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Us Tourist Visa Form by cutiepie1336

VIEWS: 272 PAGES: 2

									                                          VISA APPLICATION FORM
                                                CONSULATE GENERAL OF PAKISTAN
         STAPLE
                                                         12 EAST 65TH STREET
         PHOTO
                                                         NEW YORK NY 10065
          HERE
                                                TEL: (212) 879 5800 FAX: (212) 517 6987
                                                      www.pakistanconsulateny.org

                                                             FILLABLE FORM
     (IF ANY OF THE PARTICULARS FURNISHED ARE FOUND TO BE INCORRECT OR IF ANY INFORMATION IS FOUND TO HAVE
                           BEEN WITHHELD THE VISA IS LIABLE TO BE CANCELLED AT ANY TIME)


                                                                                                                     FOR OFFICIAL USE ONLY
1     FULL NAME:
                            FIRST                              MIDDLE                            LAST



2     SURNAME AT BIRTH IF DIFFERENT



3     PERMANENT ADDRESS




4     PRESENT ADDRESS




5            DATE OF BIRTH                                          PLACE OF BIRTH



               (DD/MMM/YYYY)                                         (CITY, STATE, COUNTRY)

6                    PHONE                                                 FAX                                                  EMAIL



                                                         )

7        PASSPORT NO.                                                                    PASSPORT ISSUING COUNTRY



                  PLACE OF ISSUE                                         DATE OF ISSUE                                        DATE OF EXPIRY


                 (CITY, STATE, COUNTRY)                                     (DD/MMM/YYYY)                                           (DD/MMM/YYYY)

8        PRESENT NATIONALITY                                                             PREVIOUS NATIONALITY




9        FATHER’S NAME                                                                   FATHER’S NATIONALITY




10       SPOUSE NAME                                                                     SPOUSE NATIONALITY




11       HAVE YOU EVER BEEN A CITIZEN OF PAKISTAN                                        PROFESSION OR OCCUPATION




12       TYPE OF VISA REQUIRED (PLEASE TICK)
         Tourist ___ Business ___ Student ___ Entry ___ Transit ___ Journalist ___ Conference ___ Employment ___ Transfer ___ Other ____________________

13       PERIOD OF VISA
         15 Days ______ Six Months ______ One Year ______ Five Year ______ Other __________________________



                                                                                                                                            Page 1 of 2
14       EXPECTED DATE OF DEPARTURE FROM USA                                   EXPECTED DATE OF ARRIVAL IN PAKISTAN




15       PURPOSE OF JOURNEY                                                    PORT OF LANDING IN PAKISTAN




16       PROVINCE, TOWN, CITY OF DESTINATION IN PAKISTAN




17       ADDRESS IN PAKISTAN




18       NAME AND ADDRESSES OF PERSONS(S) WHO WILL FURNISH INFORMATION ABOUT THE APPLICANT, AND ALSO
         FURNISH FINANCIAL GUARANTEES FOR REPATRIATION IF REQUIRED

         1

         2

         3

19       WHETHER PREVIOUSLY RESIDING IN PAKISTAN AND IF SO PLACE OF RESIDENCE WITH DATES




20       WHETHER PERMISSION TO VISIT PAKISTAN HAS PREVIOUSLY BEEN REFUSED IF SO, WHEN?




21       WHETHER APPLICATION FOR GRANT OF VISA HAS BEEN SUBMITTED TO ANY OTHER PAKISTAN VISA ISSUING
         AUTHORITY?



22       I                             HEREBY UNDERTAKE THAT I SHALL UTILIZE MY VISIT TO PAKISTAN FOR THE
         PURPOSE FOR WHICH THE VISA HAS BEEN APPLIED.




                                                                                                          SIGNATURE OF APPLICANT
                      DATE

                                                                                             Prepared By: Machine Readable Passport Section, Consulate General
                                                                                                       of Pakistan, New York <amimalik@gmail.com>

                                                            INSTRUCTION

     •   Visa application form must filled in all respect.
     •   Visa fee is US$ 120.00 (Money Order) for US Citizen only.
     •   The issuance of visa is subject to the instructions of Government of Pakistan.
     •   Visa fee is non-refundable, if visa application is processed.
     •   If visa application is submitted through mail, self addressed prepaid envelope is mandatory.
         (USPS Express Mail only for urgent items)

         Note: 5 year multiple entry visa will be issued to the Pakistan Origin US citizens on production of previous Pakistani passport or
         CNIC. For children born in the US, father’s Pakistani passport or CNIC and Child Birth Certificate is required.




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