MINISTRY OF FOREIGN AFFAIRS
SOCIALIST REPUBLIC OF VIET NAM
VISA APPLICATION FORM
http://www.lanhsuvietnam.gov.vn
(To be submitted at Vietnamese Consular Authorities)

1.
Full name:
   
2. Date of birth: 8. Passport number:
   
3. Gender:   Date of expiry:
   
4. Place of birth: 9. Number of entries:
   
5. Nationality: 10. Proposed date of entry:
   
6. Contact information 11. Proposed date of exit:
   
  Current address: 12. Place of visa submission:
   
  Telephone:  
  13. Place of visa collection:
  Email:  
7. Sponsor information  
   
 
Name:
14.
Purpose of entry:
  Telephone:    
     




Checklist: Before submitting, make sure you have included:
  • Application form (1 photo glued or stapled)
  • Passport
  • Visa Approval/Reference Number (if any)
(*) For Visa Fee and other requirements, please contact a Vietnamese Consular Authority where you would like to collect your visa.
The statements made in this application are the best of my knowledge and duly liable by the laws.
Date/ :
Signature/ :
 

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