Guyana Immigration Service Visa Application Form
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2Visa Application Form for entry into Guyana
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EMBASSY OF THE REPUBLIC OF GUYANA
2490 Tracy Place NW, Washington DC 20008
Telephone: 202-265-6900, Fax: 202-232-1297
GUYANA IMMIGRATION SERVICE VISA APPLICATION FORM
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1. Surname (as in passport)
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2. First and Middle Names (as in passport)
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3. Other Names (Maiden, Professional, Alias, etc)
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4. Date and place of Birth
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5. Nationality
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6.(a) Passport No
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(b) Date and Place issued
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(c) Date Passport Expires
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7. Home Address (in full)
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8.(a) Telephone No
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(b) How Long Resident
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9.(a) Name and address of Employer
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(b) Telephone No
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10. Present Occupation (if retired, past occupation)
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11.(a) Sex
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(b) Colour of hair
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(c) Height
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(d) Colour of Eyes
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(e) Complexion
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(f) Marks of Identification
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12. Marital Status: (Place X )(a) Married
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(b) Single
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(c) Widowed
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(d) Divorced
1/26/2002
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