Guyana Immigration Service Visa Application Form Page 3
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3I certify that I have read and understand all the above questions and the answers I have given on this form
are true and correct to the best of my knowledge and belief. I understand that possession of a Visa does not
entitle me to enter Guyana at port of entry if I am found inadmissible.
Signature
Date of Application
Note: Failure to disclose the true purpose of applying for a visa or the submission of false information will
result in refusal of entry or expulsion from Guyana.
OFFICIAL USE ONLY
Valid Until
Date Issued
Type of Entry (single/multiple)
Signature of Controlling Office
Photograph
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