Visa Application Form - Embassy Of The Republic Of Rwanda In The Netherlands
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1
2
3REPUBLIC OF RWANDA
EMBASSY OF THE REPUBLIC OF RWANDA IN THE NETHERLANDS
PHOTO
VISA APPLICATION FORM
1. Family name (as in passport)
2. Middle name
FOR OFFICIAL
USE ONLY
Date of application:
3. First name(s) (as in passport)
4. Date of birth (year-month-day)
5. ID-number
6. Sex
! Male
! Female
7. Place of birth
8. Marital status:
City :……………….……………………….……..
! Single
! Married ! Divorced
! Widowed ! Never married ! Other
Country……………………………………………
9. Citizenship at birth
10. Current citizenship
11. Father’s full name
12. Mother’s full name
13. Type of passport
! Travel Document (1951 Convention)
! Ordinary Passport
! Alien’s passport
Supporting
documents:
! Diplomatic Passport
! Other (please specify)…………………………………….
! Valid passport
! Service Passport
! Invitation letter
! Hotel booking
! Recommendation
letter
14. Passport number
15. Issue and expiry date
16. Place of issue
! Copy of hosts ID
! Itinerary
Other:
17. If you are resident in a country other than your country of origin, have you permission to
return to that country?
! No
! Yes, (number and validity) …………………………………………………………..
18. Current profession
Current occupation
Johan van Oldenbarneveltlaan 9-B, 2582 NE The Hague Tel +31 703926571, FAX +31 704275326
E-mail:
ambalahaye@minaffet.gov.rw
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