"Vietnamese Visa Application Form for Entry and Exit Visa - Consulate General of Vietnam" - San Francisco, California

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01 Photo
(2 inches x 2 inches)
APPLICATION FORM
Glued photo here
FOR ENTRY AND EXIT VISA
and
01 additional photo
stapled to this form for a
CONSULATE GENERAL OF VIETNAM
loose -leaf visa request
IN SAN FRANCISCO, US
1700 California Street, Suite 580
San Francisco, CA 94109
Tel: 415 922 1707; 415 922 8588
www.vietnamconsulate-sf.org
1. Full name (in BLOCK letters):
..................................................................................................................................................................
Family name
First name
Middle name
/
/
Date of birth:
Gender:
Male
Female
..............
.......................
........................
Date
Month
Year
2. Place of birth:
…...............................………………………..
8. Name, address of your contact (organization or
.
individual) in Vietnam
(if any):
3. Nationality at birth :
..................................….........………
.............................................................................................................................
Nationality at present:
...........…………………...…......
.............................................................................................................................
4. Passport number:
......................................……........…...…
..............................................................................................................................
Date of expiry:
............................……………………….......
9. Proposed DATE OF ENTRY into and EXIT from
Vietnam:
5. Employer:
................................................................................
6. Mailing address:
-From:
/
/
...............................................….…….....
..................
...................
.....................
Date
Month
Year
..........................………………………...........................…..…..….
-To:
/
/
.............
....................
......................
Contact number:
........................……………...................
.
Date
Month
Year
7. Purpose of visit to Vietnam
:
10. Requesting a visa good for:
Business
Tourist
Visit Relatives
-Number of entries:
Single
Multiple
or other:
................................................................................
-Total length of stay:
01Month
03Months
________________________________________
Please submit the following documents:
06 Months
One-Year (U.S passport only)
One copy of application form with one passport photo
Original passport (for visa sticker) or Copy of passport
I solemnly declare that the statements made in this
(for loose-leaf visa)
application are true and correct.
Visa fee (please call Visa section: 415-922-8588; 415- 922-
1707 Ext 101 / 102 / 108/ 118 for current fees)
If apply by mail, pls. enclose a prepaid self-addressed
Signature:
return envelope and retain one copy of the application
form for enquiry about visa status
* Visa will be valid from the DATE OF ENTRY (shown on the visa). You can enter Viet Nam on or after the DATE OF ENTRY and must leave before the
end of expiration date.
* The Vietnam Customs and Border Protection at the port of entry determines the period of each authorized stay for travelers with one-year visas.
* Please double check all information on visa issued by the Consulate. In case of mistake(s), please contact the Consulate immediately for correction,
Phone number: 415-922-8588; 415-922-1707 Ext 101/102/108/118 (office hours) or Hotline 415-533-0156, or Email: info@vietnamconsulate-sf.org.
01 Photo
(2 inches x 2 inches)
APPLICATION FORM
Glued photo here
FOR ENTRY AND EXIT VISA
and
01 additional photo
stapled to this form for a
CONSULATE GENERAL OF VIETNAM
loose -leaf visa request
IN SAN FRANCISCO, US
1700 California Street, Suite 580
San Francisco, CA 94109
Tel: 415 922 1707; 415 922 8588
www.vietnamconsulate-sf.org
1. Full name (in BLOCK letters):
..................................................................................................................................................................
Family name
First name
Middle name
/
/
Date of birth:
Gender:
Male
Female
..............
.......................
........................
Date
Month
Year
2. Place of birth:
…...............................………………………..
8. Name, address of your contact (organization or
.
individual) in Vietnam
(if any):
3. Nationality at birth :
..................................….........………
.............................................................................................................................
Nationality at present:
...........…………………...…......
.............................................................................................................................
4. Passport number:
......................................……........…...…
..............................................................................................................................
Date of expiry:
............................……………………….......
9. Proposed DATE OF ENTRY into and EXIT from
Vietnam:
5. Employer:
................................................................................
6. Mailing address:
-From:
/
/
...............................................….…….....
..................
...................
.....................
Date
Month
Year
..........................………………………...........................…..…..….
-To:
/
/
.............
....................
......................
Contact number:
........................……………...................
.
Date
Month
Year
7. Purpose of visit to Vietnam
:
10. Requesting a visa good for:
Business
Tourist
Visit Relatives
-Number of entries:
Single
Multiple
or other:
................................................................................
-Total length of stay:
01Month
03Months
________________________________________
Please submit the following documents:
06 Months
One-Year (U.S passport only)
One copy of application form with one passport photo
Original passport (for visa sticker) or Copy of passport
I solemnly declare that the statements made in this
(for loose-leaf visa)
application are true and correct.
Visa fee (please call Visa section: 415-922-8588; 415- 922-
1707 Ext 101 / 102 / 108/ 118 for current fees)
If apply by mail, pls. enclose a prepaid self-addressed
Signature:
return envelope and retain one copy of the application
form for enquiry about visa status
* Visa will be valid from the DATE OF ENTRY (shown on the visa). You can enter Viet Nam on or after the DATE OF ENTRY and must leave before the
end of expiration date.
* The Vietnam Customs and Border Protection at the port of entry determines the period of each authorized stay for travelers with one-year visas.
* Please double check all information on visa issued by the Consulate. In case of mistake(s), please contact the Consulate immediately for correction,
Phone number: 415-922-8588; 415-922-1707 Ext 101/102/108/118 (office hours) or Hotline 415-533-0156, or Email: info@vietnamconsulate-sf.org.
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