Republic Of Botswana Application For A Visa Page 2
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210. Requested Validity Period of Visa From:
To:
D
D
M
M
Y
Y
Y
Y
D
D
M
M
Y
Y
Y
Y
11. References in Country of Destination (with Names, Physical Address, Telephone No, Residence Permit No, ID No):
(2)
(1)
12. Please indicate what money or cash (amount) will be at your disposal during your visit:
USD
EUR
ZAR
Other: ………………..
13. Particulars of Passport or other travel documents which should be submitted with this Application.
Number:
Place of Issue:
Date of Issue:
Date of Expiry:
D
D
M
M
Y
Y
Y
Y
D
D
M
M
Y
Y
Y
Y
Valid Until:
Return Visa to:
D
D
M
M
Y
Y
Y
Y
14. Preferred method of communication:
E-mail
Cell phone Number:
Telephone Number:
SMS
Present Postal Address:
Post
Country:
P.O. Box/P. Bag:
Town/Village:
Post Office Location:
I DECLARE that the above particulars given by me are true in substance and in fact.
Date:
Signature of Applicant:
D
D
M
M
Y
Y
Y
Y
AT LEAST FOURTEEN DAY’S NOTICE should be given for each application.
NOTE: Any visa granted on this application will be subject to compliance with the Immigration Regulations of the Republic of
Botswana.
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