(Payable to Casto Travel, Inc.)

Transcription

1 REQUEST FOR VISA/PASSPORT PROCESSING (Transmittal) This form is for Casto s use only, to advise us as to what service you are requesting, when you depart on your trip, and the address to which the documents should be sent. Please complete and include this form with your passport and/or Visa application and other required documents. Please te This is a transmittal form. This is t a Visa Application. DATE: FULL NAME ID APPLICANT(S) and issuing country of passport (if applicable): 1. US PASSPORT HOLDER? YES NO 2. US PASSPORT HOLDER? YES NO 3. US PASSPORT HOLDER? YES NO 4. US PASSPORT HOLDER? YES NO IF NOT A US PASSPORT HOLDER, WHICH COUNTRY? Green Card? Yes No Other Status SERVICE REQUESTED:(Check applicable items) New Issue US Passport Renewal US Passport Passport Amendment Additional Passport Pages Applying for a Second Valid (limited) Passport VISA EXPEDITING: (List Countries) BASIC CHECKLIST FOR OBTAINING VISAS (Note: these are t specific visa requirements for any one country) Be sure passport has eugh blank Visa pages for each Visa requested. Visas will t be affixed to an Amendment page. Extra pages may have to be added first before Visas can be issued. Some countries require your passport to have a minimum remaining validity of least 6 months as a visa and/or an entry requirement even if you do t need a Visa. PLEASE CHECK WITH US REGARDING YOUR DESTINATION, AS YOU MAY NEED TO RENEW YOUR PASSPORT FIRST BEFORE ANY VISAS CAN BE ISSUED. Your passport should be signed on the signature line above the vital information page usually above the inside cover of most US passports. To avoid any delays in processing, all Visa photos should be a standard 2 x2 color passport photo, with full face toward the camera and plain white to slightly off white background. No I.D. badge photos or ¾ view INS photos will be accepted. DEPATURE DATE FROM THE US: LATEST DATE YOU WILL NEED THE PASSPORT BACK: (Service charges will be billed according to this date) RETURN COMPLETED DOCUMENTS TO: Name: Company Name: Address: City/Zip Code: Company Contact: Telephone (H): Contact Telephone: Telephone (W): Fax: RETURN VIA: FedEx Priority Overnight FedEx Second Overnight FedEx (Saturday) FedEx Account # Casto Local Courier Surcharge will apply Casto Use Only PAYMENT: Personal Check or Money Order $ CREDIT CARD PAYMENTS: Visa; MC; AMEX # Card Holders Name Card Holder s Signature (Required) (Payable to Casto Travel, Inc.) Expires Casto Travel Visa Passport and Consulting Services 2560 North First Street Suite 150 San Jose, CA (408) FAX (408) passport@casto.com Also Located at 500 Sansome Street Suite 300 San Francisco CA (408) DISCLAIMER: Casto Visa Passport and Consulting Services acts as a service agent only and is t liable for any negligent actions or omissions of any foreign consular office, it s embassy or the US Passport Agency, other government agencies and overnight delivery services. While we make every effort to ensure that the correct visas have been issued, it is the responsibility of the traveler to check that the visas obtained are valid for the period of intended stay in that country. Use of our services constitutes agreement to these terms. Thank you.

2 COUNTRY: Russia DATE REV: 12/01/2009 Consulate General Of Russian Federation 2790 Green St. San Francisco, CA BUSINESS VISA FOR USA CITIZENS Single-entry and double-entry Business Visas are issued for longer than 90 days. Multiple re-entry Business Visa is issued for up to 1 year and only upon authorization from the Russian Ministry of Foreign Affairs or its Regional Office. For a Business Visa, please submit: A letter of invitation from the Russian Foreign Ministry or its Regional Representative Offices, or from the Ministry of the Interior or its local offices or from a Russian host company (the latter must be printed on the company letterhead and must contain official round seal and legal address of the agency, invitation registration number, date of the registration, signature and the name of the official authorized to invite foreign citizens on behalf of the company, travel itinerary, dates of stay, full names and dates of birth of the persons invited). All business invitations must be processed through the Ministry of Foreign Affairs of the Russian Federation or through its Regional Representative Office. Casto also assists in obtaining Russia Business Visa Support. Please enquire. Your passport or other travel document in original and a copy of its vital page(s). Passport copies only are longer accepted. Signed and dated Visa Application. Please print out and complete the two page visa application form and sign One identical passport (approx. size 2 x2 ) photo. Please, write your name in capital letters on the back of the photo. FOR MULTIPLE ENTRY VISA, PLEASE SUBMIT TWO FORMS AND TWO PHOTOS. Visa processing fee made payable to the Russian Consulate General by money order, cashier's check or company check only (see Rates Table below). Please do t send cash or personal checks. Consulate s bounced check penalty is $20. RUSSIAN CONSULATE PROCESSING FEES RATE TABLE Effective April 11, 2009, visa processing fees are: Processing period 3 days 4-20 days Tourist visa single entry or double entry $250 $131 Business visa single entry or double entry $250 $131 Business visa multiple entry $450 $150 Transit visa single entry or double entry $250 $131 Homestay visa single entry or double entry $250 $131 The consulate fee for visa extension or for correction of errors, which are t the consulate s error, is $40.00 The Consulate will t bear any responsibility for the errors in visas, which were t brought to their attention before departure from the USA. PLEASE NOTE THAT DAY OF SUBMISSION DOES NOT COUNT EXCEPT FOR SAME DAY SERVICE. The consulate fee for visa extension or for correction of errors, which are t our error, is $40.00 The Consulate will t bear any responsibility for the errors in visas, which were t brought to our attention before departure from the USA.

3 2008 QUESTIONNAIRE FOR RUSSIA BUSINESS VISA INVITATION pg 1 THIS IS NOT A VISA APLICATION FORM IF YOU ALREADY HAVE YOUR BUSINESS VISA SUPPORT OR HAVE MADE OTHER ARRANGEMENTS FOR YOUR BUSINESS VISA SUPPORT, YOU MAY SKIP THESE TWO PAGES AND PROCEED TO THE VISA APPLICATION FORM. YOU MUST HOWEVER, SUBMIT YOUR INVITATION TO US WITH YOUR COMPLETED VISA APPLICATION FORM AS OUTLINED. SOME CASES MAY REQUIRE THE ORIGINAL. Kindly print very legibly. Accuracy in your responses is very important!! Please adhere to date format as indicated. Your name must appear exactly as it is in your passport. (Please circle one) 1. Visa will be issued at the Russian Consulate in: San Francisco / New York / WASH DC / SEATTLE / HOUSTON 2. Last name: 3. First Name: 4. Middle name: 5. Sex: Male Female (circle one) 6. Date of Birth: Date Format DD/MON/YYYY (VERY important) 7. Country of Birth: 8. City/State of Birth: 9. Citizenship: 10. Passport Number: 11. Passport Issue Date: Date Format DD/MON/YYYY 12. Passport Expiration Date: Date Format DD/MON/YYYY 13. Country/State of permanent residence: 14. Date of Entry into Russia: Date Format DD/MON/YYYY 15. Date of Exit from Russia: Date Format DD/MON/YYYY 16. List of Russian Cities to be visited and Hotel Names: 17. Date of your last visit to Russia: (if exact date t kwn, enter the approx. month and year: TRAVELER EMPLOYMENT INFORMATION 18. Title/Position: 19. Company Name: 20. Company Address: 21. Company Telephone:

4 2008 QUESTIONNAIRE FOR RUSSIA BUSINESS VISA INVITATION pg 2 continued ARRIVAL INFORMATION 22. Flight Arrival Date: Date Format DD/MON/YYYY 23.Port of Entry to Russia: 23. Flight Departure Date: Date Format DD/MON/YYYY 24. Port of Departure from Russia: 25. Name of organization you are visiting in Russia: 26. Address of organization you are visiting in Russia: 26. Phone number of organization you are visiting: 27. Name of hotel, or name of landlord: 28. Address of Stay (t needed for hotel) 29. Please DESCRIBE the purpose of your trip: 30. Comments:

5 VISA APPLICATION IMPORTANT! Please type or print using ballpoint I declare that data supplied by me is correct and complete. I am aware that any false statements will lead to my application being rejected or to the annulment of a visa already granted and may also render me liable to prosecution under Russian law. I undertake to leave the territory of the Russian Federation upon the expiry of the visa, if granted. I understand that possession of a visa does t entitle its bearer to enter Russia. I will t seek compensation if I am refused to enter Russia. ** - t to be filled by holders of diplomatic and official passports 1. Nationality(If you formerly had USSR or Russian citizenship, please indicate when and why you lost it) 6. Purpose of visit 7. Category and type of visa 2. Last name(as in passport) 3. First and middle names (as in passport) 8. Number of entries Single entry Double entry Multiple entry 9. Date of entry in Russia 10. Date of departure from Russia 4. Date of birth 11. Passport No Issued by Date of issue Valid until 12. Type of passport diplomatic official tourist other 5. Sex please specify M F 13. Russian institution or organization to be visited? (for tourists name and reference number of the host tourist company, for businessmen name of the host organization and town, for private persons last name, first name, middle names and home address of the host) 14. Itinerary(places of visit) **15. Do you have a medical insurance valid in Russia? yes Please specify? 16. Who will pay for your trip to and stay in Russia? 17. Marital status married single (never married) divorced separated widowed 18. Spouse s full name (if divorced or separated, please indicate maiden name if applicable) 19. Spouse s date of birth 20. Spouse s place of birth **21. Your father s full name **22. Your mother s full name 23. Have you ever been issued a Russian visa? (When and where?) **24. Has your passport ever been lost or stolen? **25. List all countries you have visited in the last ten years and indicate the year of visit yes **26. List all countries which have ever issued you a passport **27. List your last two places of work, excluding the current one 1. Name Address Phone number Your chief s surname Your position 2. Name Address Dates of joining dismissal Phone number Your chief s surname Your position Dates of joining dismissal

6 ** - t to be filled by holders of diplomatic and official passports **28. List all educational institutions you ever attended, except high schools 1. Name Address and phone number Course of study Dates of admission and graduation 2. Name Address and phone number Course of study **29. List all professional, civil and charity organizations which you are / were a member of or cooperate / cooperated with Dates of admission and graduation **30. Do you have any specialized skills, training or experience related to fire-arms and explosives or to nuclear matters, biological or chemical substance? If yes, please specify **31. Have you ever performed a military service? If yes, indicate the country, branch of service, rank, military occupation and dates of service **32. Have you ever been involved in an armed conflicts, either as a member of the military service or a victim? If yes, please specify 33. IMPORTANT! EACH APPLICANT MUST READ AND GIVE ANSWERS TO THE FOLLOWING QUESTIONS A visa may be refused to persons who are within specific categories defined by the law as inadmissible to Russia. Have you ever been arrested or convicted for any offence? yes When? Have you ever been afflicted with a communicable disease of public health significance or a dangerous physical or mental yes disorder? Have you ever been a drug abuser or a addict? Have you ever been refused a Russian visa? yes When? Has your Russian visa ever been canceled? yes When? Have you ever tried to obtain or assisted others to obtain a Russian visa or enter Russia by providing misleading or false information? yes Have you ever overstayed your Russian visa or stayed unlawfully in Russia? yes Have you ever been deported from Russia? yes When? Your answer yes in item 33 does t automatically signify ineligibility for a visa. In this case you may be required to personally appear before a consular officer. 34. Name, address and phone number of a person or hotel in Russia that you plan to stay with 35. Has this application been completed personally by you? If, indicate the person completing this application in item Application completed: Surname, first name Relationship to applicant Applicant s address 37. Other names ever used (maiden name, pen-name, holy orders, et..) yes 38. Your permanent address, phone and fax number, Place for photograph 39. Place of birth (If born in Russia, please indicate when and what country you emigrated to) 40. Place of work or study, present position (name, address, phone and fax numbers, ) I agree to my personal data on this application form being processed and communicated to the appropriate Russian authorities for the issue of a visa. Date, applicant s signature 41. Are any of your relatives staying in Russia w? (full name, relation degree, date of birth, permanent address)