Application for Schengen Visa

(This application form is free)

1

Family members of EU, EEA or CH citizens shall not fill in fields no.21, 22, 30, 31 and 32 (marked with*).
Fields 1-3 shall be filled in in accordance with the data in the travel document.

1. Surname (Family name): FOR OFFICIAL USE ONLY

BAOBAID Date of application:
2. Surname at birth (Former family name(s)):
BAOBAID
Application number:
3. First name(s) (Given name(s)):
ABOBAKR OMAR ABOBAKR
4. Date of birth 5. Place of birth: 7.Current nationality: Application lodged at:
(day-month-year): ABU DHABI / UAE YEMEN
□ Embassy/Consulate
Nationality at birth, if
26 - 10 - 1989 6. Country of birth: □ Service provider
different:
UAE
□ Com
Other nationalities:
mercial
intermediary
8. Sex: 9. Civil status:
□ Border (Name):
□ Male □ Female □ Single □ Married □ Registered Partnership □ Separated
□ Divorced □ Widow(er) □ Other (please specify): …………………………
…………

□ Other:
10. Parental authority (in case of minors) /legal guardian (surname, first name, address, if File handled by:
different from applicant’s, telephone no., e-mail address, and nationality):

11. National identity number, where applicable: Supporting documents:

784-1989-8320386-4
12. Type of travel document: □ Travel document

□ Ordinary passport □ Diplomatic passport □ Service passport □ Official passport □ Means of subsistence
□ Special passport
□ Invitation
□ Other travel document (please specify):

13. Number of 14. Date of issue: 15. Valid until: 16. Issued by □ TMI
travel document: (country):
□ Means of transport
08447670 24-02-2019 24-02-2025 YEMEN
□ Other:
17. Personal data of the family member who is an EU, EEA or CH citizen if applicable
Visa decision:
Surname (Family name): First name(s) (Given name(s)): □ Refused

□ Issued:
Date of birth Nationality: Number of travel document or □A
(day-month-year): ID card:

1
No logo is required for Norway, Iceland, Liechtenstein and Switzerland.
18. Family relationship with an EU, EEA or CH citizen if applicable: □C

□ spouse □ child □ grandchild □ dependent ascendant □ Registered Partnership □ other: □ LTV

□ V
19. Applicant's home address and e-mail address: Telephone no.:
ABU DHABI, Philco Building, Fatima bint mubark ST. alid:
Al Danah - Zone 1 - Abu Dhabi, UAE
+971 55 133 7550 From:
[email protected]
20. Residence in a country other than the country of current nationality:
Until:
□ No UAE Resident ID 784-1989-8320386-4
□ Yes. Residence permit or equivalent ………………… No Valid
29-05-2025
until………………
*
21. Current occupation: Number of entries:
CIVIL ENGINEER
□ 1 □ 2 □ Multiple
*
22. Employer and employer’s address and telephone number. For students, name and Number of days:
address of educational establishment:
EMPLOYER/COMPANY: GOLDEN ENTRANCE GENERAL MAINTENANCE
EMPLOYER ADDRESS: ABU DHABI, UAE
+971504413052 / [email protected]
23. Purpose(s) of the journey:

□ Tourism □ Business □ Visiting family or friends □ Cultural □ Sports □ Official visit

□ Medical reasons □ Study □ Airport transit □ Other (please specify):

24. Additional information on purpose of stay:

25. Member State of main destination (and 26. Member State of first entry:
other Member States of destination, if
applicable): Rome
Rome - Italy

27. Number of entries requested:

□ Single entry □ Two entries □ Multiple entries

Intended date of arrival of the first intended stay in the Schengen area:

04-08-2024

Intended date of departure from the Schengen area after the first intended stay:
23-08-2024

28. Fingerprints collected previously for the purpose of applying for a Schengen visa:

□ No □ Yes.

Date, if known …………………….. Visa sticker number, if known

043080602
…………………………………………
29. Entry permit for the final country of destination, where applicable:

Issued by ………………………………..Valid from ……………………until

……………………
*
30. Surname and first name of the inviting person(s) in the Member State(s). If not
applicable, name of hotel(s) or temporary accommodation(s) in the Member State(s):
BV Hotel Oly

Address and e-mail address of inviting Telephone no.:

person(s)/hotel(s)/temporary
accommodation(s): Phone: +3906594441
Via Santuario Regina Degli Apostoli
36, Ostiense, Rome, 00145, Italy - Email:
[email protected]
*
31. Name and address of inviting company/organisation:

Surname, first name, address, telephone Telephone no. of company/organisation:

no., and e-mail address of contact person
in company/organisation:

*
32. Cost of travelling and living during the applicant’s stay is covered:

□ by the applicant himself/herself □ by a sponsor (host, company,

organisation), please specify:
Means of support:
…….□ referred to in field 30 or 31
□ Cash
…….□ other (please specify):
□ Traveller’s cheques
Means of support:
□ Credit card
□ Cash
□ Pre-paid accommodation
□ Accommodation provided
□ Pre-paid transport
□ All expenses covered during the
□ Other (please specify): stay
□ Pre-paid transport
□ Other (please specify):

I am aware that the visa fee is not refunded if the visa is refused.

Applicable in case a multiple-entry visa is applied for:

I am aware of the need to have an adequate travel medical insurance for my first stay and any subsequent visits to
the territory of Member States.
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 and, if applicable, the taking of fingerprints, are mandatory for the examination of the
application; and any personal data concerning me which appear on the application form, as well as my fingerprints
and my photograph will be supplied to the relevant authorities of the Member States and processed by those
authorities, for the purposes of a decision on my application. Such data as well as data concerning the decision
taken on my application or a decision whether to annul, revoke or extend a visa issued will be entered into, and
stored in the Visa Information System (VIS) for a maximum period of five years, during which it will be accessible to
the visa authorities and the authorities competent for carrying out checks on visas at external borders and within
the Member States, immigration and asylum authorities in the Member States for the purposes of verifying
whether
the conditions for the legal entry into, stay and residence on the territory of the Member States are fulfilled, of
identifying persons who do not or who no longer fulfil these conditions, of examining an asylum application and of
determining responsibility for such examination.
Under certain conditions, the data will be also available to designated authorities of the Member States and to
Europol for the purpose of the prevention, detection and investigation of terrorist offences and of other serious
criminal offences.
The Italian Ministry of Foreign Affairs and International Cooperation – MFAIC (Piazzale della Farnesina 1, 00135
Roma) www.esteri.it/ tel. 0039 06 36911 (switchboard), through the Diplomatic Representation or Consulate
where the visa application has been lodged, is the authority responsible for processing the data.
For the Diplomatic Representations or Consulates, please visit www.esteri.it and http://vistoperitalia.esteri.it.

I am aware that I have the right to obtain, in any of the Member States, notification of the data relating to me
recorded in the VIS and of the Member State which transmitted the data, and to request that data relating to me
which are inaccurate be corrected and that data relating to me processed unlawfully be deleted.

At my express request, the authority examining my application will inform me of the manner in which I may
exercise my right to check the personal data concerning me and have them corrected or deleted, including the
related remedies according to the national law of the Member State concerned.

The Italian national supervisory competent authority on the protection of personal data is the MFAIC Data
Protection Officer / DPO (email: [email protected]; certified email: [email protected] ) or the Italian Data
Supervisory Authority (Piazza Venezia 11, 00187 ROMA; tel. 0039 06 696771 (switchboard); email:
[email protected]; certified e-mail: [email protected] ).

I declare that to the best of my knowledge all particulars supplied by me are correct and complete. I am aware that
any false statements will lead to my application being rejected or to the annulment of a visa already granted and
may also render me liable to prosecution under the law of the Member State which deals with the application.
I undertake to leave the territory of the Member States before the expiry of the visa, if granted. I have been
informed that possession of a visa is only one of the prerequisites for entry into the European territory of the
Member States. The mere fact that a visa has been granted to me does not mean that I will be entitled to
compensation if I fail to comply with the relevant provisions of Article 6(1) of Regulation (EU) No 2016/399
(Schengen Borders Code) and I am therefore refused entry. The prerequisites for entry will be checked again on
entry into the European territory of the Member States.
Place and date: Signature:

(signature of parental authority/legal guardian, if applicable):

ABU DHABI, UAE
17 March 2024 ABOBAKR BAOBAID