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اطلاعات شخصی متقاضی



* نام خانوادگی :


مصطفوی


نام در زمان تولد :


رستم


نام:


رستم



اریخ تولد :


1986-07-21


* محل تولد :


تالش


* کشور تولد :


ایران



* جنسیت :


مرد


* وضیت تاهل :


مجرد


* ملیت کنونی :


ایرانی



* ملیت اصلی :


ایرانی






اطلاعات شغلی



* شغل کنونی:


ازاد


* نام شرکت و یا محل شغل :


تالش


* آدرس محل کار :


تالش



* ایمیل محل کار :


www.ros.hamed1469@gmail.com


لفن محل کار :


09112844799


فکس محل کار :


2 اطلاعات تماس



* آدرس:


انتهای خیابان مصطفی خمینی -چار راه هنگ(میدان انتظام)ابتدای جاده ریک


* کد پستی :


4371665597


* موبایل:


www.ros.hamed1469@gmail.com



لفن:


0


* ایمیل:


www.ros.hamed1469@gmail.com




3 مدارک



* نوع گذرنامه :


عادی


* شماره گذرنامه :


61494846


کد ملی :


2631658760



تاریخ صدور :


2023-02-10


اریخ انقضا :


2028-02-10


* کشور صادر کننده :


ایران



صادر شده توسط :






اطلاعات مربوط به انگشتنگاری



آیا تابحال جهت دریافت ویزای شینگن انگشت نگاری کرده اید؟


تاریخ انگشتنگاری (درصورت اطلاع) :




اطلاعات مربوط به سفر



* هدف از سفر :


توریستی با رزرواسیون هتل


سایر اهداف :


* اولین کشور ورود :


فرانسه



* کشور اصلی محل اقامت شما :


فرانسه


عداد ورود درخواستی :


یکبار ورود


اریخ رفت سفر :


2024-10-01



اریخ بازگشت :


2024-11-10


عداد روز درخواستی :


30


آیا در سه سال گذشته ویزای شینگن داشته اید؟



تاریخ شروع آخرین ویزا :


تاریخ اتمام آخرین ویزا :




اطلاعات مربوط به اقامت سایر کشورها



نوع اقامت:


توریستی


سایر :


شماره اقامت :



صادر شده توسط :


شروع اقامت :


اتمام اقامت :


میزبانی در مقصد



* نوع میزبانی :


بدون میزبانی


نام:


آدرس:



ایمیل:


شماره تلفن:


کد پستی :



سایر اطلاعات:






هزینه های سفر و اقامت



چگونگی پوشش هزینه ها در طول سفر :


توسط خود مسافر





نوع پرداخت هزینه













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											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>* =DA=A9=D8=B4=D9=88=D8=B1 =D8=B5=D8=A7=D8=AF=D8=B1 =
=DA=A9=D9=86=D9=86=D8=AF=D9=87 :
												</h4>
												<p>=D8=A7=DB=8C=D8=B1=D8=A7=D9=86
												</p>
											</td>
										</tr>
										<tr style=3D"background: #eaf8e6">
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>=D8=B5=D8=A7=D8=AF=D8=B1 =D8=B4=D8=AF=D9=87 =
=D8=AA=D9=88=D8=B3=D8=B7 :
												</h4>
											</td>
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>
												</h4>
											</td>
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>
												</h4>
											</td>
										</tr>
									</tbody>
								</table>
								<h3>=D8=A7=D8=B7=D9=84=D8=A7=D8=B9=D8=A7=D8=AA =
=D9=85=D8=B1=D8=A8=D9=88=D8=B7 =D8=A8=D9=87 =
=D8=A7=D9=86=DA=AF=D8=B4=D8=AA=D9=86=DA=AF=D8=A7=D8=B1=DB=8C
								</h3>
								<table  width=3D"600" cellspacing=3D"0" cellpadding=3D"0" =
border=3D"0" align=3D"center">
									<tbody>
										<tr style=3D"background: #eaf8e6">
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>=D8=A2=DB=8C=D8=A7 =D8=AA=D8=A7=D8=A8=D8=AD=D8=A7=D9=84 =
=D8=AC=D9=87=D8=AA =D8=AF=D8=B1=DB=8C=D8=A7=D9=81=D8=AA =
=D9=88=DB=8C=D8=B2=D8=A7=DB=8C =D8=B4=DB=8C=D9=86=DA=AF=D9=86 =
=D8=A7=D9=86=DA=AF=D8=B4=D8=AA =D9=86=DA=AF=D8=A7=D8=B1=DB=8C =
=DA=A9=D8=B1=D8=AF=D9=87 =D8=A7=DB=8C=D8=AF=D8=9F
												</h4>
											</td>
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4> =D8=AA=D8=A7=D8=B1=DB=8C=D8=AE =
=D8=A7=D9=86=DA=AF=D8=B4=D8=AA=D9=86=DA=AF=D8=A7=D8=B1=DB=8C =
(=D8=AF=D8=B1=D8=B5=D9=88=D8=B1=D8=AA =D8=A7=D8=B7=D9=84=D8=A7=D8=B9) :
												</h4>
											</td>
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>
												</h4>
											</td>
										</tr>
									</tbody>
								</table>
								<h3>=D8=A7=D8=B7=D9=84=D8=A7=D8=B9=D8=A7=D8=AA =
=D9=85=D8=B1=D8=A8=D9=88=D8=B7 =D8=A8=D9=87 =D8=B3=D9=81=D8=B1
								</h3>
								<table  width=3D"600" cellspacing=3D"0" cellpadding=3D"0" =
border=3D"0" align=3D"center">
									<tbody>
										<tr style=3D"background: #eaf8e6">
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>* =D9=87=D8=AF=D9=81 =D8=A7=D8=B2 =D8=B3=D9=81=D8=B1 :
												</h4>
												<p>=D8=AA=D9=88=D8=B1=DB=8C=D8=B3=D8=AA=DB=8C =D8=A8=D8=A7 =
=D8=B1=D8=B2=D8=B1=D9=88=D8=A7=D8=B3=DB=8C=D9=88=D9=86 =
=D9=87=D8=AA=D9=84
												</p>
											</td>
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>=D8=B3=D8=A7=DB=8C=D8=B1 =D8=A7=D9=87=D8=AF=D8=A7=D9=81 =
:
												</h4>
											</td>
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>* =D8=A7=D9=88=D9=84=DB=8C=D9=86 =
=DA=A9=D8=B4=D9=88=D8=B1 =D9=88=D8=B1=D9=88=D8=AF :
												</h4>
												<p>=D9=81=D8=B1=D8=A7=D9=86=D8=B3=D9=87
												</p>
											</td>
										</tr>
										<tr style=3D"background: #eaf8e6">
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>* =DA=A9=D8=B4=D9=88=D8=B1 =D8=A7=D8=B5=D9=84=DB=8C =
=D9=85=D8=AD=D9=84 =D8=A7=D9=82=D8=A7=D9=85=D8=AA =D8=B4=D9=85=D8=A7 :
												</h4>
												<p>=D9=81=D8=B1=D8=A7=D9=86=D8=B3=D9=87
												</p>
											</td>
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>=D8=B9=D8=AF=D8=A7=D8=AF =D9=88=D8=B1=D9=88=D8=AF =
=D8=AF=D8=B1=D8=AE=D9=88=D8=A7=D8=B3=D8=AA=DB=8C :
												</h4>
												<p>=DB=8C=DA=A9=D8=A8=D8=A7=D8=B1 =D9=88=D8=B1=D9=88=D8=AF
												</p>
											</td>
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>=D8=A7=D8=B1=DB=8C=D8=AE =D8=B1=D9=81=D8=AA =
=D8=B3=D9=81=D8=B1 :
												</h4>
												<p>2024-10-01
												</p>
											</td>
										</tr>
										<tr style=3D"background: #eaf8e6">
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>=D8=A7=D8=B1=DB=8C=D8=AE =
=D8=A8=D8=A7=D8=B2=DA=AF=D8=B4=D8=AA :
												</h4>
												<p>2024-11-10
												</p>
											</td>
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>=D8=B9=D8=AF=D8=A7=D8=AF =D8=B1=D9=88=D8=B2 =
=D8=AF=D8=B1=D8=AE=D9=88=D8=A7=D8=B3=D8=AA=DB=8C :
												</h4>
												<p>30
												</p>
											</td>
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>=D8=A2=DB=8C=D8=A7 =D8=AF=D8=B1 =D8=B3=D9=87 =
=D8=B3=D8=A7=D9=84 =DA=AF=D8=B0=D8=B4=D8=AA=D9=87 =
=D9=88=DB=8C=D8=B2=D8=A7=DB=8C =D8=B4=DB=8C=D9=86=DA=AF=D9=86 =
=D8=AF=D8=A7=D8=B4=D8=AA=D9=87 =D8=A7=DB=8C=D8=AF=D8=9F
												</h4>
											</td>
										</tr>
										<tr style=3D"background: #eaf8e6">
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>=D8=AA=D8=A7=D8=B1=DB=8C=D8=AE =D8=B4=D8=B1=D9=88=D8=B9 =
=D8=A2=D8=AE=D8=B1=DB=8C=D9=86 =D9=88=DB=8C=D8=B2=D8=A7 :
												</h4>
											</td>
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>=D8=AA=D8=A7=D8=B1=DB=8C=D8=AE =
=D8=A7=D8=AA=D9=85=D8=A7=D9=85 =D8=A2=D8=AE=D8=B1=DB=8C=D9=86 =
=D9=88=DB=8C=D8=B2=D8=A7 :
												</h4>
											</td>
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>
												</h4>
											</td>
										</tr>
									</tbody>
								</table>
								<h3> =D8=A7=D8=B7=D9=84=D8=A7=D8=B9=D8=A7=D8=AA =
=D9=85=D8=B1=D8=A8=D9=88=D8=B7 =D8=A8=D9=87 =
=D8=A7=D9=82=D8=A7=D9=85=D8=AA =D8=B3=D8=A7=DB=8C=D8=B1 =
=DA=A9=D8=B4=D9=88=D8=B1=D9=87=D8=A7
								</h3>
								<table  width=3D"600" cellspacing=3D"0" cellpadding=3D"0" =
border=3D"0" align=3D"center">
									<tbody>
										<tr style=3D"background: #eaf8e6">
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>=D9=86=D9=88=D8=B9 =D8=A7=D9=82=D8=A7=D9=85=D8=AA:
												</h4>
												<p>=D8=AA=D9=88=D8=B1=DB=8C=D8=B3=D8=AA=DB=8C
												</p>
											</td>
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>=D8=B3=D8=A7=DB=8C=D8=B1 :
												</h4>
											</td>
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>=D8=B4=D9=85=D8=A7=D8=B1=D9=87 =
=D8=A7=D9=82=D8=A7=D9=85=D8=AA :
												</h4>
											</td>
										</tr>
										<tr style=3D"background: #eaf8e6">
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>=D8=B5=D8=A7=D8=AF=D8=B1 =D8=B4=D8=AF=D9=87 =
=D8=AA=D9=88=D8=B3=D8=B7 :
												</h4>
											</td>
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>=D8=B4=D8=B1=D9=88=D8=B9 =D8=A7=D9=82=D8=A7=D9=85=D8=AA =
:
												</h4>
											</td>
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>=D8=A7=D8=AA=D9=85=D8=A7=D9=85 =
=D8=A7=D9=82=D8=A7=D9=85=D8=AA :
												</h4>
											</td>
										</tr>
									</tbody>
								</table>
								<h3>=D9=85=DB=8C=D8=B2=D8=A8=D8=A7=D9=86=DB=8C =D8=AF=D8=B1 =
=D9=85=D9=82=D8=B5=D8=AF
								</h3>
								<table  width=3D"600" cellspacing=3D"0" cellpadding=3D"0" =
border=3D"0" align=3D"center">
									<tbody>
										<tr style=3D"background: #eaf8e6">
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>* =D9=86=D9=88=D8=B9 =
=D9=85=DB=8C=D8=B2=D8=A8=D8=A7=D9=86=DB=8C :
												</h4>
												<p>=D8=A8=D8=AF=D9=88=D9=86 =
=D9=85=DB=8C=D8=B2=D8=A8=D8=A7=D9=86=DB=8C
												</p>
											</td>
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>=D9=86=D8=A7=D9=85:
												</h4>
											</td>
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>=D8=A2=D8=AF=D8=B1=D8=B3:
												</h4>
											</td>
										</tr>
										<tr style=3D"background: #eaf8e6">
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>=D8=A7=DB=8C=D9=85=DB=8C=D9=84:
												</h4>
											</td>
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>=D8=B4=D9=85=D8=A7=D8=B1=D9=87 =D8=AA=D9=84=D9=81=D9=86:
												</h4>
											</td>
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>=DA=A9=D8=AF =D9=BE=D8=B3=D8=AA=DB=8C :
												</h4>
											</td>
										</tr>
										<tr style=3D"background: #eaf8e6">
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>=D8=B3=D8=A7=DB=8C=D8=B1 =
=D8=A7=D8=B7=D9=84=D8=A7=D8=B9=D8=A7=D8=AA:
												</h4>
											</td>
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>
												</h4>
											</td>
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>
												</h4>
											</td>
										</tr>
									</tbody>
								</table>
								<h3> =D9=87=D8=B2=DB=8C=D9=86=D9=87 =D9=87=D8=A7=DB=8C =
=D8=B3=D9=81=D8=B1 =D9=88 =D8=A7=D9=82=D8=A7=D9=85=D8=AA
								</h3>
								<table  width=3D"600" cellspacing=3D"0" cellpadding=3D"0" =
border=3D"0" align=3D"center">
									<tbody>
										<tr style=3D"background: #eaf8e6">
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>=DA=86=DA=AF=D9=88=D9=86=DA=AF=DB=8C =
=D9=BE=D9=88=D8=B4=D8=B4 =D9=87=D8=B2=DB=8C=D9=86=D9=87 =D9=87=D8=A7 =
=D8=AF=D8=B1 =D8=B7=D9=88=D9=84 =D8=B3=D9=81=D8=B1 :
												</h4>
												<p><label>=D8=AA=D9=88=D8=B3=D8=B7 =D8=AE=D9=88=D8=AF =
=D9=85=D8=B3=D8=A7=D9=81=D8=B1 </label><br />
<label> </label><br />
<label> </label><br />
<label> </label>
												</p>
											</td>
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4> =D9=86=D9=88=D8=B9 =D9=BE=D8=B1=D8=AF=D8=A7=D8=AE=D8=AA =
=D9=87=D8=B2=DB=8C=D9=86=D9=87
												</h4>
												<p><label> </label><br />
<label> </label><br />
<label> </label><br />
<label> </label><br />
<label> </label><br />
<label> </label><br />
<label> </label>
												</p>
											</td>
											<td  style=3D"font-size:13px; font-family: 'tahoma' , arial; =
line-height:35px; text-align:right; padding: 0 10px; color: #000000;">
												<h4>
												</h4>
											</td>
										</tr>
									</tbody>
								</table>
							</td>
						</tr>
					</tbody>
				</table>
			</td>
		</tr>
	</tbody>
</table></body>
</html>


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