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I S QUN

CNG HA XHCN VIT


NAM
TI CNG HA -RP AI
CP

EMBASSY
SOCIALIST REPUBLIC OF
VIETNAM
IN THE ARAB REPUBLIC OF
EGYPT

Photo 4 6

APPLICATION FOR VISA

1. Name in full: (Block letters):


2. Date of birth: ..//.
3. Sex:.. Male / Female.
4. Place of birth
5. Nationality at birth... Present Nationality:.
6. Passport: -Number

-Place of employment:..
-Telephone: Email.
8. Present address: (home, street, city)..
9. Accompanied children: (full name, DoB, relation).
10. Purpose of entry:.
-Name, address of organization, relation, relatives to contact, visit in Vietnam :

11. Proposed date to entry-exit Viet Nam:


12. Have you been in Viet Nam?................( If yes), When?.......
1. Name in full: (Block letters):
2. Date of birth: ..//.
3. Sex:.. Male / Female.
4. Place of birth
11. Proposed date to entry-exit Viet Nam:
12. Have you been in Viet Nam?................( If yes), When?.......
1. Name in full: (Block letters):
2. Date of birth: ..//.
3. Sex:.. Male / Female.
4. Place of birth
5. Nationality at birth... Present Nationality:.
6. Passport: -Number

-Place of employment:..
-Telephone: Email.
8. Present address: (home, street, city)..
5. Sex:.. Male / Female.
6. Place of birth
11. Proposed date to entry-exit Viet Nam:
12. Have you been in Viet Nam?................( If yes), When?.......
7. Name in full: (Block letters):
8. Date of birth: ..//.
9. Sex:.. Male / Female.
10. Place of birth

11. Nationality at birth... Present Nationality:.


12. Passport: -Number

-Place of employment:..
-Telephone: Email.
9. Accompanied children: (full name, DoB, relation).
10. Purpose of entry:.
-Name, address of organization, relation, relatives to contact, visit in Vietnam :

11. Proposed date to entry-exit Viet Nam:


12. Have you been in Viet Nam?................( If yes), When?.......
1. Name in full: (Block letters):
2. Date of birth: ..//.
3. Sex:.. Male / Female.
4. Place of birth
5. Nationality at birth... Present Nationality:.
6. Passport: -Number

-Place of employment:..
-Telephone: Email.
8. Present address: (home, street, city)..
9. Accompanied children: (full name, DoB, relation).
10. Purpose of entry:.
-Name, address of organization, relation, relatives to contact, visit in Vietnam :

11. Proposed date to entry-exit Viet Nam:


12. Have you been in Viet Nam?................( If yes), When?.......
1. Name in full: (Block letters):

2. Date of birth: ..//.


3. Sex:.. Male / Female.
4. Place of birth
5. Nationality at birth... Present Nationality:.
6. Passport: -Number

-Place of employment:..
-Telephone: Email.
8. Present address: (home, street, city)..
9. Accompanied children: (full name, DoB, relation).
10. Purpose of entry:.
-Name, address of organization, relation, relatives to contact, visit in Vietnam :

11. Proposed date to entry-exit Viet Nam:


12. Have you been in Viet Nam?................( If yes), When?.......
1. Name in full: (Block letters):
2. Date of birth: ..//.
3. Sex:.. Male / Female.
4. Place of birth
5. Nationality at birth... Present Nationality:.
6. Passport: -Number

-Place of employment:..
-Telephone: Email.
8. Present address: (home, street, city)..
9. Accompanied children: (full name, DoB, relation).
10. Purpose of entry:.

-Name, address of organization, relation, relatives to contact, visit in Vietnam :

11. Proposed date to entry-exit Viet Nam:


12. Have you been in Viet Nam?................( If yes), When?.......
1. Name in full: (Block letters):
2. Date of birth: ..//.
3. Sex:.. Male / Female.
4. Place of birth
5. Nationality at birth... Present Nationality:.
6. Passport: -Number

-Place of employment:..
-Telephone: Email.
8. Present address: (home, street, city)..
9. Accompanied children: (full name, DoB, relation).
10. Purpose of entry:.
-Name, address of organization, relation, relatives to contact, visit in Vietnam :

11. Proposed date to entry-exit Viet Nam:


12. Have you been in Viet Nam?................( If yes), When?.......
1. Name in full: (Block letters):
2. Date of birth: ..//.
3. Sex:.. Male / Female.
4. Place of birth
5. Nationality at birth... Present Nationality:.
6. Passport: -Number

-Place of employment:..
-Telephone: Email.
8. Present address: (home, street, city)..
9. Accompanied children: (full name, DoB, relation).
10. Purpose of entry:.
-Name, address of organization, relation, relatives to contact, visit in Vietnam :

11. Proposed date to entry-exit Viet Nam:


12. Have you been in Viet Nam?................( If yes), When?.......
1. Name in full: (Block letters):
2. Date of birth: ..//.
3. Sex:.. Male / Female.
4. Place of birth
5. Nationality at birth... Present Nationality:.
6. Passport: -Number

-Place of employment:..
-Telephone: Email.
8. Present address: (home, street, city)..
9. Accompanied children: (full name, DoB, relation).
10. Purpose of entry:.
-Name, address of organization, relation, relatives to contact, visit in Vietnam :

11. Proposed date to entry-exit Viet Nam:


12. Have you been in Viet Nam?................( If yes), When?.......
1. Name in full: (Block letters):
2. Date of birth: ..//.

3. Sex:.. Male / Female.


4. Place of birth
5. Nationality at birth... Present Nationality:.
6. Passport: -Number

-Place of employment:..
-Telephone: Email.
8. Present address: (home, street, city)..
9. Accompanied children: (full name, DoB, relation).
10. Purpose of entry:.
-Name, address of organization, relation, relatives to contact, visit in Vietnam :

11. Proposed date to entry-exit Viet Nam:


12. Have you been in Viet Nam?................( If yes), When?.......
1. Name in full: (Block letters):
2. Date of birth: ..//.
3. Sex:.. Male / Female.
4. Place of birth
5. Nationality at birth... Present Nationality:.
6. Passport: -Number

-Place of employment:..
-Telephone: Email.
8. Present address: (home, street, city)..
9. Accompanied children: (full name, DoB, relation).
10. Purpose of entry:.
-Name, address of organization, relation, relatives to contact, visit in Vietnam :

11. Proposed date to entry-exit Viet Nam:


12. Have you been in Viet Nam?................( If yes), When?.......
1. Name in full: (Block letters):
2. Date of birth: ..//.
3. Sex:.. Male / Female.
4. Place of birth
5. Nationality at birth... Present Nationality:.
6. Passport: -Number

-Place of employment:..
-Telephone: Email.
8. Present address: (home, street, city)..
9. Accompanied children: (full name, DoB, relation).
10. Purpose of entry:.
-Name, address of organization, relation, relatives to contact, visit in Vietnam :

11. Proposed date to entry-exit Viet Nam:


12. Have you been in Viet Nam?................( If yes), When?.......
1. Name in full: (Block letters):
2. Date of birth: ..//.
3. Sex:.. Male / Female.
4. Place of birth
5. Nationality at birth... Present Nationality:.
6. Passport: -Number

-Place of employment:..
-Telephone: Email.

8. Present address: (home, street, city)..


9. Accompanied children: (full name, DoB, relation).
10. Purpose of entry:.
-Name, address of organization, relation, relatives to contact, visit in Vietnam :

11. Proposed date to entry-exit Viet Nam:


12. Have you been in Viet Nam?................( If yes), When?.......
1. Name in full: (Block letters):
2. Date of birth: ..//.
3. Sex:.. Male / Female.
4. Place of birth
5. Nationality at birth... Present Nationality:.
6. Passport: -Number

-Place of employment:..
-Telephone: Email.
8. Present address: (home, street, city)..
9. Accompanied children: (full name, DoB, relation).
10. Purpose of entry:.
-Name, address of organization, relation, relatives to contact, visit in Vietnam :

11. Proposed date to entry-exit Viet Nam:


12. Have you been in Viet Nam?................( If yes), When?.......
1. Name in full: (Block letters):
2. Date of birth: ..//.
3. Sex:.. Male / Female.
4. Place of birth

5. Nationality at birth... Present Nationality:.


6. Passport: -Number

-Place of employment:..
-Telephone: Email.
8. Present address: (home, street, city)..
9. Accompanied children: (full name, DoB, relation).
10. Purpose of entry:.
-Name, address of organization, relation, relatives to contact, visit in Vietnam :

11. Proposed date to entry-exit Viet Nam:


12. Have you been in Viet Nam?................( If yes), When?.......
1. Name in full: (Block letters):
2. Date of birth: ..//.
3. Sex:.. Male / Female.
4. Place of birth
5. Nationality at birth... Present Nationality:.
6. Passport: -Number

-Place of employment:..
-Telephone: Email.
8. Present address: (home, street, city)..
9. Accompanied children: (full name, DoB, relation).
10. Purpose of entry:.
-Name, address of organization, relation, relatives to contact, visit in Vietnam :

11. Proposed date to entry-exit Viet Nam:


12. Have you been in Viet Nam?................( If yes), When?.......

1. Name in full: (Block letters):


2. Date of birth: ..//.
3. Sex:.. Male / Female.
4. Place of birth
5. Nationality at birth... Present Nationality:.
6. Passport: -Number

-Place of employment:..
-Telephone: Email.
8. Present address: (home, street, city)..
9. Accompanied children: (full name, DoB, relation).
10. Purpose of entry:.
-Name, address of organization, relation, relatives to contact, visit in Vietnam :

11. Proposed date to entry-exit Viet Nam:


12. Have you been in Viet Nam?................( If yes), When?.......
1. Name in full: (Block letters):
2. Date of birth: ..//.
3. Sex:.. Male / Female.
4. Place of birth
5. Nationality at birth... Present Nationality:.
6. Passport: -Number

-Place of employment:..
-Telephone: Email.
8. Present address: (home, street, city)..
9. Accompanied children: (full name, DoB, relation).

10. Purpose of entry:.


-Name, address of organization, relation, relatives to contact, visit in Vietnam :

11. Proposed date to entry-exit Viet Nam:


12. Have you been in Viet Nam?................( If yes), When?.......
1. Name in full: (Block letters):
2. Date of birth: ..//.
3. Sex:.. Male / Female.
4. Place of birth
5. Nationality at birth... Present Nationality:.
6. Passport: -Number

-Place of employment:..
-Telephone: Email.
8. Present address: (home, street, city)..
9. Accompanied children: (full name, DoB, relation).
10. Purpose of entry:.
-Name, address of organization, relation, relatives to contact, visit in Vietnam :

11. Proposed date to entry-exit Viet Nam:


12. Have you been in Viet Nam?................( If yes), When?.......
1. Name in full: (Block letters):
2. Date of birth: ..//.
3. Sex:.. Male / Female.
4. Place of birth
5. Nationality at birth... Present Nationality:.

6. Passport: -Number

-Place of employment:..
-Telephone: Email.
8. Present address: (home, street, city)..
9. Accompanied children: (full name, DoB, relation).
10. Purpose of entry:.
-Name, address of organization, relation, relatives to contact, visit in Vietnam :

11. Proposed date to entry-exit Viet Nam:


12. Have you been in Viet Nam?................( If yes), When?.......
1. Name in full: (Block letters):
2. Date of birth: ..//.
3. Sex:.. Male / Female.
4. Place of birth
5. Nationality at birth... Present Nationality:.
6. Passport: -Number

-Place of employment:..
-Telephone: Email.
8. Present address: (home, street, city)..
9. Accompanied children: (full name, DoB, relation).
10. Purpose of entry:.
-Name, address of organization, relation, relatives to contact, visit in Vietnam :

11. Proposed date to entry-exit Viet Nam:


12. Have you been in Viet Nam?................( If yes), When?.......
1. Name in full: (Block letters):

2. Date of birth: ..//.


3. Sex:.. Male / Female.
4. Place of birth
5. Nationality at birth... Present Nationality:.
6. Passport: -Number

-Place of employment:..
-Telephone: Email.
8. Present address: (home, street, city)..
9. Accompanied children: (full name, DoB, relation).
10. Purpose of entry:.
-Name, address of organization, relation, relatives to contact, visit in Vietnam :

11. Proposed date to entry-exit Viet Nam:


12. Have you been in Viet Nam?................( If yes), When?.......
1. Name in full: (Block letters):
2. Date of birth: ..//.
3. Sex:.. Male / Female.
4. Place of birth
5. Nationality at birth... Present Nationality:.
6. Passport: -Number

-Place of employment:..
-Telephone: Email.
8. Present address: (home, street, city)..
9. Accompanied children: (full name, DoB, relation).
10. Purpose of entry:.
-Name, address of organization, relation, relatives to contact, visit in Vietnam :


11. Proposed date to entry-exit Viet Nam:
12. Have you been in Viet Nam?................( If yes), When?.......
1. Name in full: (Block letters):
2. Date of birth: ..//.
3. Sex:.. Male / Female.
4. Place of birth
5. Nationality at birth... Present Nationality:.
6. Passport: -Number

-Place of employment:..
-Telephone: Email.
8. Present address: (home, street, city)..
9. Accompanied children: (full name, DoB, relation).
10. Purpose of entry:.
-Name, address of organization, relation, relatives to contact, visit in Vietnam :

11. Proposed date to entry-exit Viet Nam:


12. Have you been in Viet Nam?................( If yes), When?.......
1. Name in full: (Block letters):
2. Date of birth: ..//.
3. Sex:.. Male / Female.
4. Place of birth
5. Nationality at birth... Present Nationality:.
6. Passport: -Number

-Place of employment:..

-Telephone: Email.
8. Present address: (home, street, city)..
9. Accompanied children: (full name, DoB, relation).
10. Purpose of entry:.
-Name, address of organization, relation, relatives to contact, visit in Vietnam :

11. Proposed date to entry-exit Viet Nam:


12. Have you been in Viet Nam?................( If yes), When?.......
1. Name in full: (Block letters):
2. Date of birth: ..//.
3. Sex:.. Male / Female.
4. Place of birth
5. Nationality at birth... Present Nationality:.
6. Passport: -Number

-Place of employment:..
-Telephone: Email.
8. Present address: (home, street, city)..
9. Accompanied children: (full name, DoB, relation).
10. Purpose of entry:.
-Name, address of organization, relation, relatives to contact, visit in Vietnam :

11. Proposed date to entry-exit Viet Nam:


12. Have you been in Viet Nam?................( If yes), When?.......
1. Name in full: (Block letters):
2. Date of birth: ..//.
3. Sex:.. Male / Female.

4. Place of birth
5. Nationality at birth... Present Nationality:.
6. Passport: -Number

-Place of employment:..
-Telephone: Email.
8. Present address: (home, street, city)..
9. Accompanied children: (full name, DoB, relation).
10. Purpose of entry:.
-Name, address of organization, relation, relatives to contact, visit in Vietnam :

11. Proposed date to entry-exit Viet Nam:


12. Have you been in Viet Nam?................( If yes), When?.......

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