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Visa Waiver Form

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  • pg 1
									REPUBLIC OF TRINIDAD AND TOBAGO                                                                                                                                                   P. & I..—42

                                                          IMMIGRATION REGULATIONS, 1974
                                                                             Immigration Division

                                                     APPLICATION FOR WAIVER OF VISA

                                                                                                                                        ........................................................

                                                                                                                                       File No. ..........................................

1. My Name is .......................................................................................................................................................................
                                     First                                                  Middle                                                    Surname


2. My Address is ...................................................................................................................................................................
                                    Apartment Number                                                                  Number and Street


   .............................................................................................................................................................................................
                                    City                                                                              State


3. My Permanent Address Abroad is ..................................................................................................................................

4. The Country of which I am a Citizen is ......................................................................................................................

5. Place of Birth ...................................................................                 Date of Birth ...................................................................

6. Date of Arrival .................................................................                  Port of Arrival ................................................................

7. Manner of Arrival .............................................................................................................................................................
                                                                                 Name of Vessel, Airline, etc.


8. The reason I am not in possession of Passport/Visa is as follows ..............................................................................

   .............................................................................................................................................................................................

   .............................................................................................................................................................................................
           I hereby certify that the above information is true and correct.


   ............................................................................................         .......................................................................................
                                             Date                                                                                             Signature




                                                      A PPLICANT N OT T O WRITE BELOW THIS L INE

Date .....................................................................................                Port .............................................................................

Waiver granted under regulation by authority of                                                           Application approved/disapproved ..........................

..............................................................................................             .....................................................................................

..............................................................................................             .....................................................................................


                                                                                                           .....................................................................................
                                                                                                                            Signature and Stamp of Immigration Officer


G.P., TR./TO.—N 1744—20,000— /97

								
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