Visa Application Form - Embassy Of The Republic Of Rwanda In The Netherlands Page 2
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319. Present work address
Telephone/ Fax Number
E-mail address
20. Applicant’s home address
Telephone number
E-mail address
21. Type of Visa:
22. Number of entries requested
! Transit ! Short stay ! Long stay
! Single Entry ! Multiple entry
23. Duration of stay (Number days):.................... days
Type of Visa:
24. Have you ever been denied a visa to Rwanda or anyother African country?
! No
! Single Entry
! Yes - When……………………………….. Where………………………………………
! Transit
! Tourist
! Business
25. Have you ever been deported from or requested to leave Rwanda or anyother African
! Work
country ?
! Education
! No
! Other
! Yes - When…………………………….. Where…………………………………………
………………………
………………..……
26. In the case of transit, have you an entry permit for the final country of destination?
…………..
! No ! Yes, valid until: ……/………/………Issuing Authority:……..................……….…
27. Purpose of travel
! Official
! Tourism
! Business
! Cultural/Sports
! Private visit (family or friends) ! Medical reasons
Visa:
! Refused
! Other (please specify)
! Granted
! Pending
..................................................................................................................................................
..................................................................................................................................................
Valid
28. Date of arrival
29. Date of departure
From:................
……./……/……
……./……/……
30. Point of first entry or transit route
31. Means of transport
To:....................
32. Who is paying for your trip and costs of living during your stay in Rwanda?
! Myself ! Host person(s) ! Company
(State who and how)
...........................................................................................................................
...........................................................................................................................
33. Name and contacts of host or company in Rwanda. If not applicable, give name of hotel
or temporary address in Rwanda.
Names…………………………………………………….……
Physical address………………………………………………
Telephone………………………………………………………
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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