Vietnam visa application form | Embassy of Vietnam in Nigeria



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|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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