Georgia - Visa Application Form
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1saqarTvelo
sagareo saqmeTa saministro
foto
GEORGIA
Ministry of Foreign Affairs
PHOTO
savizo anketa /
VISA APPLICATION
3. sqesi / Sex
1.
gvari, saxeli
Full name ________________________________
2.
sxva gvarebi
a) mamrobiTi
b) mdedrobiTi
Other names
a) Male
b) Female
6.
4. dabadebis adgili, dRe, Tve, weli
pasportis
Day, month, year and place of birth_____________
Passport
No ___________________________
_____________________________________________
7.
pasportis tipi
Type of passport
5.
moqalaqeoba
a) diplomatiuri
Citizenship _____________________________
a) Diplomatic
(ormagi moqalaqeobis SemTxvevaSi miuTiTeT
orive / In case of dual citizanship, please both)
b) samsaxurebrivi
b) Service
8. mudmivi sacxovrebeli adgilis misamarTi da telefonis
nomeri
Permanent address and phone #
g) ordinaluri
c) Ordinary
d) samgzavro dokumenti
9. sad muSaobT, Tqveni Tanamdeboba
d) Travel document
_____________________
Where do you work, your position
(
please specify)
daazusteT/
10. meuRle, arasrulwlovani Svilebi
Spouse, Children under 18 years old ------------------------------------------------------------------------------------------------------
____________________________________________________________________________________________________
(gvari, saxeli, dab.TariRi, moqalaqeoba Full name, date of birth, Citizenship)
____________________________________________________________________________________________________
(es punqti SeavseT im SemTxvevaSi, Tu zemoT miTiTebuli pirebi Cawerilni ar arian Tqvens pasportSi da mogzauroben TqvenTan erTad / Fill
this section if the indicated persons are not included on your passport and travelling with you)
11.
saqarTveloSi momwvevi organizaciis an kerZo piris saxeli, gvari, misamarTi da tel.
Name, address and telephone of the inviting institution, or person ---------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------
12.
Tqveni misamarTi saqarTveloSi yofnis periodSi -------------------------------------------------------
Your address, during your stay in Georgia-------------------------------------------------------------------------------------
13.
iyaviT Tu ara micemuli sisxlis samarTlis pasuxisgebaSi romelime qveyanaSi diax
ara
Have you ever been sentenced for criminal offence in any country
yes
No
14. saqarTveloSi mgzavrobis mizani
16. saqarTveloSi yofnis savaraudo vada:
Purpose of visit to georgia
Lenght of intended stay in Georgia:
a)
dRe b)
Tve
g)
weli
a) oficialuri
b) saqmiani
g) kerZo
a) _____ days b) ______month(s)
c) _______year
a) official
b) Business
c) Private
17. Sesvlis TariRi
d) turistuli
e) sxva
d) Tourism
e) Other ____________________
Date of entry
__________________________
(daazusteT/ please specify)
18. gasvlis TariRi
15. pasportis moqmedebis vada
Validity of passport
______________________
Date of departure
-------------------------------------
19. Sesvla-gasvlis odenoba
a) erTi
b) ori
g) mravaljeradi
Number of entries
a)one
b) Two
c) Multiple
TariRi
vacxadeb, rom anketaSi miTiTebuli monacemebi sworia
I declare that the information given in this application is correct
Date -------------------------------------
piradi xelmowera
Personal signature----------------------
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Parent category: Business