HOW TO APPLY FOR A VISA TO VIETNAM

							                                                                         VISA                                                            01
                                                                                                                                   Photo
        MISSION OF VIET NAM
   866 United Nations Plaza, Suite # 435
                                                                      APPLICATION                                           (2 inches x 2 inches)
          New York, NY 10017

              Tel: (212) 644-0594
              Fax: (212) 644-5732
          http://www.vietnam-un.org

1. Name (in block letters):
   .................................................................................………………………………………….
                                                        Family name                   First name Middle name

 2. Date of birth:.................../............./….… …                     10. Name, address of your contact (sponsor, host,
                                   Date / Month / Year                            hotel…) in Viet Nam (if any)
 3. Male:                                        Female                         ................................................………………
 4. Place of birth:..............................................                 ................................................................……
 5. Nationality at birth:......................................                   .........................................................................
     Nationality at present:..................................                    .........................................................................
 6. Passport number:........................................                      .........................................................................
     Date of issue:................ ........... ........... .........             ..………………………………………….…
     Date of expiry:........... ........... ........... ...........           11. Proposed date of entry:
 7. Profession:......................................................                      .......... …./…............/......... .....
     Place of employment:.....................................                                Date / Month / Year
         .................................... ......................... .....     Proposed date of exit:
     Telephone (Office):…....…....................... .....                              ....… … /…………/……........
 8. Present address: (P.O Box Not Accepted)                                                 Date / Month / Year
 ………….………………………………………
 …………………………………………………                                                          12. Requesting a visa good for:
  …………………………………………………                                                          - Single (one time) visit  Multiple visits 
     Telephone (Home):.......................................                  - 30 days                                        
     Cell phone:…………………………………..                                                - 03 months                                     
 9. Purpose of visit to Vietnam:                                               - 06 Months                                     
 …………………………………………………                                                           - 01 year                                       
 …………………………………………………
 ……………………………
  I solemnly declare that the statements made in this application are true and correct.
                                                                   Date:…………………………………………………
                                                                   Signature of Applicant ...............................................


Before submitting, make sure you have included:
 Original Passport;
 Completed and signed Application with One Photo glued or stapled;
 Visa Fee: Money Order (or Cashier’s Check); and
 Prepaid USPS Express Mail Slip, (if you want your visa be returned by mail).