Visa Application For Travel To Bangladesh Page 2

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13. ADDRESS OF THE EMPLOYER (if different from above) with contact details:
________________________________________________________________________________
4. PURPOSE OF VISIT (Tick appropriate box):
[ ] Tourism (incl. traveling/visiting relatives, etc.)
[ ] Defense Related
[ ] Expert(s)/Worker(s)/Teacher(s)/ Representative(s) in industrial/
[ ] Missionary
[ ] NGO Works
Education/Training Org./Sports/Artistic activities etc
[ ] Official
[ ] Cultural/Scientific Programme
[ ] Study / Research
[ ] Govt. contractual employment
[ ] Business/Investment
[ ] Employment in UN/International Org
[ ] Seminar/Conference
[ ] Journalist / Media (Print & Electronic)
[ ] Others (Specify) __________________________________
15. TYPE OF ENTRY: [ ] Single [ ] Multiple [ ] Double [ ] Transit
16. NAME AND ADDRESS OF PERSON (S), INSTITUTION OR COMPANY (where you can be contacted in
Bangladesh)
________________________________________________________________________________________
________________________________________________________________________________________
17. ADDRESS WHILE IN BANGLADESH with contact details:
_______________________________________________________________________________________
_______________________________________________________________________________________
__________
18. DATE OF ARRIVAL IN BANGLADSESH___________19. INTENDED DURATION OF STAY
20. HAVE YOU EVER BEEN TO BANGLADESH [ ] Yes [ ] No
If yes, date and length of last visit ____________________________________________________________
21. NAME OF PERSON (S) TRAVELLING WITH YOU AND RELATIONSHIPS:
_______________________________________________________________________________________
22. ADDRESS OF PERSONS IF DIFFERENT FROM YOUR ADDRESS: ___________________________
23. DECLARATION:
I declare that the all information above is true, accurate and complete to the best of my knowledge.
NAME _________________________________DATE ____/_____/_____ SIGNATURE _____________
(dd / mm / yyyy)
Please ensure that you have answered items 1 through 23 and signed the declaration. An incomplete form will not
be accepted.
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