签证申请表格-MVEP.DOCVIP

Photo 照片 APPLICATION FOR CROATIAN VISA 克罗地亚共和国签证申请表格 This application form is free Surname(s) / Family name(s) (x) 姓 Isklju?ivo za slu?benu uporabu Datum podno?enja zahtjeva Broj zahtjeva u HVIS-u Zahtjev podnesen u DM/KU Zajedni?ki centar za podno?enje zahtjeva Pru?atelj usluga Komercijalni posrednik Grani?ni prijelaz Naziv Ostalo Zahtjev obradio/obra dil a Prilo?ena dokumentacija Putna isprava Sredstva za uzdr?avanje Poziv Prijevozno sredstvo Putno zdravstveno osiguranje Ostalo Odluka vizi Odbijena Izdana A C Vrijedi od .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. do .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. Broj ulazaka Jedan Dva Vi?e Broj dana Surname(s) at birth (x) 姓(婚前) First name(s) (x) 名 Date of birth (day-month-year) 出生日期（日-月-年） Place of birth出生地 Current nationality现国籍 Nationality at birth, if different原国籍  Country of birth 出生国家 Sex性别 Marital status Male男 Single 单身 Married 已婚 Separated 分居 Divorced 离婚 Widow(er) 丧偶 Female女 Other (please specify) 其他 If the application is lodged by a legal guardian: surname(s), name(s), address (if different from applicant’s) and nationality of a legal guardian 法定监护提交申请时，法定监护人的姓，名，地址（如与申请人不同），国籍： National identity number (where applicable) 本国身份证号码 Type of travel document旅行文件种类 Ordinary passport 普通护照 Diplomatic passport 外交护照 Service passport 公务护照 Special passport 旅行证件（1951、1954公约） Other travel document (please specify) 其他旅行证件 Number of travel document 护照号码 Date of issue 发照日期 Valid until有效期至 Issued by发照机关 Applicant’s home address, e-mail address申请人家庭地址及电子邮件 Telephone number(s)电话号码 Residence in a country other than the country of current nationality居住国是否是你的现国籍所在国 No不 No号码 Valid until有效期至 Yes. Residence permit or equivalent是，居留许可证 Current occupation现职业 Employer and employer’s address and telephone number. For students, name and address of educational establishment (*) 工作单位名称、地址及电