Visa Application - Embassy Of The Hashemite Kingdom Of Jordan, Washington, Dc

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Embassy of the Hashemite Kingdom of Jordan
Photograph
3504 International Drive, NW
Washington, D.C. 20008
Here
Visa Application
_________________
__________________
___________________
First Name
Middle Initial
Last Name
Birth Date: ______________________ Passport No: ____________________________
Birth Place: ______________________Place issued: ____________________________
Citizenship: ______________________Date Issued: ____________________________
Original Nationality: _________________________ Occupation: __________________
Address:________________________________________________________________
________________________________________________________________________
Phone No: (H) _____________________ Phone No: (W) _________________________
E-mail: _______________________________________
Purpose of Trip: __________________________________________________________
Port of entry: ___________________________________
Expected date of Departure from The US: _____________________________________
Expected date of arrival in Jordan: ___________________________________________
Requirements:
1.
Original passport must be valid for at least (6) months and enclosed with this application.
2.
Single entry visa fees valid for 6 months -
($16.50)
Multiple entry visa fees valid for 6 months -
($31.50)
3.
For business trips, a letter from employer stating the purpose of trip.
4.
For diplomatic or official visas (No Fee) - a letter of request from your department.
5.
Visa processing takes approximately (5) business days for U.S. Citizens.
6.
Only Money Orders accepted.
Enclose a self-addressed pre-paid (air bill) with a check payable to federal Express or
UPS, or DHL, to return your Passport(s).
No more than (2) passports per air bill.
WE WILL NOT BE RESPONSBLE FOR ANY LOSS THAT MAY OCCUR DURING PROCESSING.
October 9, 2001
Office Hours: from (10:00) a.m. to (2:00) p.m. Monday through Friday
Note:
Visa fees are not refundable
U.S. re-entry permits are not acceptable for travel to Jordan
Citizens of the United States, Mexico, South America, and the countries of Western Europe
could be issued visas upon arrival at the airport in Amman-Jordan.
I certify that all the statements given by me are truthful, and I am aware of all regulations stated above.
Signature: __________________________
Date: _______________________________

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