Visa Application - Republic Of Botswana Page 2

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15.
Proposed date of departure from Botswana……….D/……….M/……….Yr.
Satisfactory evidence will be required
16.
Reasons in full for wishing to travel to Botswana (
as to the object of the proposed journey. Employees of firms or persons acting on behalf
of firms must produce certification from their employers as to the nature of the business
on which they are proceeding abroad. Banker reference will be required
)
17.
Have you ever been ordered to leave or ever been prohibited from entering Botswana
or other country?
Y s YES
NO
If YES , give details………………………………………………….
………………………………………………………………………
18.
Have you ever been sentenced to any period of imprisonment either without the option or
in default of payment of a fine in any country?
YES
NO
If YES , give details………………………………………………….
………………………………………………………………………
19.
Do you have permission to return to your country of domicile?
YES
NO
Residence permit
Permit Number………………
Valid until..…..D/..…..M/..…..Yr
Re-entry Visa
Visa Number………………..
Valid until..…..D/..…..M/..…..Yr
20.
DECLARATION
I declare that the above particulars given by me are true in substance and fact. I am aware that
any false declaration may result in denial of entry into Botswana even after the visa has been
granted.
Signature…………………………………………..
Date………D/..…….M/……...Yr
If this application has been prepared by a travel agency or another person on
behalf of the applicant, the agent or person should indicate name and address
of agency or person with appropriate signature of individual preparing the
form
Name and address of Agency/person preparing form
………………………………………………………………………………………………………
………………………………………………………………………………………………………
If other than applicant) Signature…………………………. Date………D/..…….M/……...Yr

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