VIZA SO'ROVNOMASI VISA APPLICATION by rlb27893

VIEWS: 32 PAGES: 2

									  O’ZBEKISTON RESPUBLIKASI TASHQI ISHLAR VAZIRLIGI
  MINISTRY OF FOREIGN AFFAIRS OF THE REPUBLIC OF UZBEKISTAN

                                                                                  Surat
                              VIZA SO’ROVNOMASI
                               VISA APPLICATION                                   Photo



 Shahsiy ma’lumotingiz / Your personal details:
  1                         Fuqaroligi
                            Citizenship


  2               To’liq ismi-sharifi
                           Last Name

                            First Name


  3     Tug’ilgan vaqti (KUN / OY / YIL)               Tug’ilgan joyi
        Date of birth (DAY / MONTH / YEAR)              Place of birth


  4                    Oilaviy ahvoli                       Jinsi
                        Marital status                        Sex
                                                                         E/M       A/F

  5         Pasport raqami va turi                    Amal qilish muddati
           Passport number and type                             Valid untill

        Ish yoki o’qish joyi, lavozimi,
  6
              manzili, telefon raqami
        Place of work or study, position,
                 address, phone number


  7      Doimily yashash manzili,
                   telefon raqami
                Permanent address of
            residence, phone number

Tashrif ma’lumotlari / Visit details:
  8        Safar maqsadi (batafsil)

          Purpose of visit (in details)


  9                 Safar muddati:                    dan                                 gacha
               Duration of stay: from                        untill


 10                   Safarlar soni
                   Number of entries


 11 Taklif qilayotgan tashkilot yoki
        shaxs, manzili, telefon raqami
          Name of inviting organization
      (company), person, address, phone
                                number

                                                  Davomi keyingi betda / Continued overleaf
                                                                                              F
12            O’zbekistonda yashash
                           joyingiz
                              Address while in
                                  Uzbekistan


13                     O’zbekistonda
                boradilgan manzillari
                     Cities to be visited in
                               Uzbekistan


14            O’zbekistonga qilgan
           avvalgi safarlari (qachon
             va qaysi tashkilot yoki
                shaxs taklif qilgan)
                   Previous visits to
                 Uzbekistan (when,
           organisation (companies)
                   or person visited)


15                     O’zbekistonda
                    qarindoshlaringiz
                  bormi? Qarindoshlik
                            aloqalari?
               Do you have relatives in
           Uzbekistan? If “YES”, what
           is their relationship to you?


16              Birga safar qilayotgan
                      hamrohlaringiz
            Persons travelling with you

  So’rovnomadagi ma’lumotlar haqiqiyligini tasdiqlayman
  I declare that the information given in this application is true and correct
  Izoh: Noto’g’ri ma’lumotlar viza rasmiylashtirishni to’xtatishga yoki uni bekor qilinishiga olib keladi
  Note: False or incomplete information given in this application may result in refusal of issuance visa or its cancellation

  Imzo                                                                                Sana
  Signature                                                                            Date

                                       Rasmiy yozuvlar uchun For official use only




  Qayd raqami                                    Berilgan viza raqami                   Viza turi




  Viza muddati                                   Viza tasdig’i raqami                   Viza berilgan kuni



Viza so’rovnomasi (04/2001)

								
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