Visa Application Form For Kazakhstan
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1
2The Republic of Kazakhstan
VISA APPLICATION FORM
!
.
.
Attention!
c
Application form should be filled in fully and accurately, in block letters.
Wrong filling of application form can become a cause of refuse in issue of entry visa.
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1.
/Surname(s):_____________________________________________________________________
2.
/First names: ____________________________________________________________________
3.
/Other names and surnames: _________________________________________
4.
/Sex:
/ ale
/Female
5.
/Date of birth:
/day
/month
/year
6.
(
)/Place of birth (city and country): _______________________________________________________
7.
/Nationality: ___________________________________________________________________________________
/Nationality by birth: _________________________________________________________________
8.
/Marital status:
/single
(
)/married
/divorced
(
)/widow(er)
9.
(
)
(
)
-
/If you
are married, please, inform your spouse’s full name and nationality: ____________________________________________________
__________________________________________________________________________________________________________
10.
-
/Your permanent home address: __________________________________________________
________________________________________________________
/tel. ____________________________________________
11.
/Occupation (educational background and position): ____________________________________
__________________________________________________________________________________________________________
12.
/Place of work:________________________________________________________________________________
-
/address:______________________________________________________
/tel.____________________________
13.
/Type of passport:
/diplomatic
/service
/ordinary
/other type of document
/Number: ___________________________
/date of issue: __________________
/issued by:
___________________________________________________
/valid till:________________________________
14.
:
?/For person who lives outside
of the country of origin: have you got a permission to return to the country of living?:
/No
/Yes
,
/If yes, please indicate the number of this
document and its validity:______________________________________________________________________________________
15.
?/Have you visited the Republic of Kazakhstan before?:
/No
/Yes
,
/If yes, indicate the date and purpose
of the visit(s): _______________________________________________________________________________________________
__________________________________________________________________________________________________________
16.
?/Have you ever been refused
entry to the Republic of Kazakhstan?:
/No
/Yes.
,
(
)/If yes, please give details below (when and by whom):___________________________________
__________________________________________________________________________________________________________
17.
/Purpose of travel: _______________________________________________________________________
18.
(
-
,
.)/Inviting organization (address, tel.):_______________________________________
__________________________________________________________________________________________________________
(
-
,
-
,
.)/or person, arranging your visit to Kazakhstan (full
name, address, tel.):__________________________________________________________________________________________
__________________________________________________________________________________________________________
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