Campeon

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Application for Schengen Visa
This application form is free
For official use only Date of application: Visa application number:
5. Place of birth 7.Current nationality

1. Surname (Family name) (x)

LAITON SANCHEZ
2. Surname at birth (Former family name(s)) (x)

LAITON SANCHEZ
3. First name(s) (Given name(s)) (x)

IONY LEET
4. Date of birth (day-month-year)

Applicationlodged at Embassy/consulate CAC Service provider Commercial intermediary Border Name:

23-SEPTIEMBRE-1980
8.Sex

LETICIA(AMAZONAS)
6. Country of birth

COLOMBIANA
Nationality at birth, if different

COLOMBIA
9. Marital status

Male

Female

Single

Married

Separated

Divorced

Widow(er)

Other (please specify)
10. In the case of minors: Surname, first name, address (ifdifferent from applicant’s) and nationality of parental authority/legal guardian

NO APLICA
11. National identity number, where applicable

Other: File handled by:

52.709.736 BOGOTA D.C.
12. Type of travel document

Ordinary passport Other (please specify)
13. Number of travel document

Diplomatic passport

Service passport

Official passport Supporting documents: Traveldocument Means of subsistence Invitation Means of transport TMI Other: Visa decision Refused Issued: A C LTV Valid From……………………….... Until ………………………….

14. Date of issue

15. Valid until

16. Issued by
MINISTERIO DE RELACIONES EXTERIORE

AM 584748

08/NOV/NOV/2010 07/NOV/NOV/2020

17. Applicant’s home address and e-mail address

Telephone number(s)

CARRERA 19 NUMERO 183-30 INT 5 APT401lizlaiton@hotmail.com
18. Residence in a country other than that country of current nationality

(1)526-77-98 /3186735231

No Yes. Resident permit or equivalent …………………….. No ……..……………… Valid until
* 19. Current occupation

COORDINADORA DE DESPACHO
* 20. Employer and employer’s address and telephone number. For students, name and address of educational establishment.

NO APLICA
21.Main purpose(s) of the journey

Tourism Official visit

Business

Visiting family or friends

Cultural

Sports

Medical reasons Study Transit Airport transit Other (please specify)
23. Member state of first entry

Number of entries 1 2 Multiple Number of days:

22. Member State(s) of destination

GOTEBORG (SUECIA)
24. Number of entries requested

FRANKFURT (ALEMANIA)
25.Duration of the intended stay or transit

Single entry Multiple entries
MIGR_119031_rev._2_201008

Two entries

Indicate number of days

76 DIAS

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 a Schengen Visa

No

Yes. Date ifknown……………………….………………

The field 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 EU,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 accordance with the data in travel document.

28. Entry permit forthe final country of destination, where applicable

For official use only

Issued by ….……………………….…….. ...Valid from ……………….……Until…….…………………….
29. Intended date of arrival in the Schengen Area 30. Intended date of departure from the Schengen Area

22-MAYO-2011

05-AGOSTO-2011

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

ROPPONEN KRISTER ILMARI
Address and e-mail address of inviting person(s)/hotel(s) Telephone and telefax temporary accommodation(s) ARTILLERIGATAN 14B 41503 GOTEBORG 740812-4993 * 32. Name and address of inviting company / organisation Telephone and telefax of company / organisation

Surname, first name, address,...