DEPARTMENT OF IMMIGRATION AND EMIGRATION



| | Affix a |

|DEPARTMENT OF IMMIGRATION AND EMIGRATION |photograph here |

|Form C (Regulation 6) | |

| | |

|APPLICATION FOR A TRANSIT VISA FOR SRI LANKA | |

| |

|Passport no | | | | | | | | | | |Place of issue | | | | | | | | | | | |

|Day |Month |Year | |Day |Month |Year | |

|Date of | |

|issue | |

| |Details of previous passports held if any: |

| | |

| |(01) Name in full |

| |(02) Nationality |

| |(03) Date and place of birth |Day | |Month | |Year | |

| | | | | | | | | | | | | |

| | |

| |(04) Civil status |Single | |Married | |Divorced | |Widowed | |

| | |

| |(05) If married, where spouse is resident and full postal address |

| | |

| |(06) Applicant’s address |

| | (a) In the country | | | | | | | | | | | | | | | | | | | | | |

| | of domicile | | | | | | | | | | | | | | | | | | | | | |

| | |

| | (b) During stay in | | | | | | | | | | | | | | | | | | | | | |

| | Sri Lanka | | | | | | | | | | | | | | | | | | | | | |

| | |

| |(07) Country of destination and particulars of visa held for that country |

| | | | | | | | | | | | | | | | | | | | | | | |

| | |

| |(08) Route and mode of travel | | | | | | | | | | | | | | | | | | |

| | (Flight no. etc.) | | | | | | | | | | | | | | | | | | |

| | |

| |(09) Date of proposed departure from Sri Lanka |Day | |Month | |Year |

| | | | | | | | | | | | |

| | |

| |(10) Evidence of outward journey | | | | | | | | | | | | | | | | | |

| | |

| |(11) Name and address of - |

| |a person in Sri Lanka who can furnish information regarding applicant and furnish security for maintenance and repatriation of the |

| |applicant if so required |

| | | | | | | | | | | | | | | | | | | | | | | | | | | | |

| | | | | | | | | | | | | | | | | | | | | | | | | | | | |

| | |

| |a responsible person in applicant’s own country who can furnish information |

| |regarding applicant |

| | | | | | | | | | | | | | | | | | | | | | | | | | | | |

| | | | | | | | | | | | | | | | | | | | | | | | | | | | |

| | |

| |(12) How much money will the applicant have with him or have available for himself on arrival in Sri Lanka |

| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |

| | |

| |(13) Any other reason to urge in support of application |

| | | | | | | | | | | | | | | | | | | | | | | | | | | | | |

I hereby declare that to the best of my knowledge and belief the foregoing statements are true, that I shall not engage myself in any employment paid or unpaid , or in any business or trade on arrival or during my stay in Sri Lanka and that I shall leave Sri Lanka before the date of expiry of the period of my authorized stay. I also undertake to notify the Controller of Immigration & Emigration, Colombo, immediately any change of my address, while in Sri Lanka, occurs.

……………………………………….. …………………………………………………….…..

Date Signature

Note (1) An application for a transit visa should be made well in advance of the date of travel

(2) Fee for transit visa is charged on a reciprocal basis. Holders of diplomatic and official

passports will be granted or issued transit visas free of charge.

(3) An applicant may be required to submit two copies of his photograph (size 3.5 x 4.5 cm)

for issue of visa.

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