COMPLEMENTARY QUESTIONNAIRE FOR A SCHENGEN VISA APPLICATION 签证申请补充问题
(To be completed by the applicant in French or in English and to be joined to the application form)
(请用法文或英文填写，并随同申请材料一并提交)
1. Identity 基本信息 ：
1.1 Surname 姓: ………………………………..…. First name 名: ………………………………… Date of birth 出生日期: ……..……………… 1.2 Father’s name 父亲姓名: ……………………………………………Mother’s name 母亲姓名: …………….……………………………..……
2. Family status 家庭状况 ：
2.1 If you are married 如已婚：
Surname of your spou 配偶姓: ………………………………..……….…... First name of your spou 配偶名:………………………..………… Date of birth of your spou 配偶出生日期:…………………………………. Nationality of your spou 配偶国籍: …………………….………...
2.2 Do you have any children? 是否有子女？ ☐yes 有 ☐no 没有
If yes, plea fill the surname, first name, date of birth of each child and their current residence. 如有, 请填写他们的姓名、生日及目前居住国：
Surname 姓 | First name 名 | Date of birth 生日 | Current residence 子女的目前居住国 |
| | | ☐ China 中国 ☐France 法国 ☐Other Schengen State 其他申根国家 ☐ Other foreign country 其它国家…………………………………… |
| | | ☐ China 中国 ☐France 法国 ☐Other Schengen State 其他申根国家 ☐ Other foreign country 其它国家…………………………………… |
| | | ☐ China 中国 ☐France 法国 ☐Other Schengen State 其他申根国家 ☐ Other foreign country 其它国家…………………………………… |
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2.3 Information stated on your HUKOU 户口本上的户籍信息 ：
Agricultural family ? 农业户口 ? | ☐ Yes 是 ☐no 不是 | Place of birth 出生地 | |
Educational Level 文化程度 | |
Have you moved from another city ? 是否由其他城市迁来本址? | ☐Yes 是 If yes, from where? 如果是，从哪个城市？……………………………………..… ☐ no 不是 |
Employer's name 工作单位名称 | |
Occupation 职务 | |
Date of the latest update of your Hukou 最近更新户籍信息的时间 | |
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3. Purpo of travel (plea check the appropriate box) 旅行目的 ( 请选择相应选项 ) :
☐ Private visit to friends 访友 ☐Family visit 探亲 ☐Business visit 商务 ☐Professional visit 公务 ☐Individual tourism 旅游
Other (plea specify) 其它，请加以说明………………………………………………………………………………………..…………………...
4. Current profession and financial resources in China 目前在中国的职业和经济来源 :
4.1 What is your current professional status ? 当前的职业状况？
☐ Employee 工薪人员 ☐retired 退休 ☐unemployed 无业 ☐student 学生 ☐hou wife 家庭妇女 ☐other 其它
4.2 If other, plea specify: 如是其它, 请加以说明……………………………………………………………..…………………………………….
4.3 If you are employee, plea specify the name and address of your employer. 如您是在职人员，请填写您目前工作单位名称和地址。
………………………………………………………………………………………………………………………………………………………….. Telephone number 电话号码:………………………… Fax number 传真号码:………..…………… Email 电子信箱:…………………………….
4.4 How long have you been working for your employer？ 您从什么时候开始为该单位服务？………………………………………………….. 4.5 What is the activity of your employer ? 您所在单位经营哪方面的业务？………………………………………………………………….…..
4.6 If your travel purpo is business, how long has your company been co-operating with the inviting company ? 如果您的旅行目的为商务， 您的公司与邀请公司之间已经有多长时间的业务往来？……………………………………………...………….. 4.7 What is your profession/job? 您的职务和工作性质……………………………………………………………………………………………....
4.8 Your monthly income (RMB) 月收入 (人民币：元) :
- Salary or professional income 工资及其它性质的劳动报酬 | |
- Retirement pension 退休金 | |
- Rental income 出租所收租金 | |
- Other income (spou, parents, scholarship) 其它收入 (伴侣、父母、奖学金) | |
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4.9 Have you been granted a leave of abnce ? 您赴法期间是否获得准假？ | ☐ Yes 是 | ☐ No 不是 |
If you have answered yes, is it a paid leave？ 如是，是否带薪？ | ☐ Yes 是 | ☐ No 不是 |
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5. Your housing in China 您在中国的住所 :
5.1 Are you owner? 您是否房主？ ☐Yes 是 ☐No 不是 Tenant？ 是否承租人？ ☐Yes 是 ☐No 不是
5.2 Since when do you live at this address? 您从什么时间开始在这个地址居住？…………………………………………….…………………..
6. Your stay in the Schengen States 您此次在申根国家的行程：
6.1 You are travelling 您此次旅行是： ☐alone 独自 ☐with family or friends 和亲人或朋友一起 ☐with colleagues 和同事一起
6.2 If you are travelling with family, friends or colleagues, plea fill in the surname, first name and date of birth of each person travelling with you : 如果您此次与亲人、朋友或同事一起旅行，请填写他们的姓名、生日及与您的关系：
Surname 姓 | First name 名 | Date of birth 生日 | Relationship 与您的关系 |
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6.3 Do you have family or friends in the Schengen area? 您在法国或其它申根国家是否有亲人或朋友？ ☐Yes 有 ☐No 没有
6.4. If yes, plea write down the surname, first name and date of birth of each member of your family living in the Schengen area:
如回答“是”，请填写他们的姓名、生日及与您的关系：
Surname 姓 | First name 名 | Date of birth 生日 | Relationship 与您的关系 |
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6.5. If yes, where does/do your family/friends live ? 如果有，他们的居住地址？
…………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………….…………………………
6.6 What will be your itinerary in the Schengen area? 您在申根国家的旅行路线是？……………………………………………………………….
…………………………………………………………………………………………………………………………………………………………….
6.7 Do you speak any foreign languages? 您是否讲外语？ ☐Yes 是 ☐No 不是
If you have answered yes, which language(s) ? 如是, 您可以讲哪几国语言？………………………………………………………..………………
7. Previous Schengen visa applications 您过去的申根签证申请纪录
Date of submission 申请日期 | Schengen State of submission 提交申请的申根国家 | Outcome 结果 |
| | Visa granted 获得签证 | ☐ | Visa denied 拒签 | ☐ |
| | Visa granted 获得签证 | ☐ | Visa denied 拒签 | ☐ |
| | Visa granted 获得签证 | ☐ | Visa denied 拒签 | ☐ |
| | Visa granted 获得签证 | ☐ | Visa denied 拒签 | ☐ |
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