Tourist Visa Requirements For The Silk Road In Central Asia Page 9

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Embassy of Tajikistan
Washington, D.C.
Consular Section
Date:
Consular Section,
I, _________________________, am applying for a single entry tourist visa to visit
Tajikistan.
Please issue the visa from ____________ 2014 to ____________ 2014.
The address and telephone number where I will be staying in Tajikistan is:
Pamir Travel
154-8 Rudaki Str
Dushanbe Tajikistan
(992-37) 224-0906
My permanent address and telephone number are:
Name:
Address:
Phone:
My passport details are:
Name (as in passport):
Date of Birth:
Passport Number:
Passport Expiration:
Thank you for your assistance.
Signed,
Name:

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