Visa Apllication Form by beautifulone

VIEWS: 24 PAGES: 1

									                                                                       VISA                                                               01
                                                                                                                                    Photo
        EMBASSY OF VIETNAM                                          APPLICATION                                              (2 inches x 2 inches,
         1233 20th Street, NW, Suite 400
                                                                                                                             bright background)
            Washington, D.C. 20036                                    (FOR NON-VIETNAMESE                                       Glue or staple
                                                                       PASSPORT HOLDERS)                                          photo here
      Tel: (202) 861-0737, (202) 861-2293                                          ______
              Fax: (202) 861-0917
        http://www.vietnamembassy.us




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

 2. Date of birth:..................................….…………                       9. Purpose of visit to Vietnam:
                            dd            mm                yy                       ...........................................................................
 3. Male:                                   Female                                   ...........................................................................
 4. Place of birth:.......................................................       10. Name, address of your contact in Vietnam:
 5. Nationality at birth:..............................................              (organization or individual)
    Nationality at present:...........................................               ................................................………………
 6. Passport number:..................................................               ................................................................……
    Date of issue:..................Date of expiry:...........…                      ...........................................................................
 7. Profession:.............................................................         .....………………………………………….…
    Place of employment:...........................................              11. Proposed date of entry and exit Vietnam:
    Telephone (Office):…....…..................................                      from.........../........../......... to....…./….…/……...
 8. Present address: (P.O Box Not Accepted)                                                    dd        mm           yy         dd        mm yy
 ………….………………………………………….….
 ………………………………………………………...                                                        12. Number of entries:
    Telephone (Home):............................................                    Single                                    Multiple



  I solemnly declare that the statements made in this application are true and correct.

                                        City, State:……………………………………………………
                                        Date:………………………………………………………………
                                        Signature: ....................................................................................….

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 US Express Mail Slip (UPS and DHL are not accepted for the return envelope), (if you want
your visa be returned by mail).
  Last Update: November 2006

								
To top