5 Starvietnam Visa Service Form - Embassy Of The Socialist Republic Of Vietnam Page 2
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2EMBASSY OF THE SOCIALIST REPUBLIC OF VIETNAM
12 Victoria Road, London W8 5RD
Fax: 020 7565 3853 or 020 7937 6108
Tel: 020 7937 1912
FORM F
Website: http//
Email: .uk
VISA APPLICATION FORM FOR FOREIGNERS
1. Full name
(in BLOCK letters and underline surname)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Male
Female
3. Date of birth
. . . . . ./. . . . . ./. . . . . . . . .
PASSPORT-SIZE
(dd)
(mm)
(yy)
PHOTO MUST
BE GLUED OR
4. Place of birth
. . . . . . . . . . . . . . . . . . . . . . . . . .
STAPLED HERE
5. Nationality
. . . . . . . . . . . . . . . . . . . . . . . . . .
6. Passport number. . . . . . . . . . . . . . . . . . . . . . . . . .
Issuing authority . . . . . . . . . . . . . . . . . . . . . . . . . .
Issuing date
. . . . . ./. . . . . ./. . . . . . . . .
10. Purpose of visit
(dd)
(mm)
(yy)
Expiry date
Tourism
Business
. . . . . ./. . . . . ./. . . . . . . . .
(dd)
(mm)
(yy)
If others, please specify . . . . . . . . . . . . . . . . . . . . . .
7. Home address (
)
please tick if this is your correspondence
Name & address of contact in Vietnam (
)
if applicable
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Postcode . . . . . . . . . . . . . . . . . .
11. Dates of entry and exit
Home telephone . . . . . . . . . . . . . . . . . . . . . . . . . .
From . . . . . ./. . . . ./. . . . . To . . . . . ./. . . . ./. . . . . .
Mobile telephone . . . . . . . . . . . . . . . . . . . . . . . . . .
(dd)
(mm)
(yy)
(dd)
(mm)
(yy)
12. Number of entries
Email
. . . . . . . . . . . . . . . . . . . . . . . . . .
Single
Multiple
8. Occupation
. . . . . . . . . . . . . . . . . . . . . . . . . .
13. Duration of stay
Work address
(
)
please tick if this is your correspondence
30 days
90 days
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I declare the above information is true and for which
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I take full responsibility.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Postcode . . . . . . . . . . . . . . . . . .
Work telephone . . . . . . . . . . . . . . . . . . . . . . . . . .
Date . . . . . ./. . . . . ./. . . . . . . .
(dd)
(mm)
(yy)
9. Children accompanying
(full name, DOB, relation)
Signature
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Applicant’s checklist
1. Valid passport
2. Completed application form with photo
3. Visa fee
4. Postage fee and self-addressed envelope (if returned by post)
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