"Sierra Leone Visa Application Form - Embassy of the Republic of Sierra Leone" - Washington, D.C.

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EMBASSY OF THE REPUBLIC OF SIERRA LEONE
VISA APPLICATION FORM
Surname: Mr./Mrs./Miss: ______________________________________________________
Christian and Other Name: ____________________________________________________
Sex: ___________
Civil Status: _________________________
Present Address: ____________________________________________________________
Nationality: ____________________________ Telephone: __________________________
Place of Birth: __________________________ Date of Birth: ________________________
Occupation: _____________________ Employer: _________________________________
Passport No: _____________________ Place of Issue: _____________________________
Date of Issue: ____________________ Expiration Date: ____________________________
Issuing Authority: ___________________________________________________________
Purpose of Visit: ____________________________________________________________
Intended date of Arrival in Sierra Leone: _________ Duration of Stay: ________________
Contact address or contact person in Sierra Leone: ________________________________
Date: __________________________
________________________________________
Signature of Applicant
__________________________________________________________________________
FOR OFFICIAL USE
Referenced No. of Approval from Freetown (if necessary) ___________________________
Working Permit No. (if required) __________ Visa Entry Permit No. ___________________
Valid up to ___________________ Fee Paid (if any) _______________________________
General Receipt No./Date of Issue ______________________________________________
__________________________________
SIGNATURE OF ISSUING OFFICER
Please attached certificate of vaccination for Yellow fever, also, photocopies of proof of
availability of sufficient funds for intended duration of stay in Sierra Leone. Beware:
Perjury is a crime. Any deliberate misrepresentation or false declaration will be dealt with to
the full extent of applicable laws.
EMBASSY OF THE REPUBLIC OF SIERRA LEONE
VISA APPLICATION FORM
Surname: Mr./Mrs./Miss: ______________________________________________________
Christian and Other Name: ____________________________________________________
Sex: ___________
Civil Status: _________________________
Present Address: ____________________________________________________________
Nationality: ____________________________ Telephone: __________________________
Place of Birth: __________________________ Date of Birth: ________________________
Occupation: _____________________ Employer: _________________________________
Passport No: _____________________ Place of Issue: _____________________________
Date of Issue: ____________________ Expiration Date: ____________________________
Issuing Authority: ___________________________________________________________
Purpose of Visit: ____________________________________________________________
Intended date of Arrival in Sierra Leone: _________ Duration of Stay: ________________
Contact address or contact person in Sierra Leone: ________________________________
Date: __________________________
________________________________________
Signature of Applicant
__________________________________________________________________________
FOR OFFICIAL USE
Referenced No. of Approval from Freetown (if necessary) ___________________________
Working Permit No. (if required) __________ Visa Entry Permit No. ___________________
Valid up to ___________________ Fee Paid (if any) _______________________________
General Receipt No./Date of Issue ______________________________________________
__________________________________
SIGNATURE OF ISSUING OFFICER
Please attached certificate of vaccination for Yellow fever, also, photocopies of proof of
availability of sufficient funds for intended duration of stay in Sierra Leone. Beware:
Perjury is a crime. Any deliberate misrepresentation or false declaration will be dealt with to
the full extent of applicable laws.
REQUIREMENTS:
 A Signed and Completed Visa Application Form
 A passport valid for at least six (6) months from last day of intended stay
in Sierra Leone
 A Letter of Invitation/Hotel Reservation that is under-signed
 Two (2) colored passport size recent photographs with light background
 A copy of the applicant’s travel itinerary
 Submission of self addressed registered envelope
 A copy of certificate of vaccination against Yellow Fever
 Evidence of funds sufficient for the duration of stay in Sierra Leone
 Visa Fee (See the Fees section for costs and payment instruction)
METHODS OF PAYMENT:
 Deposit or Bank Transfer to the account of the Sierra Leone Embassy
 Please remember that only deposit slips/receipts will be accepted as
proof of payment
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