1. Full name (in CAPITALS): .........................................................................................................................................................................
Mobile phone: .................................................................
I hereby declare that the statements in this application form are true and correct.
Signature: ………………………………………………………………….
Date:
……../……../……………
(DD / MM / YYYY)
( Copy of passport is also acceptable
)
*
Check list:
Original passport (with at least 6 months validity from the date of exit)
This application form
Visa fee (cash or bank cheque only)
(Optional) Prepaid envelop of Registered/Express Post with SOD to return passport via post
Disclaimer:
- Applicants are fully responsible for checking information on the visa. If any error found, please report immediately to
the Consulate General for correction. The Consulate General holds no responsibility for unreported mistakes/error.
- In case of emergency, please call (+61) 478719141 or (+61) 434520536
CONSULATE GENERAL OF VIET NAM
VISA APPLICATION
(
*
)
PERTH – AUSTRALIA
Photograph
Level 8, 16 St Georges Terrace WA 6000
PO Box 3122, East Perth, WA 6892
(08) 9325 3642 - 9221 1158
vnvisawa@iinet.net.au
www.vietnam-consulate.org.au
1. Full name (in CAPITALS): .........................................................................................................................................................................
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