Guyana Immigration Service Visa Application Form

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EMBASSY OF GUYANA
SHIS QI 05 Conjunto 19 Casa 24
Brasília, DF, Brasil.
CEP: 71.615-190
Tel No.: +55 61 3248.0874 / 0875
Fax No.: +55 61 3248.0886
E-mail: .br
GUYANA IMMIGRATION SERVICE
VISA APPLICATION FORM
01. Surname (as in passport)
02. First and Middle Names (as in passport)
03. Other Names (maiden, professional, aliases, etc.)
04. Date and Place of Birth
05. Nationality
06. Passport No.
06.1 Date and Place Issued
06.2 Date Passport Expires
07. Home Address (in full)
08. How long resident?
09. Telephone No.
10. Name and Address of Employer
11. Telephone No.
12. Sex
12.1 Colour of Hair
12.3 Height
12.3 Colour of Eyes
12.4 Complexion
12.5 Marks of Identification

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