1. Surname Попълва се от администрацията
2. Surname at birth (Former family name(s)) Дата на подаване на заявлението:

Номер на заявлението за издаване на виза:
3. First name
Място на подава не на заявлението
□ Посолство/консулство
4. Date of birth (day-month-year) 5. Place of birth 7. Current nationality □ Общ център за приемане на заявления
□ Външен изпълнител
□ Търговски посредник
□ Граница
6. Country of birth Nationality at birth, if different: Име:

□ на друго място
Досието е обработено от:
8. Sex 9. Marital status Придружаващи документи:
□ Документ за задгранично пътуване
□ Средства за и здръжка
10. In the case of minors: Surname, first name, address (if different from applicant's) and nationality of parental authority/legal guardian □ Покана
□ Транспорт
11. National identity number, where applicable □ Медицинска застраховка
за пътуване в чужбина
□ Друго:
12. Type of travel document Решение относно визата:
□ Отказана
13. Number of travel document 14. Date of issue 15. Valid until 16. Issued by □ Издадена:
□ A
17. Applicant's home address and e-mail address Telephone number(s) □ C
Country:  
City:
Address:
ZIP
e-mail:
□ D
18. Residence in a country other than the country of current nationality □ Валидност:
От...
До...
Брой влизания:
□ 1 □ 2 □Многократно
19. Current occupation Брой дни
20. Employer and employer's address and telephone number. For students, name and address of educational establishment.
21. Main purpose(s)of the journey:
22. Member State(s) of destination 23. Member State of first entry
Country:
City:
24. Number of entries requested 25. Duration of the intended stay or transit
Visa validity (for multiple entry visas) Indicate number of days
26. Schengen visas issued during the past three years
27. Fingerprints collected previously for the purpose of applying for a visa
28. Entry permit for the final country of destination, whereapplicable
Issued by ..................................... Valid from ..............................until.....................
29. Intended date of arrival in the Republic of Bulgaria 30. Intended date of departure from the Republic of Bulgaria
31. Surname and first name of the inviting person(s) in the Republic of Bulgaria. If not applicable, name of hotel(s) or temporary accommodation(s) in the Republic of Bulgaria
Address and e-mail address of inviting person(s)/hotel(s)/temporary accommodation(s) Telephone and telefax
Country:  
City:
Address:
ZIP:
Citizenship:
32. Name and address of inviting company/organisation Telephone and telefax of company/organisation
Surname, first name, address, telephone, telefax, and e-mail address of contact person in company/organisation
33. Cost of travelling and living during the applicant's stay is covered
Means of support



Means of support
34. Personal data of the family member who is an EU, EEA or CH citizen
Surname First name(s)
Date of birth Nationality Number of travel document or ID card
35. Family relationship with an EU, EEA or CH citizen
36. Place and date 37. Signature (for minors, signature of parental authority/legal guardian)

Choose a consulate:


Запишете уникалният номер на своето заявление: 55C2