Moldova Entry Visa Application (Cerere de solicitare a vizei de intrare în Republica Moldova / Application for an Entry Visa to the Republic of Moldova)

Fields

• surname string required

  Surname (family name)

  length: 1–200classification: pii
• surnameAtBirth string optional

  Surname at birth (former family name(s))

  length: 0–200classification: pii
• firstNames string required

  First name(s) (given name(s))

  length: 1–200classification: pii
• dateOfBirth date required

  Date of birth

  classification: sensitive-pii
• placeOfBirth string required

  Place of birth

  length: 1–200classification: pii
• countryOfBirth string required

  Country of birth

  length: 1–100classification: pii
• currentNationality string required

  Current nationality

  length: 1–100classification: pii
• nationalityAtBirthIfDifferent string optional

  Nationality at birth, if different

  length: 0–100classification: pii
• sex enum required

  Sex

  enum: male | female
• maritalStatus enum required

  Marital status

  enum: single | married | separated | divorced | widowed | other
• maritalStatusOtherDescription string optional

  Description of other marital status

  length: 0–200
• minorLegalGuardianDetails string optional

  For minors: surname, first name, address (if different from the applicant's) and nationality of parental authority/legal guardian

  length: 0–500classification: pii
• nationalIdentityNumber string optional

  National identity number, where applicable

  length: 0–50classification: sensitive-pii
• travelDocumentType enum required

  Type of travel document

  enum: ordinary-passport | diplomatic-passport | service-passport | official-passport | special-passport | other
• travelDocumentTypeOtherDescription string optional

  Description of other travel document type

  length: 0–200
• travelDocumentNumber string required

  Number of travel document

  length: 1–50classification: sensitive-pii
• travelDocumentIssueDate date required

  Date of issue of travel document

• travelDocumentValidUntil date required

  Travel document valid until

• travelDocumentIssuedBy string required

  Travel document issued by

  length: 1–200
• applicantHomeAddress string required

  Applicant's home address

  length: 1–400classification: pii
• applicantTelephoneNumbers string required

  Applicant's telephone number(s)

  length: 1–100classification: pii
• applicantEmailAddress string optional

  Applicant's e-mail address

  length: 0–200classification: pii
• residesInOtherCountry boolean required

  Resident in a country other than the country of current nationality

• residencePermitNumber string optional

  Residence permit or equivalent document number

  length: 0–100classification: sensitive-pii
• residencePermitValidUntil date optional

  Residence permit or equivalent document valid until

• currentOccupation string required

  Current occupation

  length: 1–200
• employerOrEducationalEstablishmentDetails string required

  Employer's address and telephone number, or (for students) name and address of educational establishment

  length: 1–400
• mainPurposeOfJourney enum required

  Main purpose(s) of the journey

  enum: 11 values
• mainPurposeOfJourneyOtherDescription string optional

  Description of other main purpose of journey

  length: 0–200
• numberOfEntriesRequested enum required

  Number of entries requested

  enum: single | two | multiple
• durationOfIntendedStayDays integer required

  Duration of the intended stay or transit (number of days)

  range: 1–365
• visasIssuedPastTwelveMonths boolean required

  Visas issued for the Republic of Moldova during the past 12 months

• visasIssuedValidFrom date optional

  Date of validity from (most recent Moldovan visa issued in the past 12 months)

• visasIssuedValidTo date optional

  Date of validity to (most recent Moldovan visa issued in the past 12 months)

• fingerprintsCollectedPreviously boolean required

  Fingerprints collected previously for the purpose of applying for a visa for the Republic of Moldova

• fingerprintsCollectedDate date optional

  The source form itself marks this sub-field optional ('if known') even when the parent question is answered 'Yes', so it carries no requiredWhen — only visibleWhen, following the same convention established for at/bmeia/schengen-visa-application's identical sub-field.

• intendedArrivalDate date required

  Intended date of arrival on the territory of the Republic of Moldova

• intendedDepartureDate date required

  Intended date of departure from the territory of the Republic of Moldova

• invitingPersonOrHotelName string required

  Surname and first name of the inviting person(s) in the Republic of Moldova; if not applicable, name of hotel(s) or temporary accommodation(s)

  length: 1–300classification: pii
• invitingPersonOrHotelAddressAndEmail string required

  Address and e-mail address of inviting person(s)/hotel(s)/temporary accommodation(s)

  length: 1–400classification: pii
• invitingPersonOrHotelTelephoneAndTelefax string optional

  Telephone and telefax of inviting person(s)/hotel(s)/temporary accommodation(s)

  length: 0–100classification: pii
• invitingCompanyOrOrganizationNameAddress string optional

  Name and address of inviting company/organization

  length: 0–300
• invitingCompanyTelephoneAndTelefax string optional

  Telephone and telefax of inviting company/organization

  length: 0–100
• invitingCompanyContactPersonDetails string optional

  Surname, first name, address, telephone, telefax and e-mail address of contact person in company/organization

  length: 0–400classification: pii
• fundedByApplicant boolean optional

  This and the following three 'fundedBy...' fields are mutually exclusive per exclusivityGroups below.

• fundedBySponsor boolean optional

  Cost of travelling and living covered by a sponsor (host company, organization)

• fundedBySponsorDescription string optional

  Description of the sponsor (host company or organization)

  length: 0–300
• fundedBySeeField28Or29 boolean optional

  Cost of travelling and living covered as referred to in item 28 or 29

• fundedByOtherEntity boolean optional

  Cost of travelling and living covered by another entity

• fundedByOtherEntityDescription string optional

  Description of the other entity covering cost of travelling and living

  length: 0–300
• hasCashApplicant boolean optional

  Means of support during stay (applicant) — cash

• hasTravellersChequesApplicant boolean optional

  Means of support during stay (applicant) — traveller's cheques

• hasCreditCardsApplicant boolean optional

  Means of support during stay (applicant) — credit cards

• hasPrepaidAccommodationApplicant boolean optional

  Means of support during stay (applicant) — pre-paid accommodation

• hasPrepaidTransportApplicant boolean optional

  Means of support during stay (applicant) — pre-paid transport

• hasOtherApplicant boolean optional

  Means of support during stay (applicant) — other

• otherMeansOfSupportApplicantDescription string optional

  Description of other means of support (applicant)

  length: 0–200
• hasCashSponsor boolean optional

  Means of support during stay (sponsor) — cash

• hasAccommodationProvidedSponsor boolean optional

  Means of support during stay (sponsor) — accommodation provided

• hasAllExpensesCoveredSponsor boolean optional

  Means of support during stay (sponsor) — all expenses covered during the stay

• hasPrepaidTransportSponsor boolean optional

  Means of support during stay (sponsor) — pre-paid transport

• hasOtherSponsor boolean optional

  Means of support during stay (sponsor) — other

• otherMeansOfSupportSponsorDescription string optional

  Description of other means of support (sponsor)

  length: 0–200
• moldovanRelativeSurname string optional

  Item 31 is completed only by applicants with a family tie to a Moldovan citizen; see moldovanRelativeRelationship for the relationship options.

  length: 0–200classification: pii
• moldovanRelativeFirstNames string optional

  First name(s) of the family member who is a citizen of the Republic of Moldova

  length: 0–200classification: pii
• moldovanRelativeDateOfBirth date optional

  Date of birth of the family member who is a citizen of the Republic of Moldova

  classification: sensitive-pii
• moldovanRelativeNationality string optional

  Nationality of the family member who is a citizen of the Republic of Moldova

  length: 0–100classification: pii
• moldovanRelativeTravelDocumentOrIdNumber string optional

  Number of travel document or ID card of the family member who is a citizen of the Republic of Moldova

  length: 0–50classification: sensitive-pii
• moldovanRelativeRelationship enum optional

  Family relationship with the citizen of the Republic of Moldova

  enum: spouse | child | grandchild | dependent-ascendant
• signaturePlace string required

  Place of signature

  length: 1–100
• signatureDate date required

  Date of signature

• declarationPlace string required

  A second, unnumbered 'Place and date' field printed at the very end of page 3, after the full closing-declaration text — structurally distinct from signaturePlace, which closes the main data-entry section. See this document's verification notes for the disclosure of this two-signature structure.

  length: 1–100
• declarationDate date required

  See declarationPlace for the two-signature-structure disclosure.