Termo de Responsabilidade (Term of Responsability) – Alojamento e Encargos de Subsistência (Visa Code Article 14(4)) Instructions
This form contains 57 fields organized into 24 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Accommodation / Alojamento | ||
| Alojamento/ Accommodation/ Logement | Checkbox |
Check this box if you (or the sponsor) will provide or assume responsibility for the invitee's accommodation during their stay.
|
| Accommodation location choice (At my above address / At the following address) | ||
| At my above address | Checkbox |
Check this box if the accommodation is the permanent address you entered above (i.e., you will be staying at the address already provided in section 10).
|
| At the following address | Checkbox |
Check this box if the accommodation is a different address and you will provide that address in the following address section (section 11).
|
| Accommodation period (From / Until) | ||
| From (Accommodation start date) | Date |
Enter the accommodation start date (the date the accommodation period begins).
|
| Until - Year | Text |
Enter the year (numeric, typically four digits) component of the accommodation end date.
|
| Until - Day | Text |
Enter the day (numeric, 1–31) component of the accommodation end date.
|
| Until - Month | Text |
Enter the month (numeric, 1–12) component of the accommodation end date.
|
| Address for the accommodation | ||
| Street (11.1) | Text |
Enter the street name and thoroughfare of the accommodation (include avenue/road name and building name if applicable). Fill only if 'At the following address' is 'Yes'.
|
| House/Building number (11.2) | Text |
Enter the house or building number and any immediate unit/door identifier for the accommodation (for example: 12, 12A, Block B). Fill only if 'At the following address' is 'Yes'.
|
| Floor/Level (11.3) | Text |
Enter the floor or level where the accommodation is located (for example: Ground, 1, 2nd, Penthouse). Fill only if 'At the following address' is 'Yes'.
|
| City / Locality (11.4) | Text |
Enter the city, town or locality where the accommodation is situated. Fill only if 'At the following address' is 'Yes'.
|
| Postal Code (11.5) | Text |
Enter the postal or ZIP code for the accommodation's address. Fill only if 'At the following address' is 'Yes'.
|
| Telephone (11.6) | Text |
Enter a contact telephone number for the accommodation, including country and area code if required. Fill only if 'At the following address' is 'Yes'.
|
| Application number and Date | ||
| Application number (Processo Nº) | Text |
Enter the official application or process number shown on the form exactly as printed (this may include letters or digits).
|
| Date of application | Date |
Enter the date associated with this application as shown on the form.
|
| Bearing of costs / Encargos de subsistência | ||
| Bearing of costs – payer/party | Text |
Enter the name or brief identification of the person, organisation or party who will bear the costs (e.g., sponsor name, 'self', or company name).
|
| Encargos de subsistência / Bearing of costs / Frais de séjour | Checkbox |
Check this box when the sponsor or host will bear the applicant's living costs (accommodation and subsistence) for the purpose of the visa/ stay.
|
| Consent and Authorization | ||
| Consent and Authorization 1 Confirmation | Text |
Provide the required confirmation details from the competent authority for the first consent and authorization statement.
|
| Consent and Authorization 2 Declaration of Authenticity | Text |
Provide the necessary confirmation or signature to declare that the information provided in this declaration of proof is true and authentic.
|
| Declaration of Authenticity | ||
| Declarant's Name | Text |
Enter the full name of the person making the declaration of authenticity.
|
| Declarations about accommodation and living/repatriation costs | ||
| I declare being able to assume only the accommodation and repatriation costs | Checkbox |
Check this box if you will only pay for the invitee's accommodation and repatriation costs and will not cover other living expenses during the stay.
|
| I declare being able to bear all living costs inherent to the stay (including accommodation and repatriation) | Checkbox |
Check this box if you will cover all costs associated with the invitee's stay, including accommodation, repatriation and all other living expenses.
|
| Identity card information (Number and Date/Place of issue) | ||
| Identity card number | Text |
Enter the full identity card (carte d'identité) number exactly as shown on the document, including any letters, spaces or punctuation.
|
| Identity card — date and place of issue | Text |
Provide the date when the identity card was issued and the place (city/authority) of issue, separated clearly (e.g., 01/01/2000, Lisbon). Fill only if 'Identity card number' is provided.
|
| Invitation by a company or organisation (company name, contact, phone/email) | ||
| Company/Organisation reference | Text |
Enter the inviting company or organisation's internal reference or registration identifier used for this invitation.
|
| Company/Organisation name | Text |
Enter the full legal name of the inviting company or organisation. Fill only if 'Company/Organisation reference' is 'Yes'.
|
| Company telephone or e-mail | Text |
Enter the inviting organisation's main telephone number or general e-mail address for contact. Fill only if 'Company/Organisation reference' is 'Yes'.
|
| Contact person telephone | Text |
Enter the telephone number of the contact person at the inviting company or organisation. Fill only if 'Company/Organisation reference' is 'Yes'.
|
| Contact person name, address and e-mail | Text |
Enter the contact person's full name, postal address and e-mail address for the inviting company or organisation. Fill only if 'Company/Organisation reference' is 'Yes'.
|
| Invitation reference | ||
| Invitation reference | Text |
Enter the reference or identifier shown on the private invitation (any letters, numbers or code as printed) exactly as it appears.
|
| Invitee name (Surname and Given name) | ||
| Surname (Invitee) | Text |
Enter the invitee's family name or last name exactly as it appears on their passport or official identity document.
|
| Given name(s) (Invitee) | Text |
Enter the invitee's first name and any middle names exactly as shown on their passport or official identity document.
|
| Invitee nationality, place of birth, date of birth and sex | ||
| Nationality | Text |
Enter the invitee’s nationality or country of citizenship exactly as shown on their passport or identity document.
|
| Place of birth | Text |
Enter the city and country where the invitee was born, matching the information on official records (for example, 'Lisbon, Portugal').
|
| Sex | Text |
Enter the invitee’s sex as indicated on official documents (for example, 'Male', 'Female', or 'Other').
|
| Date of birth | Date |
Provide the invitee’s date of birth as recorded on their passport or birth certificate.
|
| Name (Surname and Given name) | ||
| 1. Surname / Family name | Text |
Enter your family name or surname as it appears on official documents.
|
| 2. Given name / First name | Text |
Enter your given name(s) or first name(s) as they appear on official documents.
|
| Occupation | ||
| Occupation / Profession | Text |
Enter the person’s current occupation or profession (job title or main work activity); if unemployed or retired, state that status.
|
| Passport information (Number and Date/Place of issue) | ||
| Passport number | Text |
Enter the passport number exactly as printed in the passport, including any letters, digits or punctuation.
|
| Date and place of issue | Text |
Provide the passport's date of issue and the place (issuing authority or city/country) where the passport was issued, e.g., "DD/MM/YYYY, City, Country". Fill only if 'Passport number' is provided.
|
| Permanent address (Street / No. / Floor / City / Postal code / Telephone) | ||
| Street | Text |
Enter the name of the street, avenue or road for your permanent address.
|
| Number | Text |
Enter the house or building number (include any letter or unit identifier such as 12A or Bldg 5).
|
| Floor | Text |
Enter the floor, apartment or unit designation (for example 2, 3rd, Apt 5).
|
| City | Text |
Enter the city, town or locality of your permanent address.
|
| Postal code | Text |
Enter the postal code or ZIP code for your permanent address.
|
| Telephone | Text |
Enter a telephone number where you can be reached at your permanent address, including country and area codes if applicable.
|
| Personal details (Nationality, Place of birth, Sex, Date of birth) | ||
| Nationality | Text |
Enter the person's nationality or country of citizenship (for example: Portugal).
|
| Place of birth | Text |
Enter the place where the person was born, typically the city/town and country or locality.
|
| Sex | Text |
Enter the person's sex (for example 'Male', 'Female', or another designation as applicable).
|
| Date of birth | Date |
Enter the person's date of birth.
|
| Possible family ties with the undersigned | ||
| 16. Family ties with the undersigned | Text |
Describe any family relationship(s) between the invitee and the undersigned (for example: spouse, parent, child, sibling, other) and include brief identifying details as needed.
|
| Purpose of stay | ||
| 17. Purpose of stay | Text |
Enter the main reason for this visit (for example: tourism, business, visiting family/friends, study, medical treatment, or work) and any brief relevant details about the activities you will undertake during your stay.
|
| Registry / R. | ||
| R. 1 — Registry Number | Text |
Enter the registry entry number (the R. number) for this document as it should appear on the form, e.g., the single-digit or short identifier shown in the R. field.
|
| Signature | ||
| Applicant Signature | Text |
Provide the signature of the applicant who has read and approved the declaration.
|
| Witness Signature | Text |
Provide the signature of the witness for the certification of the main signature.
|
| Signature Authentication | ||
| Signature | Text |
Enter the signature for authentication.
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