APPLICATION FOR A ENTRY VISA

Transcription

1 ISSUED FREE Department of Immigration & Emigration FORM B (Regulations 6) APPLICATION FOR A ENTRY VISA To be completed in Block Letters Application No For office use only Affix a photograph Visa exemption No 1. Details of present Passport: i) Number ii) Place of Issue iii) Date of Issue iv) Date of Expiry 2. Details of previous passport held, if any i) Number ii) Place of Issue iii) Date of Issue iv) Date of Expiry 3. Name in Full as shown in Passport: 4. Nationality: 5. If naturalized, i)date: ii) Place of naturalization iii) Former Nationality: 6. Gender * i) Male ii) Female 7. Date of Birth 8. Place and country of Birth i. Place ii. Country 9. Civil Status * i. Single ii. Married iii. Widowed iv. Divorced 10. If Married i) Full name of Spouse: ii)nationality: iii) Postal Address:

2 iii) Passport Number iv) Date of expiry 11. Applicant's height in centimeters 12. Any identification Marks of Pecularities: 13. Addresss: i) In the country of domicile ii) During staying in Sri Lanka: 14. Profession/Occupation i. Name and address of employee, if any: ii. If in business where business is Fax: Contact Numbers Telephone Mobile Fax 16 Object of present visit * : i. Tourist ii. Applied for resident visa iii. Other Purpose Specify: 17. Route and mode of travel to Sri Lanka: 18. Period for which visit visa is required 19. Whether previously in Sri Lanka? If So:- i Last place of residence ii. Date of leaving

3 iii. Particulars of Visa last obtained* Tourist Resident visa Specify Other Purpose Specify Multiple Specify iv. Date of issue visa v. Period of validity 20 vi. If residence visa, Resident visa number: Whether permission to visit Sri Lanka or to extend stay in Sri Lanka has been refused previously and, if so by whom and when or whether application has been made now previously to any Sri Lanka visa office abroad? If so, full particulars and position of such application: 21 (a) Particulars of a person in Sri Lanka who can furnish information regarding applicant and security for maintenance and repatriation of the applicant, if so required: Name Address Contact No Relationship (b) Name and address of a responsible person in applicant's own country who can furnish information regarding applicant: Name Address Contact No Relationship 22. (i) How much money in US$ will the applicant have with him/her or have available on arrival in Sri Lanka?

4 (ii) If credit card available, Name of cards Amounts spent 23. Any other reason to urge in support of application : 24. Finger mark of the applicant I hereby declare that to the best of my knowledge and belief the forgoing statements are true, that I shall not engage myself in any employment, paid or unpaid, or in any business or trade other than the purpose of visa is granted,on arrival in Sri Lanka and that I shall leave Sri Lanka before the date of expiry of the period of my authorized stay in the Island. I also undertake to notify the Controller of Immigration & Emigration, Colombo, immediately any change of my address, while in Sri Lanka occurs. Date:. Signature of applicant Instructions : (1) An application for a visa must be made at least one month before the date of intended travel. (2) Fee for a visit visa is charged on a reciprocal basis. In addition to Fax xxxxxxx should be added over 3 months and over 6 months visit visa for Rs. 10,000/- and Rs. 15,000/- respectively. Holders of Diplomatic or official passports will be granted or issued visas free of charge, if the purpose of visit is official or diplomatic. (3) An applicant must submit two copies of his recent photograph 4.5 x 3.5 c.m. for issue of visa. (4) * to be marked ( ) in relavant cage (5) There should be forwarded with application any documentary evidance available to prove the facts set out therein particularly the statement made in columns ( 16), (21) and (22) (6) Copy of data page of applicants passport is required (7) The applicant may be required to submit further information and proof as may be necessary. (8) If married a Sri Lankan a copy of marriage certificate with originals are necessary.

5 Office Use Only 1. Gratis Visa for. or Visit visa for Tourism/ other purpose (Business discussion, Seminar, Machine installation, Workshop, Short term training) or Entry for applying Residence Visa is granted for.. s/ Weeks/ s. 2. Visa Number: 3. Correspondance number of Controller Immigration & Emigration if any, Date: Officer of Overseas Mission: Name: Designation: Visa Endorsement Affix a photograph of applicant Finger Mark Receives Passport: Date:. Signature of Applicant