Jamaican Visa Application Germany And Europe
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1JAMAICAN VISA APPLICATION
Passport size Photograph
of Visa Applicant
to be affixed here
TO BE COMPLETED BY PERSONS APPLYING FOR VISAS AT: JAMAICAN EMBASSY, BERLIN AND
JAMAICAN CONSULATES IN BRANDENBURG, HAMBURG, MUNICH, BUDPAEST, PRAGUE, WARSAW, TEL AVIV
1. Last Name(s)
2. First Name(s)
3. Name at birth ………………………………………………….…. Other previous names……...………………………..…………………………..............
4. Marital Status
Married
Single
Widowed
Divorced
Sex:: Male
Female
5. Date of Birth [dd/mm/yyyy] ……..../….…...../………….. Place & Country of Birth……………………………………………………………...............
6. Present Nationalities ……………….…………………………………………………………………Former Nationality……………………........................
7. Passport No# …………………….…………. Place & Country of Issue ……..……………….………………………………………………………………
8. Date of Issue [dd/mm/yyyy]
………..../….…....../…….…….….
Date of Expiry [dd/mm/yyyy]
….........…/…….....…/.....................
9
Please specify the basis of authorization for (re)entry to your country of permanent or temporary residence:
Passport
Visa
ID Card
Other …………….….....No#…………………………. Date of Expiry [dd/mm/yyyy] ….…. /…..….. /...............
10. (a) Present Address………………..………………………………………………………………………………………Country……………………………..
Home Telephone No……………………………….….….. Fax No………..…………………………E-mail …..………..............………………………..
(b) Permanent Address………………………………………...…………...…………………………………………......Country.........................................
11. Occupation…………………..….…………….Business Address……..………………………………………………………………………………………...
12. Purpose of Visit: Vacation
Family Visit
Business
Other (please specify)……………………...…………………………………..
13.. Duration of proposed Stay………(Days)
Main Destinations in Jamaica…………...……………………………...…………………………………….
14. Dates of any previous Visits ………………….………………………………………………………..………………………………………………………..
15. Proposed Address in Jamaica ………………..……………………………………..…………………………………………………………………………..
16. Means of support during Stay Cash
Credit Card
Travellers’ Cheques
Other (specify)……...…..…………………………………….
17. Particulars of any minor children (under age 18) accompanying you:
Name…………………………………….…………..……...Date of Birth ......./…....../….……..Place of Birth…………………………………………
Name………………………………….…………….……....Date of Birth …..../…....../………...Place of Birth…………………………………….…..
Name…………………………………….………………….Date of Birth …..../…..…./…….…..Place of Birth………………………………………...
18. Have you ever been convicted of any criminal offence ? Yes
No
If ‘YES’, state offence……………….…………………......................
19. Provide the particulars of two (2) References (if any) in Jamaica:
Name…………………………………………………………………. ….
Name:……………………….………………………………………….…..
Address…………………………………………………….………….….
Address………………….………….……………………………...………
………………………………………………………………….…………
……………………………….……………………………………………
Telephone No……………………………………………………...…...
Telephone No……..…………………………………………………….....
18. I hereby certify that I have read and understood all the questions set out in this application and that all the answers I have furnished on this
document are true and correct to the best of my knowledge and belief. I understand that any false or misleading statement may result in the
permanent refusal of a visa or entry to Jamaica.
Signature of Applicant……………………………………………………Place………………...…….…………………..……..... Date………/………/…….……
THIS SECTION FOR OFFICIAL USE ONLY
Notations
Visa #
Receipt #
Official Stamp of
Issuing Post
to be affixed here
Name of Consular Officer………………………………………….….Signature…………………………. Date…...../…......./…..……
Embassy of Jamaica, Berlin – October 2006
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Parent category: Business