment*

Educational establishment's address*

Educational establishment's phone number*

Educational establishment's e-mail address*

Travel Details

Main destination*

First country of entry in Schengen area*

Purpose of travel*

Date of arrival in the Schengen area*

DD slash MM slash YYYY

Date of departure from the Schengen area*

DD slash MM slash YYYY

Number of entries*

Name of inviting company/organisation*

Address of inviting company/organisation:*

Telephone number of inviting company/organisation:*

E-mail address of inviting company/organisation:*

Full name of contact person from inviting company/organisation*

E-mail address of contact person from inviting company/organisation*

Place of stay*

Hotel/Hostel/Camping

Airbnb

Private accommodation

Accommodation name*

Accommodation address*

Accommodation phone number*

Accommodation e-mail address*

Host's full name*

Host's address*

Host's phone number*

Host's e-mail address*

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:

Applicant's Means of support*

Cash

Credit Card

Traveller's Cheques

Pre-paid accommodation

Pre-paid transport

Other

Please specify if other*

Sponsor company/organization/host name*

Sponsor's Means of support*

Cash

Accommodation provided

Pre-paid transport

All expenses covered during the stay

Other

Please specify if other*

Have you ever applied for a Schengen visa before?*

Yes

No

Do you know the visa number of your last Schengen visa?*

Yes

No

Visa sticker number*

Have you submitted your biometrics for a Schengen visa application before?*

Yes

No

Date of biometrics submission, if known

DD slash MM slash YYYY

Please select if you don't know the date of biometrics submission

Not known

Please upload a photocopy of your passport's biodata page and UK residence permit(JPG,PNG,PDF))

Alternatively send it to: [email protected]

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 1 MB, Max. files: 2.

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