Congo Republic Tourist visa Application for citizens of Paraguay living in Alberta

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1 Congo Republic Tourist visa Application for citizens of Paraguay living in Alberta Please enter your contact information Name: Tel: Mobile: The latest date you need your passport returned in time for your travel: Congo Republic tourist visa checklist Filled out and signed Congo Republic tourist visa application form. The form is enclosed. Original passport. Passport must have at least 6 months remaining validity and have at least 1 visa page. 2 Photographs. Standard passport photographs 2x2 inches on a white background. Payment. Credit Card Authorization form, Certified Check, or Money Order payable to VisaHQ.ca. Return mailer. Prepaid self-addressed return label or payment for FedEx. If you wish to prepay return shipping, please add the shipping fee to the total and provide return address: FedEx 2nd day delivery - add $25 FedEx Priority Overnight - add $30 FedEx First Overnight - add $40 FedEx Saturday delivery - add $65 Prepaid self addressed mailer - $0 Local pick up in Toronto - $0 Name: Company: Address: City: State: Zip: Proof of Status. Copy of the front and back of valid Permanent Resident Card or other proof of legal status in Canada (such as study permit, work permit, refugee/protected person status document)

2 Itinerary. Copy of round trip tickets or itinerary. Yellow Fever Vaccination. Copy of International Certificate of Vaccination for Yellow Fever. Hotel Reservations. Copy of confirmed hotel reservations. Personal Invitation. If staying with friends or family, an ORIGINAL, NOTARIZED invitation from the host in Congo Republic, may be used instead of a hotel reservation.

3 Congo Republic tourist visa fees for citizens of Paraguay living in Alberta Type of visa Max. validity Embassy fee Our fee HST Processing time Total Single entry up to 15 days $ $74.95 $ business days $ Single entry up to 15 days $ $89.95 $ business days $ Multiple entry up to 90 days $ $74.95 $ business days $ Multiple entry up to 90 days $ $89.95 $ business days $ This order is subject to Terms of Service, posted on VisaHQ website. All fees and requirements may change without notice.

4 Credit Card Authorization Form By signing this form i accept VisaHQ.ca Terms of Service and authorize to charge my credit card for the amount of $ Name on the Credit Card: Credit Card number: Exp. date: / Credit Card Billing Address: Signature: Comments: Thank you! We accept all major credit cards.

5 DEMANDE DE VISA CONSULAT DE LA REPUBLIQUE COURT SEJOUR SHORT STAY LONG SEJOUR LONG STAY PHOTO TRANSIT DONNEES PERSONNELLES Personal details 50 GERVAIS DRIVE 4 th FLOOR. SUITE: Dr Thomas. TORONTO, ON. M3C 1Z3 TEL: (416) / Nom de famille Family name Nom de jeune fille Maiden name Prénom(s) Given name(s) Sexe Gender Date de naissance Date of birth Lieu de naissance Place of birth Nom du père Father s name Nom de la mère Mother s name Nationalité actuelle Current citizenship Nationalité d origine Previous Citizenship Etat matrimonial Marital status No d enfants No of children Age(s) de votre(vos) enfant(s) Child s(children s) age (s) Donner le nom de votre époux(se) ou conjoint(e) de fait Provide name of spouse/common law partner Nom de famille Family name Prénom(s) Given name(s) PASSEPORT Passport Numéro de passeport Passport number Pays de délivrance Country of issue Date de délivrance Issue date Date d expiration Expiry date COORDONNEES Contact Information Adresse postale actuelle Current mailing address No d app/unité Apt/Unit # Numéro de rue Street number Nom de la rue Street name Ville City Province Province Pays Country Code postal Postal code No Telephone Adresse du domicile Residential address No d app/unité Apt/Unit # Numéro de rue Street number Nom de la rue Street name Ville City Province Province Pays Country Code postal Postal code No Telephone

6 EMPLOI Employment Activité/Profession Activity/Profession CONSULAT DE LA REPUBLIQUE Employeur/Nom de l établissement Employer/Company Adresse de l employeur Employer s address Téléphone bureau OfficeTelephone Courriel e mail address DETAILS SUR LA VISITE AU CONGO Details of visit to Congo Objet de la visite Purpose of the visit Durée de la visite Duration of stay Nature et durée du visa sollicité Type of visa and period of your stay Indication précise du lieu et date d entrée Give accurately the place and date of entry Indication précise du lieu et date de sortie Give accurately the place and date of exit Adresse complète au Congo durant votre séjour Complete address in Congo during your stay AUTRES Other Etes vous déjà venu au Congo? Have you ever visited this country? Oui Yes Non No Quand et ou? When and where? Avez vous déjà habité le Congo pendant plus de 3 mois consécutifs? Have you ever lived in the Congo for more than 3 consecutive months? Oui Yes Non No Quand et où? When and where? Où comptez vous vous rendre en quittant le Congo? Where do you intend to go when you leave the Congo? Comptez vous installer un commerce ou une industrie? Do you intend to set up a firm or a manufacturing unit? Oui Yes Non No Ma signature engage ma responsabilité et m expose aux poursuites prévues par la loi en cas de fausse déclaration et à me voir refuser tout visa à l avenir. I hereby certify to the truth of all the above. I realise that any false statement renders me liable to legal suit, and that I may be denied any visa in the future. Signature du demandeur ou du parent/tuteur légal pour une personne mineure Signé à Le Signature of applicant or legal guardian/custodian parent for minor Signed at Dated

7 CONSULAT DE LA REPUBLIQUE CONSULATE OFFICE ONLY Avis administratif: Fac similé du visa apposé sur le passeport de l intéressé. CONSULAT DE LA REPUBLIQUE TORONTO, ON Visa No Pour permettre à M de Nationalité Titulaire du présent passeport de séjourner dans la République du Congo pendant une période de allant du au TORONTO, Ontario, le SIGNATURE

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