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Chapter II · APPLICATION › Article 17

Application form and personal data of the applicant

1.   Each applicant shall submit a completed application form including a declaration of the authenticity, completeness, correctness and reliability of the data submitted and a declaration of the veracity and reliability of the statements made. Each applicant shall also state that he or she has understood the conditions for entry referred to in Article 6 of Regulation (EU) 2016/399 and that he or she may be requested to provide the relevant supporting documents at each entry. Minors shall submit an application form electronically signed by a person exercising permanent or temporary parental authority or legal guardianship.
2.  

The applicant shall provide the following personal data in the application form:

(a) 

surname (family name), first name(s) (given name(s)), surname at birth; date of birth, place of birth, sex, current nationality;

(aa) 

country of birth, first name(s) of the parents of the applicant;

(b) 

other names (alias(es), artistic name(s), usual name(s)), if any;

(c) 

other nationalities, if any;

(d) 

type, number and country of issue of the travel document;

(e) 

the date of issue and the date of expiry of the validity of the travel document;

(f) 

the applicant’s home address or, if not available, his or her city and country of residence;

(g) 

email address and, if available, phone numbers;

(h) 

education (primary, secondary, higher or none);

(i) 

current occupation (job group); where the application is subject to the manual processing in accordance with the procedure laid down in Article 26, the Member State responsible may in accordance with Article 27 request that the applicant provide additional information concerning his or her exact job title and employer or, for students, the name of their educational establishment;

(j) 

Member State of first intended stay, and optionally, the address of first intended stay;

(k) 

for minors, surname and first name(s), home address, email address and, if available, phone number of the person exercising parental authority or of the applicant’s legal guardian;

(l) 

where he or she claims the status of family member referred to in point (c) of Article 2(1):

(i) 

his or her status of family member;

(ii) 

the surname, first name(s), date of birth, place of birth, country of birth, current nationality, home address, email address and, if available, phone number of the family member with whom the applicant has family ties;

(iii) 

his or her family ties with that family member in accordance with Article 2(2) of Directive 2004/38/EC;

(m) 

in the case of applications filled in by a person other than the applicant, the surname, first name(s), name of firm, organisation if applicable, email address, mailing address and phone number if available of that person; relationship to the applicant and a signed representation declaration.

3.   The applicant shall choose his or her current occupation (job group) from a predetermined list. The Commission shall adopt delegated acts in accordance with Article 89 to lay down this predetermined list.
4.  

In addition, the applicant shall provide answers to the following questions:

(a) 

whether he or she has been convicted in the previous 25 years of a terrorist offence or in the previous 15 years of any other criminal offence listed in the Annex, and if so when and in which country;

(b) 

whether he or she has stayed in a specific war or conflict zone over the previous 10 years and the reasons for the stay;

(c) 

whether he or she has been the subject of any decision requiring him or her to leave the territory of a Member State or of any third countries listed in Annex II to Regulation (EC) No 539/2001 or whether he or she was subject to any return decision issued over the previous 10 years.

5.   The Commission shall adopt delegated acts in accordance with Article 89 specifying the content and format of the questions referred to in paragraph 4 of this Article. The content and format of those questions shall enable applicants to give clear and precise answers.
6.   Where the applicant answers affirmatively to any of the questions referred to in paragraph 4, he or she shall be required to provide answers to an additional set of predetermined questions on the application form by selecting from a predetermined list of answers. The Commission shall adopt delegated acts in accordance with Article 89 to lay down the content and format of those additional questions and the predetermined list of answers to those questions.
7.   The data referred to in paragraphs 2 and 4 shall be introduced by the applicant in Latin alphabet characters.
8.   On submission of the application form, the ETIAS Information System shall collect the IP address from which the application form was submitted.
9.   The Commission shall, by means of implementing acts, define the requirements concerning the format of the personal data referred to in paragraphs 2 and 4 of this Article to be inserted in the application form as well as parameters and verifications to be implemented for ensuring the completeness of the application and the coherence of those data. Those implementing acts shall be adopted in accordance with the examination procedure referred to in Article 90(2).

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