Visa Application Form - Royaume Du Maroc Ministere Des Affaires Etrangeres Et De La Cooperation

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Royaume du Maroc
Ministère des Affaires Etrangères
et de la Coopération
Direction des Affaires Consulaires et
Sociales
Visa Application Form
_____________________________
Photo
P
1. First Name(s) :
………………………………………………………………………………………………………………………………
Cadre réservé aux services
2
2. Family Name(s) :
de l'Ambassade ou du
……………………………………………………………………………………………………………………………….
Consulat
3. Date of Birth :
4. Green Card Number :
Date d’introduction de la
………………………………………………………………………
……/……/……..
demande : . . / . . / . . . .
( For minors write mention « minors »
…………………………..
555
5. Place and Country of birth
………………………………………………………………………
Responsable du dossier :
……………………………….
6. Current Nationality :
7. Original Nationality (Nationality of
birth) :
Visa :
………………………………………………………………………
………………………………………………………………………
Refusé
8. Sex :
9. Marital situation :
Accordé
Annulé
Single
Married
Male
Female
Separated
Divorced
Widow
Type et catégorie du visa :
Other:
……. / ……..
……………………………………………………
Nombre d'entrées :
10. Father’s name and Family Name
11. Mother’s Name and Family Name :
1
2
Multiples
……………………………………………………………………………...
………………………………………………………………………..

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