"Vietnam Visa Application Form - Consulate General of Viet Nam" - Perth, Western Australia, Australia

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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): .........................................................................................................................................................................
Family name
Middle name
First name
2. Date of birth
……../……../……………
8. Purpose to visit Viet Nam
DD
MM
YYYY
Tourism
Business
Other
 Male
 Female
3. Sex
9. Proposed date of entry
……../……../……………
4. Nationality: ........................................................................
DD
MM
YYYY
Proposed date of exit
……../……../……………
5. Passport number:
........................................................
DD
MM
YYYY
Date of expiry:
……../……../……………
10. Type of visa requested:
6. Occupation:
........................................................
 Single entry
 Multiple entries
7. Current contact (required):
Length of stay
Address (NOT PO Box, please): ...................................
 1 (one) month
...............................................................................................
 3 (three) months
 Less than 6 (six) months (with approval only)
...............................................................................................
 Up to 1 (one) year (with approval only)
...............................................................................................
Email: ..................................................................................
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): .........................................................................................................................................................................
Family name
Middle name
First name
2. Date of birth
……../……../……………
8. Purpose to visit Viet Nam
DD
MM
YYYY
Tourism
Business
Other
 Male
 Female
3. Sex
9. Proposed date of entry
……../……../……………
4. Nationality: ........................................................................
DD
MM
YYYY
Proposed date of exit
……../……../……………
5. Passport number:
........................................................
DD
MM
YYYY
Date of expiry:
……../……../……………
10. Type of visa requested:
6. Occupation:
........................................................
 Single entry
 Multiple entries
7. Current contact (required):
Length of stay
Address (NOT PO Box, please): ...................................
 1 (one) month
...............................................................................................
 3 (three) months
 Less than 6 (six) months (with approval only)
...............................................................................................
 Up to 1 (one) year (with approval only)
...............................................................................................
Email: ..................................................................................
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
Vietnam Visa Application Form

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