Visa Application For Travel To Bangladesh Page 3

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FOR OFICIAL USE ONLY (Do not write in this space)
Date ____/____/_____
Visa No. ____________________________ Classification ___________________________
Type: Single / Double/ Multiple / Transit
Date of Issue ________________________ Validity __________________________
Authorized Duration ________________________________
Refused on _________________________ Reviewed by ____________________________
Comments:
(Name and Designation of the Issuing Authority with seal)
3

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