Cote D'ivoire Short-Stay Visa Application Form - India

ADVERTISEMENT
REPUBLIC OF CÔTE D’IVOIRE
APPLICATION FOR A SHORT - STAY VISA
PHOTO
This application form is free
1. Surname (s) (family name(s))
FOR EMBASSY/
CONSULATE USE ONLY
2. Maiden name (if applicable)
Date application:
3. First names
4. Date of birth (day-month-year)
5. ID-number
File handled by:
6. Place and country of birth
Supporting documents:
Valid passport
8. Original nationality (nationality at birth)
7. Current nationality /ies
Company's letter
Invitation letter
9. Sex
10. Marital status:
Air ticket
Male
Female
Single
Married
Separated
Yellow fever
certificate
Divorced
Widow (er)
Other
11. Type of passprt:
Other
National passport
Diplomatic passport
Service passport
Travel document
Alien's passport
Seaman's passport
Other travel document (please specify):
12. Passport number
13. Issued by
14. Date of issue
15.Valid until
16. Current occupation
Visa:
17. Employer and employer's address and telephone number. For students, name and adress of college/univ
Refused
Granted
18. Main destination
19. Type of visa:
20. Visa:
Airport transit
Individual
Number of entries
Transit
Short stay
Collective
1
2
21. Number of entries requested
22. Duration of stay (maximum 3 months)
Multiple
Single entry
Two entries
Multiple entries Visa is requested for:
days
23. Dates of previous visit to Côte d’Ivoire
Valid from
To
24. In the case of transit, have you an entry permit for the final country of destination?
No
Yes , valid until:
Issuing authority:
Valid for:
25. Purpose of travel
Tourism
Business
Cultural/Sports
Official
Visit to family or Friends
Other (please specify):
ATTENTION: Fill out all heading using CAPITAL LETTERS, Your application shall not be processed in case of error or ommission
REPUBLIC OF CÔTE D’IVOIRE
APPLICATION FOR A SHORT - STAY VISA
PHOTO
This application form is free
1. Surname (s) (family name(s))
FOR EMBASSY/
CONSULATE USE ONLY
2. Maiden name (if applicable)
Date application:
3. First names
4. Date of birth (day-month-year)
5. ID-number
File handled by:
6. Place and country of birth
Supporting documents:
Valid passport
8. Original nationality (nationality at birth)
7. Current nationality /ies
Company's letter
Invitation letter
9. Sex
10. Marital status:
Air ticket
Male
Female
Single
Married
Separated
Yellow fever
certificate
Divorced
Widow (er)
Other
11. Type of passprt:
Other
National passport
Diplomatic passport
Service passport
Travel document
Alien's passport
Seaman's passport
Other travel document (please specify):
12. Passport number
13. Issued by
14. Date of issue
15.Valid until
16. Current occupation
Visa:
17. Employer and employer's address and telephone number. For students, name and adress of college/univ
Refused
Granted
18. Main destination
19. Type of visa:
20. Visa:
Airport transit
Individual
Number of entries
Transit
Short stay
Collective
1
2
21. Number of entries requested
22. Duration of stay (maximum 3 months)
Multiple
Single entry
Two entries
Multiple entries Visa is requested for:
days
23. Dates of previous visit to Côte d’Ivoire
Valid from
To
24. In the case of transit, have you an entry permit for the final country of destination?
No
Yes , valid until:
Issuing authority:
Valid for:
25. Purpose of travel
Tourism
Business
Cultural/Sports
Official
Visit to family or Friends
Other (please specify):
ATTENTION: Fill out all heading using CAPITAL LETTERS, Your application shall not be processed in case of error or ommission
26. Date of arrival
27. Date of departure
FOR EMBASSY/
CONSULATE USE ONLY
28. Border of first entry or transit route
29. Means of transport
30. Name of host or company in Cote d'Ivoire and contact person in host company. If not applicable, give
name of hotel or temporary address in the Cote d'Ivoire
Name
Telephone and telefax
Full address
e.mail address
31. Who is paying for your cost of travelling and for your costs of living during your stay?
Myself
Host person/s
Host compagny (State who and how and present corresponding documentation
32. Spouse's name
33. Spouse's date and place of birth
34. Children (Applications must be submitted separately for each passport)
Name
First name
Date of birth
1
2
3
35. clause
I hearby pledge to accept no paid or any employment during my stay in Côte d’Ivoire, to make no attempt to
remain in the country indefinitely and leave Ivorian territory upon expiry of the visa which may be granted to me.
My signature commits my responsibility and, in case of misrepresentation, makes me liable to prosecution as
provided by law as well as to refusal of visa in future.
36. Applicant's home address
37. Telephone number
38. Place and date
39. Signature (for minors, signature of custodian/
guardian)

Download Cote D'ivoire Short-Stay Visa Application Form - India

236 times
Rate
4.5(4.5 / 5) 12 votes
ADVERTISEMENT
Page of 2