STAMP OF EMBASSY

OR CONSULATE

PHOTOGRAPH
Application for Bulgarian Visa
/The application form is provided free of charge/

1. SURNAME FOR VISA ISSUING

AUTHORITY USE ONLY
2. EARLIER SURNAMES / OTHER SURNAMES

3. FIRST NAME
Date of application:

4. DATE OF BIRTH (year - month – day) 5. NATIONAL ID NUMBER (if any) File handled by :

6. PLACE AND COUNTRY OF BIRTH

7. NATIONALITY(IES) 8. PREVIOUS NATIONALITY Supporting documents:

(nationality at birth)

9. SEX 10. MARITAL STATUS: □ Single □ Valid passport

□ Financial means
□ Male □ Female □ Married □ Separated □ Divorced □ Invitation
□ Means of transport
□ Widowed □ Other □ Medical insurance
11. FATHER’S NAMES 12. MOTHER’S NAMES □ Other :

13. TYPE OF PASSPORT:

□ National passport □ Diplomatic passport □ Service passport
□ Travel document (1951 Geneva Convention)
□ Alien’s passport □ Seaman’s passport □ Other travel document (please, specify):
14. NUMBER OF PASSPORT 15. ISSUED BY

16. DATE OF ISSUE 17. VALID UNTIL

18. IF YOU RESIDE IN A COUNTRY OTHER THAN YOUR COUNTRY OF ORIGIN, DO YOU HAVE
PERMISSION TO RETURN TO THAT COUNTRY? □ No □ Yes (number and validity of permission)

19. CURRENT OCCUPATION Visa:

20. EMPLOYER AND EMPLOYER’S ADDRESS AND TELEPHONE NUMBER □ Refused

(for students: name and address of school) □ Granted

Type of visa:

21. COUNTRY OF FINAL 22. TYPE OF VISA: 23. VISA: □ LTV

DESTINATION □ Airport transit □ Individual □ Group □A
□ Transit □B
□ Short stay □C
□ Long stay □D
□ D+C
24. NUMBER OF ENTRIES 25. DURATION OF STAY Number of entries:

□ Single entry □ Two entries □ Multiple entries Visa is requested for:______ days
26. OTHER BULGARIAN VISAS (issued during the past three years) AND THEIR PERIOD OF VALIDITY □1 □2
□ Multiple

27. IN THE CASE OF TRANSIT, DO YOU HAVE AN ENTRY PERMIT FOR THE FINAL COUNTRY Valid from ................................
OF DESTINATION? To.............................................
Valid for: ..................... days
□ No □ Yes, valid until: Issuing authority:
28. TRAVELS ABROAD IN THE PAST FIVE YEARS
FOR VISA ISSUING
AUTHORITY USE ONLY
29. PU RPOSE O F TRAVEL
□ Tourism □ Business □ Private visit □ Cultural/Sports □ Official
□ Medical reasons □ Other (please, specify): .............................................
30. DATE OF ARRIVAL 31. DATE OF DEPARTURE

32. BORDER OF FIRST ENTRY OR TRANSIT ROUTE 33. MEANS OF TRANSPORT

34. DETAILS ABOUT HOST PERSON, ORGANIZATION OR HOTEL

Full name of person/Name of organization or hotel Telephone and fax

Full address Е-mail address

35. WHO IS PAYING FOR YOUR TRIP AND FOR YOUR COSTS OF LIVING DURING YOUR STAY?

□ Myself □ Host person □ Host organization

(State who and how and present corresponding documentation): ............................................................................
.............................................................................................................................................................................

36 . MEAN S OF SUPPORT DURING YOUR ST AY

□ Cash □ Travellers’ cheques □ Credit cards □ Accommodation provided for
□ Other:................................................□ Travel and/or medical insurance. Valid/and until:.................................

37. SPOUSE’S FAMILY NAME 38. SPOUSE’S EARLIER FAMILY NAMES

39. SPOUSE’S FIRST NAME 40. SPOUSE’S DATE OF BIRTH 41. SPOUSE’S PLACE OF
BIRTH

42. CHILDREN
Middle name and family name First name Date of birth
1.
2.
3.

43. PERSONAL DATA OF THE EU OR EEA CITIZEN YOU RELY ON

(This question should be answered only by family members of EU or EEA citizens.)
Middle name and family name First name

Date of birth Nationality Number of passport

Family relationship: ....................................................................... of an EU or EEA citizen

44. I consent to the following: any data which appear on this visa application form will be supplied to the relevant authorities in
the Republic of Bulgaria and processed by those authorities for the purposes of a decision on my visa application. Such
data may be input into, and stored in databases.
I declare that data above is true and correct. I understand that any false statements may render me liable to prosecution
under the Bulgarian law and that this may result in the refusal of a visa or to the annulment of a visa already granted.
I undertake to leave the territory of the Republic of Bulgaria upon the expiry of the visa.
I have been informed that possession of a visa is not the only prerequisite for entry into the territory of the Republic of
Bulgaria.

45. APPLICANT’S HOME ADDRESS 46. TELEPHONE NUMBER

47. PLACE AND DATE 48. SIGNATURE