Vietnam Visa Application (vietnamese)

  • November 2019
  • PDF

This document was uploaded by user and they confirmed that they have the permission to share it. If you are author or own the copyright of this book, please report to us by using this DMCA report form. Report DMCA


Overview

Download & View Vietnam Visa Application (vietnamese) as PDF for free.

More details

  • Words: 351
  • Pages: 1
Tæng l·nh sù qu¸n Céng hoµ XHCN ViÖt Nam

t¹i San Francisco - Hoa Kú

®¬n xin nhËp c¶nh ViÖt Nam (Dµnh cho ng−êi ViÖt Nam ®Þnh c− ë n−íc ngoµi) ¶nh (4cm x 6cm)

1700 California Street, Suite 430 San Francisco, CA 94109 Tel: (415) 922-1577 Fax: (415) 922-1848

www.vietnamconsulate-sf.org

1. Hä vµ tªn trong hé chiÕu/thÎ xanh (viÕt ch÷ in hoa):..............................................................Nam N÷ Hä vµ tªn khai sinh (viÕt ch÷ in hoa): ........................................................................................................... 2. Sinh ngµy...............th¸ng............. n¨m............ t¹i......................................................................................... 3. Chç ë hiÖn nay (kh«ng ghi ®Þa chØ lµ sè P.O.BOX) ...................................................................................... ....................................................................................................................................................................... ............................................................................................§iÖn tho¹i sè .................................................... 4. NghÒ nghiÖp .................................................................................................................................................. 5. N¬i lµm viÖc .................................................................................................................................................. ....................................................................................................................................................................... .......................................................................................... §iÖn tho¹i sè ...................................................... VIETNAM 6. Quèc tÞch hiÖn nay .......................................................Quèc tÞch gèc........................................................... 7. Sè hé chiÕu hoÆc sè thÎ xanh .................................................................................................................... cÊp ngµy....../...../….......cã gi¸ trÞ ®Õn ngµy ....../....../.......... C¬ quan cÊp.................................................... 8. Rêi ViÖt Nam ngµy......../....../ ................víi h×nh thøc ra ®i: b»ng thuyÒn Du häc ; Tr−íc 1975 ; ODP ;HO ; AC ;H×nh thøc kh¸c ; NÕu ®i hîp ph¸p ghi râ hé chiÕu (giÊy phÐp xuÊt c¶nh) sè …………..cÊp ngµy……/……/..………........ 9. Môc ®Ých nhËp c¶nh:…………. ……………………………………… …………………………............ 10 . Hä vµ tªn, ®Þa chØ th©n nh©n (ghi râ hä tªn, quan hÖ, ®Þa chØ th©n nh©n t¹i ViÖt Nam hoÆc tªn ®Þa chØ c¬ quan n¬i vÒ th¨m hoÆc lµm viÖc) ……………………………………………………………......... ………………………………………………………………………………………………..................... ………………………………………………………………………………………………..................... 11. Thêi gian dù kiÕn vÒ ViÖt Nam tõ ngµy…… th¸ng……. n¨m…….. ®Õn ngµy…….th¸ng…. n¨m……....... 12. Sè lÇn xin nhËp c¶nh: mét lÇn nhiÒu lÇn T«i xin cam ®oan nh÷ng lêi khai trªn ®©y lµ ®óng sù thËt, t«i vÒ ViÖt Nam theo ®óng môc ®Ých nhËp c¶nh vµ tu©n thñ luËt ph¸p ViÖt Nam. SAN FRANCISCO ngµy….... th¸ng…….n¨m…………. Lµm t¹i................................... Ng−êi xin thÞ thùc (ký vµ ghi râ hä tªn)

Chó ý cÇn nép: - 1 ®¬n - 2 ¶nh (1 ¶nh nÕu kÌm theo hé chiÕu gèc) - Hé chiÕu hoÆc Reentry Permit/copy thÎ xanh - 1 b× th− cã tem vµ ®Þa chØ nÕu göi tr¶ b»ng b−u ®iÖn

Nice Travel 769 E.Capitol Ave Milpitas, CA 95035 Tel: (408) 946-8180 Fax: (408) 889-8813

Related Documents