Harmonised application form
Application for Schengen Visa
This application form is free PHOTO
Family members of EU, EEA or CH citizens or of UK nationals who are beneficiaries of the EU-UK Withdrawal Agreement
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] : SHADDOUD For official use only
Date of application :
2. Surname at birth [former family name(s)] : 25/07/2024
Application number :
FRA1BE20247 058376
3. First name(s) [given name(s)] : Danial
Application lodge at :
Embassy/consulate
4. Date of birth (day-month- 5. Place of birth : 7. Current nationality : Service provider
year) : 30/03/1996 Syrian
HOMS Commercial
intermediary
Nationality at birth, if different :
Border
6. Country of birth :
(name) :
Syria Other nationalies :
Other :
File handled by :
Supporting documents :
8. Sex : 9. Civil status : Travel document
Single
■ Married Registred partnership Separated
Means of subsistence
Male
■
Female Other Divorced Widow(er) Other (specify) :
Invitation
10. Parental authority (in case of minors)/legal guardian (surname, first name, address, if different from applicant’s, TMI
telephone No, email address, and nationality) : Means of transport
Other :
Visa decision :
Refused
Issued
A
11. National identity number, where applicable : 04010767428 C
LVT
12. Type of travel document :
■ Ordinary passport Diplomatic passport Service passport Official passport Special passport
Other travel document (please specify) : Valid :
13. Number of travel document : 14. Date of issue : 15. Valid until : 16. Issued by (country) : From .......….…….…..
26/05/2024 25/11/2026 ………
N01346595 Syria
Until.....…….….……
….…....
17. Personal data of the family member who is an EU, EEA or CH citizen or a UK national who is a beneficiary of the EU-
UK Withdrawal Agreement, if applicable : Number of entries :
1 2 Multiple
Surname (family name) : First name(s) [given name(s)] : Number of days : ............
Date of birth (day-month-year) : Nationality : Number of travel document or ID card :
1/4
*FRA1BE20247058376*
18. Family relationship with an EU, EEA or CH citizen or a UK national who is a beneficiary of the EU-UK Withdrawal Agreement, if applicable :
Spouse Child Grandchild Dependent ascendant Registered partnership Other
19. Applicant’s home address and email address : Telephone no :
WADI THANAB
0000
HOMS
Syria
[email protected]20. Residence in a country other than the country of current nationality :
■ No Yes : Residence permit or equivalent N°…………….…..…..….……………….…… Valid until………..…………..
* 21. Current occupation :
Unemployed
* 22. Employer and employer’s address and telephone number. For students, name and address of educational establishment :
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 :
Family visit
25. Member State of main destination (and other Member States of 26. Member State of first entry :
destination, if applicable) :
France
27. Number of entries requested :
■ Single entry Two entries Multiple entries
Intended date of arrival of the first intended stay in the Schengen area : 01/09/2024
Intended date of departure from the Schengen area after the first intended stay : 31/10/2024
28. Fingerprints collected previously for the purpose of applying for a Schengen visa :
■ No Yes Date, if know : ……….…………. Number of the visa, if know :………………………………………………
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) :
HUGO Lamat
2/4
Address and email address of inviting person(s)/hotel(s)/temporary accommodation(s) : Telephone no :
10 AVENUE DE MENIVAL, 69005, LYON
France
[email protected]* 31. Name and address of inviting company/organisation : Telephone no of company/
organisation :
Surname, first name, address, telephone no, and email address of contact person in company/organisation :
* 32. Cost of travelling and living during the applicant’s stay is covered :
■ by the applicant
■ by a sponsor (host, company, organisation), please specify :
■ referred to in field 30 or 31
Means of support :
Other (specify) :
■ Cash
Traveller’s cheques
Credit card
Pre-paid accommodation Means of support :
Pre-paid transport Cash
Other (specify) : Accomodation provided
■ All expenses covered during the stay
Pre-paid transport
Other (specify) :
33. Surname and first name of the person filling in the application form, if different from the applicant :
Address and email address of the person filling in the application form : Telephone no :
3/4
*FRA1BE20247058376*
I am aware that the visa fee is not refunded if the visa is refused.
Applicable in case a multiple-entry visa is issued
I am aware of the need to have 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 and to Europol for the purpose of the prevention, detection and
investigation of terrorist offences and of other serious criminal offences. The authority of the Member State responsible for processing the data are : Ministère de
l’Intérieur (Place Beauvau -75800 Paris CEDEX 08) et le Ministère de l’Europe et des Affaires Etrangères (27 rue de la Convention –75732 PARIS Cedex 15).
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 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 national supervisory authority
of that Member State [ Commission Nationale de l'Informatique et des Libertés – 3 Place de Fontenoy - TSA 80715 - 75334 PARIS CEDEX 07 ] will hear
claims concerning the protection of personal data.
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) 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 of applicant (signature of parental authority/legal guardian, if applicable) :
25/07/2024 03: 30: 01 (hour of
Beirut)
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25/07/2024 03:46:39 (hour of Beirut) 1/2
France-Visas
The official website for visa application to France
Registration receipt
On 25/07/2024, your information has been recorded by the France-Visas system.
Reference of the application : FRA1BE20247058376
Last name/s : SHADDOUD
First name/s: Danial
*FRA1BE20247058376*
Birth date (DD/MM/YYYY): 30/03/1996
REQUIRED SUPPORTING DOCUMENTS TO SUBMIT YOUR APPLICATION
The day of your appointment, thank you for coming with originals and copy of all documents listed below, translated into French /
English or Spanish (if accepted by the visa center)*.
If you are a student and have scanned all your supporting documents, please bring the originals of the documents listed below only.
FORMS
Signed and dated application form
Receipt France-Visas
PRE-REQUISITES
A travel document, issued less than 10 years ago, containing at least two blank pages, with a period of
validity at least 3 months longer than the date on which you intend to leave the Schengen Area or, in the
case of a long stay, at least three months longer than the expiry date of the visa requested. Be sure to
transmit (scan) ALL PAGES of your travel document containing visas, entry and exit stamps or any other
inscription.
If you are not a Lebanese citizen : please add a proof showing that you are legally residing in Lebanon
(please note that your residence permit has to be valid for at least 1 month after your planned return date to
Lebanon).
If you have an official travel document, a note verbale is required.
One recent ID picture in ISO/IECI format (visit the FAQ page for more information).
CIVIL STATUS
Proof of family relationship with the EU or EEA national.
ﺇﺛﺒﺎﺕ ﺻﻠﺔ ﺍﻟﻘﺮﺍﺑﺔ ﻣﻊ ﺭﻋﺎﻳﺎ ﺍﻻﺗﺤﺎﺩ ﺍﻷﻭﺭﻭﺑﻲ ﺃﻭ ﺭﻋﺎﻳﺎ ﺍﻟﻤﻨﻄﻘﺔ ﺍﻻﻗﺘﺼﺎﺩﻳﺔ ﺍﻷﻭﺭﻭﺑﻴﺔ.
Proof of the nationality of the EU or EEA national.
ﺇﺛﺒﺎﺕ ﺟﻨﺴﻴﺔ ﺭﻋﺎﻳﺎ ﺍﻻﺗﺤﺎﺩ ﺍﻷﻭﺭﻭﺑﻲ ﺃﻭ ﺭﻋﺎﻳﺎ ﺍﻟﻤﻨﻄﻘﺔ ﺍﻻﻗﺘﺼﺎﺩﻳﺔ ﺍﻷﻭﺭﻭﺑﻴﺔ.
25/07/2024 03:46:39 (hour of Beirut) 2/2
PURPOSE OF TRAVEL/STAY
Proof that the applicant is accompanying or joining an EU/EEA/Swiss national. Otherwise, sworn statement
that the applicant is accompanying or joining an EU/EEA/Swiss national. If the applicant is a dependant
(child over the age of 21, ascendant, member of the household): proof of the status of dependant must be
shown (regular and substantial financial contribution from the EU/EEA/Swiss national to the maintenance
and education, sworn statement).
APPLICABLE VISA FEE
On the day of your appointment, you will have to pay the application fee of : 90 €**,or about 90 EURO.
What currency is accepted? What are the payment method types? Please read the Fees section after choosing the pages specific
to your local. You will find information on the fees and, more generally, the most accurate information for your visa application. In
the case where the submission of your application is made with a service provider, service fees will be collected.
* Please note : if any documents are missing, this may lead to the non-issuance of the visa you have applied for. The visa center
reserves the right to ask for further documentation and information.
** This amount is for informational purposes only. Certain individual cases may give rise to different prices, in accordance with
applicable regulations.
