Form Application For Entry Visa (Business) Page 2

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Work History for Visa Applicant
1. Name in Full (Fill in block letters):
Surname (As in Passport):
First Name & Middle Name:
2. Date of birth (dd/mm/yyyy) _ _ / _ _ /_ _ _ _
3. Place of birth:
_
_
_____________________ (Other): ____
_________________
4. Permanent Home Address:
5. Tel. (Res.)
(Work Place)
e-mail: ______________________________Mobile Ph:
6. Work Description (Current)
(a) Job Title :
From(dd/mm/yyyy):____/___/______ To (dd/mm/yyyy) _ _ / _ _ /_ _ _ _
(b) Office
Section
Division
Describe your Duties:
7. Work Description (Previous)
(a) Job Title:
From (dd/mm/yyyy) _ _ / _ _ /_ _ _ _ To (dd/mm/yyyy) _ _ / _ _ /_ _ _ _
(b) Office
Section
Division
Describe your Duties:
I hereby declare that the particulars given above are true and correct and that I will not engage in
any activities irrelevant to the purpose of my entry.
____________________
Signature of Applicant
Date: (dd/mm/yyyy) _ _ / _ _ /_ _ _ _
Enclosed herewith are recommendation letter issued by employer, Invitation letter issued by registered Company in Myanmar (or) Government
organization in Myanmar and relevant documents.
Tel: 00-32-2-701-9380/81; Fax: 705-5048; visa@embassyofmyanmar.be;

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