Kingdom Of The Netherlands In The Caribbean Visa Application Form Page 3
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933. Have you previously worked in one or more parts of the Kingdom of the Netherlands in the Caribbean?
Yes, in paid employment (please give details of most recent position)
Yes, other (please describe)
Employer:
No
Employed from :
Employed from :
To
:
To
:
34. Who is paying your travel costs and living costs during your stay?
I am
The people I am staying with/hosts (state who and how)
Host company or organisation (state who and how and provide documentation to back this up)
Other:
35. What are your means of support during your stay?
Cash
Accommodation:
Travellers’ cheques
Other:
Credit card(s)
(Medical)travel insurance and/or health insurance. Valid to………………………………………………………
36. Spouse’s / registered partner’s surname(s)
37. Spouse’s surname at birth
38. Given name(s) of spouse
39. Date of birth of spouse
40. Place of birth of spouse
41.
Children (a separate application must be submitted for each passport holder)
Surname
Given name
Date of birth
1)
……………………………………………………………………………….
…………………………………………………………………………
……………………………
2)
……………………………………………………………………………….
…………………………………………………………………………
……………………………
3)
……………………………………………………………………………….
…………………………………………………………………………
……………………………
Please add a separate sheet if more than 3 children are travelling with you
42.
Name of host / host business in main destination
If not applicable, please provide the name of your hotel or temporary address at your destination.
Name :
Telephone and fax :
Full address :
Email address :
43.
If applicable, personal details of the Caribbean resident acting as guarantor
Surname(s)
Given name
Address:
Telephone number:
Email address:
Date of birth
Nationality
Passport number
Family connection (or other connection, please explain):
Declaration:
-
I have read and understood the information in the explanatory note and the guidelines for completing the form and on the basis of the
information have completed the form fully, correctly and truthfully;
-
I understand that the visa is a condition for entry to the Caribbean countries but does not give absolute right to entry. At each border
control I will need to be able to show that I satisfy all the requirements for the intended purpose of travel in the country in question. If at
the border control I do not satisfy all the conditions I will be refused entry;
-
I will only use the visa granted on the basis of this application correctly and lawfully. I will therefore not overstay i.e. exceed the
permitted period of stay (for each visit). Misuse of the visa may mean my removal from the country and that I will not be admitted to the
Kingdom of the Netherlands in the Caribbean in the future.
Place and date
Signature (for minors: the signature of the person with parental
responsibility/guardian)
This form is provided free of charge.
Page:
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