Vietnamembassy-usa.org
|[pic] | |
|EMBASSY OF VIETNAM | |
|1233 20th Street, NW, Suite 400 |visa |
|Washington, D.C. 20036 |APPLICATION |
| |______ |
| | | |
|1. |Name: | |
| |(Family name - First name - Middle name) | |
|2. |Date of birth: | |
|3. |Gender: | |
|4. |Place of birth: | |
|5. |Nationality at birth: | |
|6. |Nationality at present: | |
|7. |Passport number: | |
| |Date of expiry: | |
|8. |Profession: | |
|9. |Present mailing address: | |
| |(P.O Box Not Accepted) | |
|10. |Email : | |
|11. |Cell phone : | |
|12. |Purpose of visit to Vietnam: | |
|13. |Name, address of your contact (sponsor, host, | |
| |hotel…) in Vietnam (if any): | |
|14. |Proposed date of entry: | |
| |(DD/MM-in word/YYYY) | |
| |Example: 01 January 2018 | |
|15. |Proposed date of exit: | |
| |(DD/MM-in word/YYYY) | |
| |Example: 01 January 2018 | |
|16. |Requesting a visa good for: | |
| |Number of entries: | |
| |(Single entry OR Multiple entries) | |
| |Length of stay: | |
| |- Up to one month | |
| |- Up to 03 months | |
| |- Up to 06 months (US passport only) | |
| |- Up to one year (US passport only) | |
| | | |
|I solemnly declare that the statements made in this application are true and correct. |
| | | |
| | |Date: |
| | |Full name of Applicant: |
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