For Official Use Only:
APPLICATION FOR A VISA
Form 1
REPUBLIC OF BOTSWANA
File Number:
IMMIGRATION ACT
(Cap. 25:02)
(Regulation
6 (1))
1. Name (in full):
Please use block letters and black ink only
Surname:
Photo
3cm x 4cm
First Name:
Middle Name:
Previous/Maiden Surname:
2. Age:
Date of Birth:
Y
Y
Y
D
D
M
M
Y
Y
Y
Y
Country of Birth:
Place of Birth:
Sex:
Divorced
Male
Female
Marital Status: Single
Married
Separated
Widowed
3. Nationality (state name of country):
4. (b) Number of Entries
4. (a) Type of Visa required
Multiple
Continuous
Single
Ordinary
Transit
5. Address in Botswana:
Town/Village:
Street/Ward:
Plot/House No:
6. Address in Country of Domicile:
Country:
Town/Village:
Street/Ward:
Plot/House No:
7. Occupation:
Qualifications:
8. Proposed Length of Stay on whether traveling in transit without break of journey:
days.
9.
Reasons in full for wishing to travel to the Republic of Botswana
(Satisfactory evidence will be required as to the object of the proposed journey. Employees of firms or persons acting on behalf of firms must
produce certificates from their employers as to the nature and physical address of the business on which they are proceeding abroad.
Bankers reference may be required):