Ecuador Official visa Application

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1 Ecuador Official visa Application Please enter your contact information Name: Tel: Mobile: The latest date you need your passport returned in time for your travel: Ecuador official visa checklist Filled out and signed Ecuador official 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. 1 Photographs. Standard passport photographs 2x2 inches on a white background. Payment. Credit Card Authorization form, Certified Check, or Money Order payable to VisaHQ.com. 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 $15 FedEx Standard Overnight - add $20 FedEx Priority Overnight - add $25 FedEx Saturday delivery - add $45 FedEx First Overnight - add $65 Prepaid self addressed mailer - $0 Local pick up in Washington - $0 Name: Company: Address: City: State: Zip: State Department Letter. A letter from the US Department of State, sending department, or agency, addressed to "Embassy of Ecuador, Washington D.C. ", explaining purpose of travel and dates of the trip. Letter must contain the applicant's name and the passport number.

2 Ecuador official visa fees for citizens of United States Type of visa Max. validity Embassy fee Our fee Processing time Total Multiple entry up to 90 days $0.00 $ business days $79.00 This order is subject to Terms of Service, posted on VisaHQ website. All fees and requirements may change without notice.

3 Credit Card Authorization Form By signing this form i accept VisaHQ.com 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.

4 REPUBLICA DEL ECUADOR SOLICITUD DE VISA/ APPLICATION FOR VISA SOLICITO SE ME CONCEDA LA SIGUIENTE VISA PARA INGRESAR AL ECUADOR I REQUEST TO BE GRANTED THE FOLLOWING VISA TO ENTER ECUADOR EN CALIDAD DE: INMIGRANTE/ IMMIGRANT CON LA VISA CATEGORÍA: 10- /IMMIGRATION STATUS NO IMIGRANTE/ NON IMMIGRANT /TYPE OF VISA 12- NOMBRES Y APELLIDOS/ FULL NAME ACTIVIDAD QUE DESARROLLARA/ ACTIVITY DURING STAY NACIONALIDAD/ NATIONALITY DIRECCIÓN DOMICILIARA/ RESIDENCE ADDRESS FECHA DE NACIMIENTO/ DATE OF BIRTH LUGAR DE NACIMIENTO/ PLACE OF BIRTH PASAPORTE NUMERO/ PASSPORT NUMBER ESTADO CIVIL/ MARITAL STATUS PREOFESION/ PROFESION PASAPORTE VALIDO HASTA/ PASSPORT EXPIRATION DATE FAMILIARES QUE INGRESARAN AL ECUADOR/ FAMILY MEMBERS TO ENTER ECUADOR APELLIDOS Y NOMBRES/ FULL NAME PARENTESCO/ RELATION EDAD/ AGE DECLARO QUE LA SIGUIENTE INFORMACIÓN ES VERDADERA, PARA LO CUAL ADJUNTO LOS CORRESPONDIENTES DOCUMENTOS DE RESPALDO. I DECLARE THAT THE INFORMATION I HAVE PROVIDED IS ACCÚRATE AND THAT I AM ENCLOSING ALL PERTINENT DOCUMENTS. FECHA/ DATE: VALOR APLICACION/ APPLICATION FEE: $30.00 FIRMA/ SIGNATURE:

5 CONSULADO DEL ECUADOR WASHINGTON DC CERTIFICADO DE VISACION NUMERO: (Uso Official/Official Use) CALIDAD MIGRATORIA: CATEGORIA: VALIDEZ DE LA VISA: NUMERO DE PASAPORTE: VALIDO HASTA: FECHA: (Date) NO INMIGRANTE 12-IX SEIS (6) MESES DERECHOS RECAUDADOS: US $ PARTIDA ARANCELARIA: III DATOS PERSONALES: NOMBRES Y APELLIDOS: (Full Name) NACIONALIDAD: (Citizenship) DOMICILIO: (Address in the U.S.) ACTIVIDAD QUE DESALLORARA: (Purpose of the visit) OBSERVACIONES: (Uso Oficial/Official Use Only) REQUISITOS/ REQUIREMENTS: SOLICITUD/ APPLICATION ( ); PASAPORTE VALIDO/ VALID PASSPORT ( ); 2 FOTOGRAFIAS/ 2 PHOTOGRAPHS ( ); CERTIFCADO MEDICO / MEDICAL CERTIFICATE ( ); RECORD POLICIAL/ POLICE RECORD ( ); CERTIFICADO DE SOLVENCIA ECONOMICA/ BANK STATEMENT ( ); COPIA DE PASAJES DE ENTRADA Y SALIDA DEL ECUADOR / COPIES OF ROUND-TRIP TICKET( ). NOTA: EL EXTRANJERO DEBE REGISTRAR SU VISA EN LA DIRECCON GENERAL DE EXTRANJERIA, DENTRO DE LOS TREINTA PRIMEROS DIAS DE SU INGRESO AL PAIS. Firma del Aplicante (Applicant s signature) Firma del Cónsul/Consul s Signature

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