Etias Certificate

SKU: EC-1

Please submit applications individually for each member of the family or group.

1 URGENCY
2 PERSONAL INFORMATION
3 CONTACT DETAILS
4 TRAVEL
5 ELIGIBILITY
6 INSURANCE

1 URGENCY

  • Do you wish or need for your ETIAS application to be handled urgently? *

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2 PERSONAL INFORMATION

  • Given Name *

  • Surname *

  • Surname at birth *

  • Birth Day *

  • Birth Month *

  • Birth Year *

  • Birth place *

  • Birth country *

  • Current nationality *

  • Passport number *

  • Issue place or authority *

  • Issue date *

  • Expiry Date * 

  • Other nationalities *

  • Second Nationality *

  • Do you currently hold a valid passport from any of your other nationalities? *

  • Passport number (second nationality) *

  • Issue place or authority (second nationality) *

  • Issue date (second nationality) *

  • Expiry date (second nationality) *

  • Former nationalities *

  • Former nationality *

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3 CONTACT DETAILS

  • Residence address *

  • Email address *

  • Phone number Prefix *

  • Phone number *

  • Job position *

  • Company name *

  • Company address *

  • Company e-mail address *

  • Company Phone number Prefix *

  • Company phone number *

  • Education level *

  • Name of school or institution *

  • Address of school or institution *

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4 TRAVEL

  • First ETIAS country of intended stay *

  • Scheduled entry date *

  • Prefix Phone number during your stay in ETIAS area *

  • Phone number during your stay in ETIAS area *

  • Address of stay in ETIAS area *

  • Other ETIAS countries your are planning to visit *

  • Purpose of the travel *

  • Scheduled duration of stay in ETIAS area * 

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5 ELIGIBILITY

  • Do you have a criminal record in the eu or any other country? * 

  • Criminal Records: Explain your situation *

  • Are you currently affected by any infectious disease? * 

  • Infection Diseases: Explain your situation *

  • Do you suffer from any mental illness? * 

  • Mental Illness: Explain your situation *

  • Do you make use of any illeagal drug and/or are you a drug addict? * 

  • Use of any illeagal drug: Explain your situation *

  • Where you ever refused to enter the eu or any othe country? * 

  • Where you ever refused to enter the eu or any othe country: Explain your situation *

  • Was your visa application to the eu or any other country ever rejected? * 

  • Was your visa application to the eu or any other country ever rejected? Explain your situation *

  • Was your ETIAS application ever rejected? * 

  • Was your ETIAS application ever rejected? Explain your situation *

  • Where you ever subject to expulsion and/or deportation and/or received a fine for violating the immigration laws of the eu or any other country? * 

  • Where you ever subject to expulsion and/or deportation and/or received a fine for violating the immigration laws of the eu or any other country? Explain your situation *

  • Do you seek to enter eu so as to find an employment and/or with the aim of staying more than 90 days out of every 180 without receiving prior authorization from the state or states you intend to visit? * 

  • Do you seek to enter eu so as to find an employment and/or with the aim of staying more than 90 days out of every 180 without receiving prior authorization from the state or states you intend to visit? Explain your situation *

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6 INSURANCE

  • Do you wish to add an health coverage for your stay abroad? *

  • Departure date *

  • Area of Departure * 

  • Duration if Countries in Europe and in the Mediterranean area *

  • Duration if rest of the World *

  • Duration if USA - Canada *

  • *

    Insurance policy up to 60 days

  • *

    Insurance policy from 61 up to 90 days
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