Republica Argentina - Solicitud De Visa / Visa Application Form Page 2
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332-HIJOS - CHILDREN (Apellidos, nombres, nacionalidad, fecha de nacimiento - Surname, Name, Nationality, Date of Birth):
33-SOLICITO VISA ANTERIORMENTE? - HAVE YOU EVER APPLIED FOR A VISA?:
34- ¿CUÁNDO?- WHEN?:
35-¿DÓNDE?- WHERE?:
SI/YES
NO
AÑO - YEAR:
36-INGRESÓ?- HAVE YOU EVER ENTERED
37-¿CUANDO?- WHEN?:
38-TIEMPO DE PERMANENCIA - LENGTH OF
39- ¿MOTIVO? - PURPOSE?:
THE COUNTRY:
STAY:
AÑO – YEAR:
SI/YES
NO/NO
40-RESIDEN EN LA ARGENTINA ALGUNAS DE LAS SIGUIENTES PERSONAS?- DO ANY OF THE FOLLOWING CURRENTLY RESIDE IN ARGENTINA?:
Esposo/a- Spouse
Novio/a- Fiancé/e
Hermanos/as- Siblings
Padres- Parents
Otros parientes- Other relatives
41-ENUMERE LOS PAISES DONDE HA VIVIDO MAS DE SEIS MESES DURANTE LOS ULTIMOS 5 AÑOS. COMIENCE CON SU DOMICILIO ACTUAL- LIST THE COUNTRIES WHERE YOU
HAVE LIVED LONGER THAN 6 MONTHS IN THE LAST 5 YEARS, STARTING WITH YOUR CURRENT HOME ADDRESS:
PAISES - COUNTRIES:
CIUDADES - CITIES:
FECHAS APROXIMADAS - APPROXIMATE DATES
LUGAR Y FECHA - PLACE AND DATE:
FIRMA Y ACLARACION - SIGNATURE AND FULL NAME IN PRINT:
F.V. E. N°:
PARA USO EXCLUSIVO DE LAS AUTORIDADES CONSULARES – FOR CONSULAR USE ONLY
FOTO COLOR/COLOUR PHOTO
(FONDO BLANCO/WHITE
BACKGROUND, 4 X 4 CM.)
Por favor, complete el cuestionario a vuelta de hoja, feche , firme y aclare nombres y apellidos- Please, complete the questions overleaf, insert date, sign and write your full name.
PÁGINA 2/3
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