GOVERNMENT OF THE REPUBLIC OF THE UNION OF MYANMAR
MINISTRY OF IMMIGRATION AND POPULATION
DIRECTORATE OF IMMIGRATION AND NATIONAL REGISTRATION IMMIGRATION DEPARTMENT
APPLICATION FOR ENTRY VISA (BUSINESS)
(To be handed over to the Immigration Officer at the Port)
1. Name in Full ( Fill in Block Letters)
Color
_ _ _ _ _ _ _ _ _ _ _ _ _ _ / _ _ _ _ _ _ _ _ _ _ _ _ _ _ / _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
PHOTO
( First Name ) (Middle Name ) ( Last Name)
35 mm x 45 mm
2. Father's Full Name _ _ _ _ _ _ _ _ _ _ _ / _ _ _ _ _ _ _ _ _ _ _ _ / _ _ _ _ _ _ _ _ _
to be pasted with glue
( First Name ) (Middle Name ) ( Last Name)
3. Date of Birth (dd/mm/yyyy): _ _ / _ _ / _ _ _ _
4. Place of Birth (City / State / Country): _ _ _ _ _ _ _ _ / _ _ _ _ _ _ _ _ / _ _ _ _ _ _ _ _ _ _
5. Nationality: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Sex
(F) /
(M)
6. Present Occupation: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
(If retired write " retired", if student write "student")
7. Marital Status:
Married
Separated
Divorced
Widowed
Single (Never Married)
8. Spouse's Full Name: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Personal Description
9. (a) Color of Hair _ _ _ _ _ _ _ _ _ _ _ (b) Height: _ _m _ _cm _ _ / _ _ft. _ _in. _ _
(c) Color of Eyes _ _ _ _ __ _ _ _ _ _ _ (d) Complexion _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Passport
10. (a) Number _ _ _ _ _ _ _ _ _ _ _ _ _ (b) Date of Issue (dd/mm/yyyy) _ _ / _ _ / _ _ _ _
(c) Dt. of expiration (dd/mm/yyyy): _ _ / _ _ / _ _ _ _
(d) Place of issue: _ _ _ _ _ _ _ _ _ _ _ _ _ (e) Issuing Authority: _ _ _ _ _ _ _ _ _ _ _ _ _
11. Present Address _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
(Include apartment number, street, city, state or province & postal zone)
12. Contact Ph. No. (Res.) ( _ _ _ ) _ _ _ _ _ _ _ (Work) ( _ _ _ ) _ _ _ _ _ _ _ e-mail:_ _ _ _ _ _ _ _ _ _
13. Address in Myanmar:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
14. Have you ever been to Myanmar:
Yes
No
(If Yes) Date of Last Visit: (dd/mm/yyyy): _ _ / _ _ / _ _
Visa No. _ _ _ _ _ _ _ _ _ Issued Date. _ _ _ _ _ _ _ Place of issue _ _ _ _ _ _ (copy of visa sticker)
15. Have you ever been refused to enter Myanmar:
Yes
No.
(If Yes) When: (dd/mm/yyyy): _ _ / _ _ / _ _ _ Why: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
16. Purpose of Visit: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Expected dt. of Arrival (dd/mm/yyyy)
(ETA- Myn.): _ _ / _ _ / _ _ _ _ Flight No. (
)
Expected dt. of Departure (dd/mm/yyyy) (ETD- Myn.): _ _ / _ _ / _ _ _ _ Flight No. (
)
17. Name and address of guarantor during your stay in Myanmar _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
18. Financial resources in Myanmar _ _ _ _ _ _ _ _ _ _ _ _ Cash (Kyat & Foreign Currency) _ _ _ _ _ _
Bank Deposit _ _ _ _ _ _ _ _ _ _ _ _ Name of Bank _ _ _ _ _ _ _ _ _ _ _ _ Amount _ _ _ _ _ _ _ _ _ _
19. Attention for Applicant:
(a) Apart from the professions mentioned in this visa application form applicants are not to engage in any sort of work with or without
charges.
(b) Applicant shall abide by the Laws of the Republic of the Union of Myanmar and shall not interfere in the Internal Affairs of the
Republic of the Union of Myanmar.
(c) Legal action will be taken against those who violate or contravene any provision of the existing laws, rules and regulations of the
Republic of the Union of Myanmar.
I hereby declare that I fully understand the above mentioned conditions, that the particulars given above are true and correct and that
I will not engage in any activities irrelevant to the purpose of entry stated herein.
-------------------------
Date (dd/mm/yyyy): _ _ / _ _ / _ _ _
Signature of Applicant
Enclosed herewith are recommendation letter issued by employer and Invitation letter issued by registered Company in Myanmar (or)
Government organization in Myanmar.
(FOR OFFICE USE ONLY)
Visa No. ___________________ Date : ________________________
S.J.E.V (or)
M.J.E.V
Visa Authority: MOFA Lt. No. 46 11 11 (66) Dated: 26 January 1993
valid for (3) months / (6) months / (1) year
(If other): MOFA Lt. No. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _, Dated:_ _ _ _ _ _ _
Signature of Officer in-Charge
Embassy of the Republic of the Union of Myanmar, Brussels.
Tel: 00-32-2-701-9380/81; Fax: 705-5048; visa@embassyofmyanmar.be;