Visa Application Form - High Commission Of The Republic Of Zambia, Ottawa, Ont.
ADVERTISEMENT
1HIGH COMMISSION OF THE REPUBLIC OF ZAMBIA
Suite 205,
Telephone:
(613) 232-4400
151 Slater Street
Facsimile:
(613) 232-4410
Ottawa, Ont. K1P 5H3
E-mail:
zhc.ottawa@bellnet.ca
VISA APPLICATION FORM
1. Surname:
2. First
Name:
Middle
Name:
3.
Date of Birth:
Place of Birth:
4. Nationality:
Sex
:
6.
Nationality of Parents at time of
Birth:
5. Profession
Business Telephone
No.
:
(
)
7. Passport No.
8. Place of lssue:
Date of lssue:
Date of
Expiration:
If
accompanied by your spouse or children, give the following
particulars:
9.
(Note: Every applicant fills out an individual form)
Full Name (s)
Date & Place of Birth
Relationship
10.
Present Address:
Telephone No.
(
)
Email:
11. Permanent Address:
Telephone No.
(
)
Email:
12. (a) Type of Visa
Requested:
Tourist (
)
Business (
)
Visitor (
)
(b) Entry
requested:
Single (
Double (
Multiple (
)
)
)
(c) Date of entry into
Zambia:
(d) Length of Stay in Zambia:
Address in Zambia:
13.
Final Destination of Journey in
Zambia:
14.
Expected Departure Date from
Zambia:
Next Destination from Zambia:
15. Duration and Particulars of any previous residence or visits in
Zambia:
16.
If traveling on
business,
please list names and addresses of persons to be visited in Zambia:
17. If visiting relatives or friends, please list names and addresses of persons to be visited in Zambia:
18.
Signature of Applicant:
Date:
For official use only:
Visa fee
Date
Tag#
Rush Fee
Payment
Visa#
Receipt#
Notations
Rev.
11/2008
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business