越南落地签证表格 Document rial number【KK89K-LLS98YT-SS8CB-SSUT-SST108】手镯翡翠
u (F o r m )N A 1
B anhànhkèmtheothngts 04/2015/TT-BCA
n gày 05tháng 01n?m2015
TKHAINGHCPTHTHCVITNAM (1) VIETNAMESEVISAAPPLICATIONFORM
(Dùngchongincngoài–Forforeigners)
1-Htên(chinhoa):.............................................................
.................................................... Fullname(incapitalletters)
2-Giitính:Nam Sinhngày .......tháng .......n?m .................... SexMale
Female
Dateofbirth(Day,Month,Year)
4-N?isinh:....................................................................
怎么查网速.................................................................
Placeofbirth
5-Quctchgc:..............................................6-Quctchhinnay:..................................
Nationalityatbirth
Currentnationality
7-T?ngiáo:.......................................................8-Nghnghip:............................................. Religion Occupation 9-Nilàmvic:...................................................................
......................................................... Employerandbusinessaddress
10-achthngtrú:.................................................................
.............................................. Permanentresidentialaddress
...............................................................................Sinthoi/Email:................................. Telephone/Email
12-
Hchiu/giytcógiátriliqucts:..........................lo?i(4):............ .....
PassportorInternationalTravelDocumentnumber Type
Cquancp:...................................cógiátr?nngày:........./...
........../.....................
Issuingauthority:Expirydate(Day,Month,Year)
13-
Ngàynh?pcnhVitNamgnnht(nucó):............................................ ........成群结伙
DateofthepreviountryintoVietNam(ifany)
14-
DkinnhpcnhVitNamngày....../........./.........;tmtrúngày Intendeddateofentry(Day,Month,Year)IntendedlengthofstayinVietNamdays
15-
Mcíchnhpcnh:............................................................... .............................................
Purpoofentry
16-DkinachtmtrúVitNam:…………………………………………………....
IntendedtemporaryresidentialaddressinVietNam
17-Cquan,tchchoccánhantiVitNammi,bolnh
Hostingorganisation/individualinVietNam
Cquan,tchc:............................................................. .....................................................
Nameofhostingorganisation
ach:..................................................................... ...............................................................
Address
狐狸游戏
冷月无声Cánhan(h?tên)........................................................... .........................................................
Hostingindividual(fullname)
< .................................................................
Address
< ................................................
Relationshiptotheapplicant
18-nghcpththc: mtln
nhiuln
ApplyingforavisaSingle Multiple
学校活动英语奶子dt?ngày:…....../…..../..…..... nngày…....../…..../..….....
validfrom(Day,Month,Year)to(Day,Month,Year)
19-
nghkhácliênquanviccpththc(nucó):........................................ ...............
Otherrequests(ifany)
.......................................................................... ..........................................................................
T?ixi ncamoannhngnidungtrênlàúngstht.
Ideclaretothebestofmyknowledgethatalltheaboveparticularsarecorrect
Làmti:................ngày........tháng…..
..nm.............
Doneat date(Day,Month,Year)
Ngingh(ky,ghirhtên)
Theapplicant’ssignatureandfullname Ghichú/Notes:
(1)Mingikhai01bn kèmhchiu
hocgiytcógiátriliquct,n?ptrctipt?i cquanidinVitNamncngoàihocnvkimsoátxutn hpcnhticakhuquctninhnththc. SubmitinpersononecompletedapplicationformenclodwithpassportorInternat ionalTravelDocumentattheVietnameDiplomaticMissionabroadorattheinterna tionalbordercheckpointimmigrationofficewherethevisaisissued.编辑英文
(2)Kèm02nhmichp,c4x6cm,phngnntrng,mtnhìnthng,utrn,khngeokínhmu(01nhdánv àotkhai,01nhri).
Enclo2recentlytakenphotosin4x6cmsize,withwhitebackground,frontview,ba rehead,withoutsunglass(oneontheformandtheotherparate).
(3)Ghirb,m,v,chng,con,anh,ch,emru?t(n?ucó). Stateclearlytheinformationaboutparents,spou,childrenandsiblings(ifany ).
(4)Ghirloihchiuphthng,cngv,ngo?igiao hocgiytcógiátriliquct. SpecifytypeofpassportwhetheritisOrdinary,OfficialorDiplomaticorspecifynam eoftheInternationalTravel
Document.
