Consulate General of Italy in Dubai

Harmonised application form - Application for Schengen Visa

This application form is free

PHOTO

Family members of EU, EEA or CH citizens or of UK nationals who are beneficiaries of the EU-UK Withdrawal
Agreement shall not fill in fields No 21, 22, 31, 32 and 33 (marked with*).

Fields 1–3 shall be filled in in accordance with the data in the travel document.

1. Surname (Family name): AREEB For official use only

Date of application:
2. Surname at birth (Former family name(s)): QURESHI Application number:

3. First name(s) (Given name(s)): SARAH

4. Date of birth 5. Place of birth: 7. Current Application lodged at:

(day- month- nationality:
year): KARACHI PAKISTANI ☐ Embassy/consulate
Nationality at birth,
20-12-1997
if different: ☐ Service provider
6. Country of birth:
Other ☐ Commercial
PAKISTAN nationalities: intermediary

8. Sex: 9. Civil status: ☐ Border (Name):

☐ Male ☐Single ☐ ✔ Married ☐ Registered Partnership ☐ Separated ..................

✔
☐ Female ☐ Divorced ☐ Widow(er) ☐ Other (please specify):
☐ Other ☐ Other:

10. Parental authority (in case of minors)/legal guardian (surname, first name, File handled by:
address, if different from applicant’s, telephone No, email address, and
nationality):

11. National identity number, where applicable: 42101-6103720-2 Supporting documents:

☐ Travel document
☐ Means of
subsistence
☐ Invitation
12. Type of travel document:
☐ TMI
☐✔ Ordinary passport ☐ Diplomatic passport ☐ Service passport ☐ Official
passport ☐ Special passport Other travel document (please specify): ☐ Means of
transport

13. Number of 14. Date of issue: 15. Valid until: 16. Issued
travel by (country): ☐ Other:
13-05-2025 12-12-2030
document: PAKISTAN ☐ Visa decision:
AH1937202
17. Personal data of the family member who is an EU, EEA or CH citizen or a UK ☐ Refused
national who is a beneficiary of the EU-UK Withdrawal Agreement, if
applicable ☐ Issued:

Surname (Family name): First name(s) (Given name(s)): ☐ A

☐ C
Date of birth Nationality: Number of travel ☐ LTV
(day- month- document or ID
year): card: ☐ Valid:

18. Family relationship with an EU, EEA or CH citizen or a UK national who is a

From:
beneficiary of the EU-UK Withdrawal Agreement, if applicable:
☐ Spouse ☐ child ☐ grandchild ☐ dependent ascendant
☐ registered partnership ☐ other:
Until:

19. Applicant’s home address and email address: Telephone no.:

VILLA 73,31B STREET, AL QUOZ 1, DUBAI sarahaareeb94@gmail.com +971 55 139 4244
20. Residence in a country other than the country of current nationality:
☐ No
✔ Yes. Residence permit or equivalent Residence
☐ . . . . . . . . No.784199796512368
. . . . . . . . . .permit .............
Valid until.15-02-2026
. . . . . .. . . . . . . . . . . .

21. * Current occupation: SALES OFFICER Number of entries:

☐ 1 ☐ 2 ☐ Multiple
22. * Employer and employer’s address and telephone number. For students, name
and address of educational establishment: OFFICE NO. 611, THE ONYX TOWER 2, Number of days:
THE GREENS, DUBAI-UAE, P.O.BOX 939777. 04-3943611
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 26. Member State of first entry: ITALY
(and other Member States of
destination, if applicable): ITALY

27. Number of entries requested:

✔ Single entry
☐ ☐ Two entries ☐ Multiple entries
28. Intended date of arrival of the first intended stay in the Schengen area:
06 JULY 2025
Intended date of departure from the Schengen area after the first intended stay:
14 JULY 2025

29. Fingerprints collected previously for the purpose of applying for a Schengen
visa:
☐✔ No ☐ Yes.
Date, if known . . . . . . .. . . . . . . . . . . . . . . . .. . . . . Number of the visa, if known . . . . .
....................
30. Entry permit for the final country of destination, where applicable:

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

31. *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):
Ca' dei Carmini

Address and email address of inviting Telephone No: +39 041 522 6599
person(s)/ hotel(s)/temporary
accommodation(s): Dorsoduro, 2605,
Dorsoduro, 30123 Venice, Italy info@cadiecarmini.com

32. *Name and address of inviting company/organisation:

Surname, first name, address, telephone Telephone No of

No, and email address of contact person company/organisation:
in company/ organisation:

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

✔
☐ by the applicant ☐ by a sponsor (host, company,
organisation), please specify:
Means of support:
✔
☐ Cash ☐ referred to in field 30 or 31
☐ Traveller’s cheques ☐ other (please specify):

☐ Credit card Means of support:

☐ Cash
☐ Pre-paid accommodation ☐ Accommodation provided
☐ All expenses covered during the
☐ Pre-paid transport stay
☐ Pre-paid transport
☐ Other (please specify): ☐ Other (please specify):

34. Surname and first name of the person filling in the application form, if
different from the applicant:

Address and email address of the person Telephone No:

filling in the application form:
I am aware that the visa fee is not refunded if the visa is refused.

Applicable in case a multiple-entry visa is issued:

I am aware of the need to have 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 (for Italy, the Ministry of Interior and
the Police authority) to Europol for the purpose of the prevention, detection and investigation of terrorist
offences and of other serious criminal offences. The authority of the Member State responsible for
processing the data is: the Ministry of Foreign Affairs and International Cooperation – MAECI
– (Piazzale della Farnesina 1, 00135 Roma) www.esteri.it tel. 0039 0636911 (switchboard),
through the Diplomatic Representation or Consulate where the visa application has been
lodged.

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 (for the Italian Diplomatic
Representation or Consulate please visit www.esteri.it and http://vistoperitalia.esteri.it) 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 MAECI Data Protection Office/ DPO (email: rpd@esteri.it,
certified email: rpd@cert.esteri.it) or the Italian Data Protection Authority (Piazza Venezia
11, 00187 Roma, tel +39 06 696771 (switchboard); email: garante@gpdp.it; PEC:
protocollo@pec.gdpd.it) will hear claims concerning the protection of personal data.
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) 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 of applicant:

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