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Application for National Visa
This application form is free
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1. Surname(s)
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FFICIAL
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NLY
2. Surname(s) at birth (previous surname(s))
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3. Forename(s)
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4. Date of birth (day-month-year) 5. Place of birth
6. Country of birth
7. Current nationality
Nationality a
t birth, if different:
8. Sex
Male Female
9. Marital status
Single/a Married Separated Divorced Widow(er)
Others (specify)
10. For minors: surname(s), forename(s), address (if different from that of applicant) and nationality of person who
exercises parental responsibility or legal guardian
11. Spanish National Identity Document Number, where applicable
12. Type of travel document
Ordinary passport Diplomatic passport Service passport Official passport Special passport
Other travel document (please specify)
13. Number of travel document
14. Date of Issue 15. Valid until
16. Issued by
17. Postal and e-mail address of applicant
Telephone number(s)
18. Residence in country other than country of current nationality
No
Yes. Residence permit or equivalent document…………Nº…………………….Valid until……………………
19. Current Profession
Date of application:
Visa application number:
File processed by:
Documents presented:
Travel document
Government authorisation
Request for government
authorisation
Means of livelihood
Proof of accommodation
Medical certificate
Criminal record certificate
Travel medical insurance
Note verbale
Others:
Decision on visa:
Refused
Issued:
Valid from …………
until ………………….
Number of entries:
One Two Over Two
Number of days:
1
To be completed according to data which appears in travel document.
2
To be completed according to data which appears in travel document.
3
To be completed according to data which appears in travel document.
N/A
Student
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20. Principal purpose of journey:
Residence without work permit
Residence - Family reunion
Residence - Employee
Residence - Self employed
Residence - Temporary work as employee (nine months a year)
Studies
Research (within the framework of hosting agreement signed by research
organisation)
Accreditation
21. Date of intended entry into Spain
22. Number of entries requested: one two more than two
23. Postal address of applicant in Spain
24. Spanish Foreign National Identity Number
(NIE)
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25.- Date of notification of decision issued by competent body for non-nationals
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26. Data of individual resident in case of application for residence visa for family reunion
Surname(s) and forename(s) of individual resident in Spain
Relationship (between applicant and individual resident in Spain)
spouse
registered partner
son/daughter(of the individual resident or spouse)
dependent direct relative (of spouse or partner )in the ascending line of
the individual resident
dependent person subject to legal representation of individual resident
Date of birth
Nationality
Spanish Foreign National Identity Number or Spanish National
Identity Number
Telephone number of individual resident
Postal address of individual resident in Spain
E-mail address of individual resident
27. Data of employer or company in the case of application for residence and employment visa
Surname(s) and forename(s) of employer or company name and surname(s) and forename(s) of contact person within company
Telephone number of employer or company
Postal address of employer or company
E-mail address of employer or company
Spanish Foreign National Identity Number or Spanish National Identity Number of employer or contact person within company
Spanish Company Tax Identification Code
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Essential when a decision has been previously issued by competent body for non-nationals in which applicant has received authorisation to
reside or work
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Essential when a decision has been previously issued by competent body for non-nationals in which applicant has received authorisation to
reside or work
Saint Louis University-Madrid Campus;Avenida del Valle 34 28003;Madrid, Spain
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28. Data of educational establishment or research centre in case of applying for student or research visa
Name of educational establishment or research centre
Telephone number of educational establishment or research centre
Postal address of educational establishment or research centre
E-mail of educational establishment or research centre
Intended starting date for study or research
Intended finishing date for study or research
In the case of temporary stay of minors for educational reasons in programmes promoted and funded by Public Administrations, non-profit associations or
foundations or other bodies or persons who do not exercise parental responsibility or who are not legal guardians:
Surname(s) and forename(s) of person providing minor with accommodation or name of accommodating organisation and surname(s) and forename(s) of
contact person within organisation
Telephone number of person providing minor with accommodation or accommodating
organisation
Postal address of person providing minor with
accommodation or accommodating organisation
E-mail of person providing minor with accommodation or accommodating organisation
Spanish Foreign National Identity Number or National Identity Number of person providing minor with accommodation or contact person of
organisation
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 are obligatory for the visa application to be examined. Any personal data concerning me which
appears on the visa application form, as well as my photograph, will be supplied to the relevant authorities and
processed by those authorities for the purposes of deciding on my visa application. Such data as well as the decision
taken on my application will be entered into and stored in a database. The authority responsible for its processing is the
Consular Post at which the visa application was submitted. Data shall be accessible to those authorities competent to
carry out checks on visas at external borders and in Spain, immigration and asylum authorities for the purposes of
verifying whether the conditions for the legal entry, stay and residence in the territory of Spain are fulfilled, for
identifying persons who do not or who no longer fulfil these conditions, for examining asylum applications and for
determining responsibility for such examination.
I am aware that I may exercise my rights of access, rectification, opposition and deletion of my personal data, pursuant
to the provisions of Organic Law 15/1999, of 13 December, on Protection of Personal Data, by writing to: Dirección
General de Asuntos y Asistencia Consulares del Ministerio de Asunto Exteriores y de Cooperación; calle Ruiz de
Alarcón 5, 28071 Madrid.
Saint Louis University-Madrid Campus
Avenida del Valle 34 28003
Madrid, Spain
(+34) 915 54 5858
admissions-madrid@slu.edu
September 2, 2018
May 11, 2019
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I
declare that to the best of my knowledge and belief all particulars supplied by me are correct and complete. I
am aware that any false statements shall lead to my application being refused or to the annulment of
a visa already granted.
I am aware that once the visa request has been submitted, a copy of this form, stamped to
indicate the date and place of reception, shall be returned to the applicant and that arrangements
may be made with the applicant as to the channel for requesting corrections or the supply of documents or certificates
required, as well as for serving notice of summons and for notifying him/her of the decision adopted.
Notices and requests shall be made by telephone or fax to the contact number provided by the
interested party or his legal representative. If these go unanswered, they shall be served
in writing to the domicile set out in the application, which must be located within the consular
district.
Summons and requests served must be complied with within a period not exceeding ten days, unless
personal attendance is required, in which case the deadline is fifteen days.
Once all the possibilities of serving a notice have been exhausted, it shall be carried out by
means of an announcement posted on the relevant notice board of the Consular Post for
ten days.
If no reply is received to a request or summons within the time period, the applicant shall be deemed to have
withdrawn his/her request and he/she shall be notified of the decision establishing this to be the case.
Decisions on a visa application shall be notified within a maximum period of one month, which cannot be extended,
counting from the day following the date the application was submitted at the competent Consular Post for processing,
except in the case of residence visas without work permit in which case the maximum period shall be three months. In
this latter case, the application for the relevant residence authorisation which must be issued by the corresponding
Government Department Office or Provincial Government Office shall put a hold on this time period until this
authorisation is notified to the Consular Post.
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O
nce the visa is granted it must be collected within a month, unless it is a visa for a family reunion or a
visa for study purposes; in these cases, the period for collection is two months. If a visa is not
collected within the aforesaid periods, the applicant shall be deemed to have renounced the visa
granted and the application and accompanying documentation will be archived.
I am aware that the visa fee is not refundable if the visa is refused
27. Place and date
28. Signature (for minors, signature of person exercising parent responsibility or legal guardian)