The Embassy Of The United Republic Of Tanzania Visa Application Form

ADVERTISEMENT

THE EMBASSY OF THE UNITED REPUBLIC OF TANZANIA.
2139 R Street, NW Washington, DC, 20008.
Tel. (202) 939.6125 and (202) 884.1080; Fax (202) 797.7408
.
FOR OFFICIAL USE ONLY
VISA APPLICATION FORM
.
Please Affix
GRR NO.___________________
(Visa Regulations on the next page).
Passport Size
Photograph here.
VISA NO.___________________
Ref. NO.____________________
1.
Surname or Family Name (Mr./Mrs./Miss/Ms/Dr./Prof.)___________________________________
First Names in Full_______________________________________________________________
Former or Maiden Name (if different from above) _______________________________________
2.
Date of Birth (DD/MM/YY)_______________________________________Sex (M/F)___________
3.
Place of Birth____________________________Country of Birth___________________________
Current Nationality (State if Dual Nationality) ___________________________________________
Nationality at Birth________________________________________________________________
4.
Marital Status (Mark):
Single
Married
Divorced
Widowed
Legally Separated.
5.
Passport No _________________Date Issued ______________Valid Until ___________________
Issued At ___________________Issuing Authority______________________________________
6.
Profession/Occupation_____________________________________________________________
Employer Address: _______________________________________________________________
7.
Current Address__________________________________________________________________
Tel.__________________Fax__________________E-mail________________________________
8.
Name of Travel Agent/Tour Operator
Tanzania Wildlife Company Ltd
9.
Contact Person(s) in Tanzania
Christelle Lamprecht
Plot 604, Kiranyi , Arusha, Tanzania
10. Address
Box 1144 /
10. Date of Entry___________________________Departure Date______________________________
Duration of Stay_________________________ (Max. 90 Days)
Type of Visa Requested
Travel Visa
Transit Visa
11. Purpose of visit
X
Leisure, Holiday
Other Business
Various
Visiting friends, relatives
Study
Diplomatic
Mission
Transit
Official
Meeting, Conference
Health Treatment
Same day visitor
12. Requested Number of Entries:
Single
Double
Multiple.
In
13.
Case Of Transit: Do you have an Entry Permit for the Final Country of Destination?
No
Yes Valid Until:
14.
_________________________________
Budget Available For Your Stay
15. I Hereby Declare That The Information Stated Above Is True And Correct :
Signature of Applicant___________________________________________Date________________________________

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Go
Page of 2