Visa Application Form - Embassy Of The Federal Democratic Republic Of Ethiopia printable pdf download

EMBASSY OF THE FEDERAL DEMOCRATIC REPUBLIC OF ETHIOPIA

7/50-G, Satya Marg, Chanakyapuri, New Delhi-110 021

Phone: +91-11-26119513, 26119514, Fax No. +91-11-26875731

Website: E.mail: delethvisa@yahoo.co.in

VISA APPLICATION FORM

(All entries to be filled in capital letters)

PHOTO

SURNAME: ………………………………………..GIVEN NAME:……………………………………..

Sex:…………..Birth date:……………………..Birth Place:………………………………………………

Present nationality:……………………Passport Type: Ordinary/Service/Official/Diplomatic/other………

Passport No……………………..Issue Date:……………………..Expiry Date:………………………….

Address:……………………………………………………………………………………………………

……………………………………e.mail ID:…………………………………Phone No…………………

VISA REQUEST

Visa Type:……………………Entries: Single(one month)/Double/Multiple Duration (days):……………

If visa request is for Business/Employment/Investment, please specify(√) whether purpose is:

.Govt. Business

Employee of Foreign Organisation Govt. Employee NGO

Investment

Employee of Continental

Short-term workshop & Seminar

Media(Journalist)

Employee of Private Enterprise

Type of Business………………………………Indian Company’s Name:………………………………..

Type of Investment:…………………………..Company’s Name in Ethiopia…………………………..

Type of Employment:…………………………Employers’ Name in Ethiopia………………………….

Any other…………………………………………………………………………………………………..

I the undersigned declare that all the above mentioned statements are true to the best of my knowledge

………………………………………………………………………… Date:…………………………..

(Full Name & Signature)

Place:

Visa fee in Indian Rupees: BUSINESS & EMPLOYMENT: Investment: SingleEntry: Rs. 2100,Multiple 3

month:Rs.2800,Multiple 6 month: Rs.4200, Multiple one year: Rs. 8400.Govt. Business: Single Entry: Rs. 1400,

SINGLE ENTRY FOR-Employee of Foreign

Multiple 3 month: Rs. 5600, Multiple 6 month: Rs. 8400.

Organisation: Rs. 2800. Govt. Employee: Rs.2100. NGO: Rs.4200.

Employee of Continental: Rs. 3500. Short-

term workshop & Seminar: Rs. 2100. Media(Journalist: Rs. 2800. Employee of Private Enterprise: Rs. 2100.

TOURIST: Single for 30 days: Rs. 2800, Single (90 days) Rs.4200Multiple for 3 months: Rs. 4900, Multiple for 6

months: Rs. 5600.

TRANSIT: 12 hours: Rs. 1750, 24 hours: Rs. 2800, 72 hours: Rs. 4200, Double transit (24 hours): Rs. 35

Visa fee by dd favouring ETHIOPIAN EMBASSY.

Visa Application Form - Embassy Of The Federal Democratic Republic Of Ethiopia