Vietnam visa application form | Embassy of Vietnam in Nigeria
|[pic] | |
|EMBASSY OF VIETNAM | |
|IN THE FEDERAL REPUBLIC OF NIGERIA | |
APPLICATION FOR ENTRY AND EXIT VISA
1. Name and surname (in block letters):……………………………………………………
2. Date of birth:……………………………………………………………………... …….
3. Sex:………………………………………………………………………………. ……..
4. Place of birth:…………………………………………………... ……………………….
5. Nationality at birth: ……………………………………...................................................
Present nationality: ………………………………………………………………………
6. Passport No:……………………………………………………………………………...
Kind of passaport:................................................................................................... ……..
Date of issue:…………………………………………………… …………….................
Date of Expiration:……………………………………………………………………….
Issued by:………………………………………………………………………… ……..
7. Occupation:………………………………………………………………………………
Employer:..……………………………………………………............................. ……..
Telephone No: …………………………………………………………………………..
8. Present address:…………………………………………………………………. ………
Telephone No: …………………………………………………………………..............
9. Accompanying children:……………………………………… ………………...............
Full Name:……………………………………………………………………………….
Date of birth:…………………………………………………………………………….
Relationship: ……………………………………………………………………………
10. Date of previous visit to Vietnam:……………………………………………………
11. Purpose of visit: ……………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………………………………
Name, address of office, organization; or full name, relationship, address of relatives to contact or visit while in Vietnam:
………………………………………………….……………………………………………………………………………………………………………………………………….
12.Proposed duration of stay in Vietnam: From:…………..To:………………….. ……..
13.Numbers of entries and exit: Single:………Multiple: ………………….. ……..
14.Port of arrival and departure:…………………………………………………………..
I swear the above declarations are true for which I shall take responsibility.
Done at…………., on……/……./2008
Signature
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