UNDERTAKING

I, the undersigned, Mr / Mrs …………………………………

Passport number ………………………….. confirm being aware that,
if I am issued a Schengen visa for a longer period than applied
for, then during all my future travels into Schengen territory, I
shall be obliged to possess an insurance for the entire period
of stay similar to the one I obtained during my initial travel.

This shall also apply to any children / dependents who

may be accompanying me in the said Schengen territory.

Date: Signature