Application Form For Tourist Card
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1Cuban Consulate
32 B Westland Square, Pearse Street,
Ireland
Dublin 2
APPLICATION FORM FOR TOURIST CARD
SURNAME: Mr/Ms/Mrs: _____________________________
NAME: ______________________________
CITIZENSHIP: _________________________
PASSPORT NUMBER: _________________________
COUNTRY OF BIRTH: ___________________________
DATE OF BIRTH: _______ _______ _______
DAY
MONTH
YEAR
SEX:
F _____
M _____
COUNTRY OF RESIDENCE: _______________________________________
CONTACT DETAILS:
ADDRESS: _______________________________________________________________________________
TELEPHONE: (________) _____________________
E-MAIL: ___________________________________
HAVE YOU BEEN TO CUBA: ________
IF YES, DATE OF LAST ENTRY:
_______
_______ _______
DAY
MONTH
YEAR
BOARDING POINT: __________________________
(Eg: Amsterdam, Gatwick, Heathrow, Madrid, Paris, Mexico
or any other transit point)
ARRIVAL POINT: _________________________ (For example: Havana, Varadero, Holguín, Santiago de Cuba)
DATE OF ENTRY IN CUBA: ______________________ PROPOSED LENGTH OF STAY: ______________
DAYS
ADDRESS IN CUBA : _______________________________________________________________________
Please, specify your payment
Cash ___ or Cheque
Money Order
______
______
DATE: ________________________
SIGNATURE: ____________________________
WHEN APPLYING YOU MUST SUBMITT:
Photocopy of the main page of your passport (valid for 6 month after the departure from Cuba).
Photocopy of your travel health insurance documents.
Photocopy of your return ticket or letter of your travel agent confirming you have a return ticket.
If applying by post, a self address registered envelope is required to send the visa back to you.
A Tourist Card fee of 22.00 Euros, cash, payable to the Cuban Consulate. If applying by post: money order
and Irish cheque (cash is not acceptable). If you have any enquires please phone (01) 671 8300, (01) 671
8320. Office hours: Monday, Wednesday and Thursday 9:30am 13:30pm.
Tourist Cards are issued for ONE entry in Cuba, for a maximum of 30 days. Longer stays will require extensions
made in Cuba.
Note: In case of non-in-person applications, either by post or a third person, payment of an
additional 25.00 EUR fee applies.
Application form updated 2014
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