PHOTO
REPUBLIC OF BOTSWANA
VISA APPLICATION
1.
Surname:
……………………………………………………………………………
2.
First Name (s)
……………………………………………………………………………
For Official Use
3.
Sex
M
F
4. Date of Birth……..D/..…..M/..……. Yr.
Visa No:
5.
Place of Birth:
……………………………………………………………………………
Receipt No:
6.
Nationality:
……………………………………………………………………………
Issued/refused
7.
Marital Status:
……………………………………………………………………………
on:
by:
Valid until:
8.
Type of Passport
Ordinary Passport
Refusal reviewed by:
Other Document
No. of Entries:
Multiple
Single
Passport number……………………………………………………………………………….
Issued on…….D/…….M/…….Yr. in (place)……………………………………………….
Valid until……D/…….M/…….Yr. Name of issuing Country/Authority…………………..
9.
Address in country of domicile ………………………………………………………………
………………………………………………. Tel: (
)………………………………..….
10.
Occupation…………………………11. Present Employer………………………………….
12.
Proposed length of stay in Botswana without break………………………………………….
13.
Means of support during your stay……………………………………………………………
14.
At what address will you stay in Botswana…………………………………………………..
………………………………………………………………………………………………..