Consulate General Of Vietnam - Visa Application (For Non-Vietnamese Passport Holders)
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1(
new form dated 01/5/03)
CONSULATE GENERAL OF VIETNAM
Suite 205, Level 2, Edgecliff Centre
Affix
203-233 New South Head Road - Edgecliff, NSW 2027
Photo
Tel: (02) 9327 2539/ 9327 1912; Fax: (02) 9328 1653
Here
Website:
vnconsul@iinet.net.au
Email:
PO BOX 732 - Edgecliff, NSW 2027
VISA APPLICATION
(FOR NON-VIETNAMESE PASSPORT HOLDERS)
(Read carefully and fill in completely)
1. Full name (in BLOCK letters and underline surname)
9. Purpose of entry :
Tourism
Official
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Business
Others
Male
Female
If others, pls. specify . . . . . . . . . . . . . . . . . . . .
2. Date of birth : . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Place of birth : . . . . . . . . . . . . . . . . . . . . . . . . . . .
10. Contact address (if applicable) :
4. Nationality : At birth : . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Present : . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. Passport N
: . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Type :
Standard - Official - Diplomatic
11. Proposed date of entry & exit (must be put
carefully) :
Date of issue : . . . . . . . . . . . . . . . . . . . . . . . . . .
(dd / mm / yy)
(dd / mm / yy)
Date of expiry : . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . / . . . . / . . . .
to . . . . / . . . / . . . . .
Place of issue : . . . . . . . . . . . . . . . . . . . . . . . . .
12. Number of entries :
6. Occupation : . . . . . . . . . . . . . . . . . . . . . . . . . . .
Single
Multiple
Place of work : . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If multiple entries are required, pls. put dates of
Office telephone : . . . . . . . . . . . . . . . . . . . . . . . .
the first entry and the last exit : . . . . . . . . . . . . . .
7. Home address : . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I solemnly declare that the statements made in this
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
application are true and correct.
Home telephone : . . . . . . . . . . . . . . . . . . . . . . . .
City: . . . . . . . . . .
Date . . . / . . . /201
Email : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Signature
8. Have you visited Vietnam before? Yes / No
If "Yes", specify the period of the last visit :
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Before submitting, pls. ensure that you have :
Official use only :
1. Completed application form with one photo affixed.
Ref. No. :
2. Original passport.
Date :
3. Application fee ( non-refundable). We accept cash, money order or bank cheque (made
Fee :
payable to the Consulate General of Vietnam).
Visa #:
4. Pre-paid self-addressed return envelope /parcel if you cannot come for collection.
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