Lebanon Visa Application Form

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Embassy of Lebanon
Washington, DC
Visa Application
NAME: FIRST: ___________________________MIDDLE: __________________________FAMILY:
_______________________
SPOUSE NAME: FIRST:_________________________________ MAIDEN:
_________________________________________
BIRTH: DATE (M / D / Y): _____/_____/_________ PLACE:
____________________________________________________
ADDRESS IN THE U.S.A. : STREET: _________________________________________CITY:
_____________________________
STATE: _______________________ ZIP:________________ SEX: ( M or F ) _______ NATIONALITY:
____________________
PHONE: [H] (_____) _____-________ [ W ] (______) ______-________
PASSPORT: #: _____________ ISSUE DATE: ( M / D / Y ) ____ /____/________
EXPIRATION DATE: ( M / D / Y ) ____/____/________
EMPLOYER ( IN THE U.S.A. ): NAME: ____________________________________________
ADDRESS: ____________________________________________________________________________
STREET ADDRESS
CITY
STATE
ZIP CODE
APPLICANT’S JOB TITLE: _________________________________
PURPOSE OF THE TRIP: (Family Visit, BUsiness, TOurism, OFficial, TRansit) ___ ___
IF BU or OF , STATE THE COMPANY’S OR ORGANIZATION’S ( IN LEBANON ):
NAME: ____________________________________________________________________ PHONE #: (______)
______-________
ADDRESS:
_________________________________________________________________________________________________
STREET ADDRESS
CITY
STATE
ZIP CODE
TYPE OF BUSINESS ( FOR THE APPLICANT ):
_________________________________________________________________
EXPECTED DATE OF ARRIVAL: (M / D / Y) ____ /____/________
DURATION AND TYPE OF ENTRY REQUESTED: (1, 2, or 3) _______
1- SINGLE ENTRY - 3 MONTHS…………………………….……...$35.00 / PERSON
2- MULTIPLE ENTRIES - 6 MONTHS……………….……...……..$70.00 / PERSON
3- TRANSIT…………………………………………………….……..$20.00 / PERSON
N.B.: THE DURATION OF THE VISA WILL START ON THE DATE IT IS ISSUED.
APPLICATION REQUIREMENTS:
1- COMPLETED VISA APPLICATION 2- TWO RECENT PASSPORT-SIZED PHOTOGRAPHS 3- CURRENT VALID PASSPORT 4- LEBANESE
IDENTIFICATION (FOR APPLICANTS OF LEBANESE ORIGIN) 5- MARRIAGE CERTIFICATE (FOR APPLICANT’S SPOUSE OF LEBANESE ORIGIN)
6- NOTARIZED AUTHORIZATION FROM PARENTS OR LEGAL GUARDIAN FOR APPLICANTS UNDER 18 YEARS OF AGE 7- BUSINESS AND
OFFICIAL VISA APPLICANTS NEED TO PROVIDE A LETTER FROM THEIR EMPLOYERS THAT EXPLAINS THE PURPOSE OF THE BUSINESS OR
OFFICIAL TRIP 8- A MONEY ORDER PAYABLE TO THE EMBASSY OF LEBANON 9- A CERTIFIED SELF-ADDRESSED, STAMPED ENVELOPE.
APPLICANT’S SIGNATURE: …………………………………… DATE: (M / D / Y ) ……/….…/……….
Please locate the correct consular office for your jurisdiction to mail your application either by calling the
Embassy at 202-939-6300 or visiting the web site at

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