Application form Viet Nam Visa

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    11-Apr-2017

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  • N XIN NHP XUT CNH VIT NAM (Dng cho ngi nc ngoi)

    APPLICATION FOR ENTRY AND EXIT VISA

    (For foreigners)

    1- H tn (ch in hoa) ...................................................

    Name and surname (in block letters)

    2- Ngy sinh: ............................ 3- Gii tnh: ................

    Date of birth Sex

    4- Ni sinh: ...................................................................

    Place of birth

    10- Mc ch xut nhp cnh: .........................................

    Purpose of entry and exit

    5- Quc tch gc: ...........................................................

    Nationality at birth

    Tn, a ch c quan, t chc hoc h tn, quan h a

    ch ca thn nhn - ni lm vic hoc thm

    Name, address of office, organization or full name,

    relation, address of your relatives to contact or visit

    Quc tch hin ti ..........................................................

    Present nationality

    6- H chiu s: ......................... Loi: ............................

    Passport No Kind of passport

    11- Thi gian d kin NXC Vit Nam:

    T ngy n ngy: .................................

    Propossed duration to entry and exit Vietnam

    From to

    - Ngy cp .........................Gi tr n ..........................

    Date of issue Valid up to

    12- Ca khu XNC Vit Nam: ........................................

    Port of arrival and departure

    - C quan cp: ...............................................................

    Issued by

    13- Ti cam oan nhng ni dung trn y l ng s

    tht.

    I swear the above declarations are true for which.

    7- Ngh nghip: .............................................................

    Profession

    I shall take responsibility

    Ni lm vic: .................................................................

    Place of employment

    Lm ti ..................... ngy ......................

    Done at on

    K tn

    Signature 8- a ch c tr hin nay: ............................................

    Present address

    9- Tr em i cng (h tn, ngy sinh, quan h):

    Children accompanying (full name, date of birth,

    relation)

    Note: - Please, fill in two forms (attaching two latest photos, in 4 x 6 cm size, with a face straight

    forward) submit one form to the Vietnam visa issuing office, or consulate, and the other to

    frontier, police post upon your arrival

    - The accompanying children under 14 years old may be included in this form, with two photos.

    Photo 4 x 6 cm

    M3