Visa Application Form - Consulate General Of Saint Lucia In New York (Page 3 of 3) in pdf

Visa Application Form - Consulate General Of Saint Lucia In New York Page 3

DO NOT WRITE IN

THIS SPACE

PLEASE ATTACH

TWO RECENT

PHOTOGRAPHS OF THE

APPLICANT IN THIS BOX

APPLICATION FORM FOR

SAINT LUCIA NONIMMIGRANT VISA

Sex: [ ] Male [ ] Female

Current Marital Status: [ ] Single [ ] Married [ ] Divorced [ ] Separated

SECTION 4 • FOR APPLICANTS TRAVELLING THROUGH THE UNITED KINGDOM ONLY

I CERTIFY THAT I HAVE READ AND UNDERSTOOD ALL THE QUESTIONS SET FORTH IN THIS APPLICATION AND THE ANSWERS I HAVE FURNISHED ON THIS FORM ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I

ALSO DECLARE THAT THE PHOTOGRAPHS SUBMITTED WITH THIS FORM ARE A TRUE LIKENESS OF MYSELF. I UNDERSTAND THAT ANY FALSE OR MISLEADING STATEMENT MAY RESULT IN THE PERMANENT REFUSAL OF A VISA AND DE-

NIAL OF ENTRY INTO SAINT LUCIA. I UNDERSTAND THAT POSSESSION OF A VISA DOES NOT AUTOMATICALLY ENTITLE THE BEARER TO ENTER SAINT LUCIA UPON ARRIVAL AT THE PORT OF ENTRY IF HE OR SHE IS FOUND INADMISSIBLE.

APPLICANT’S SIGNATURE: ________________________________________________________________________________________________ DATE:_____________________________________________________________________________________

VISA ISSUED

VISA REFUSED

DATE:___________________________ TYPE OF VISA ISSUED _____________________________ ENDORSED BY: _____________________________________

PLACE OF ISSUE: ____________________________________________________________

VISA VALID FROM: _________________________ TO: ______________________________

VISA NUMBER: _______________________________________________________________________________________