Visa extension form Name (including any middle names)Surname/sPassport numberNIE number (if you have one)GenderMaleFemaleDate of birthPlace of birthCountry of birthNationalityMarital statusSingleMarriedWidowedDivorcedSeparatedFather's nameMother's nameAddress in SpainMobile numberE-mail addressReasons why the extension is requiredNew desired departure date (no longer than 3 months after the visa expiry date)EmailSubmit