Bolivia Special Purpose visa Application for citizens of Canada living in Alberta
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- Godwin Berry
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1 Bolivia Special Purpose visa Application for citizens of Canada living in Alberta Please enter your contact information Name: Tel: Mobile: The latest date you need your passport returned in time for your travel: Bolivia special purpose visa checklist Filled out and signed Bolivia special purpose 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. Passport-type photographs: 2. Must be 4cm x 4cm. 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 Ottawa - $0 Name: Company: Address: City: State: Zip:
2 Itinerary. Copy of round trip tickets or itinerary. Yellow Fever Vaccination. Copy of International Certificate of Vaccination for Yellow Fever. Health Insurance. Proof of health insurance covering international travel. Bank Statement. Copy of a recent bank statement showing proof of sufficient funds. Police Report. Police report or Certificate of Good Conduct from applicant's local police station. Business Letter. An ORIGINAL invitation letter from the company to be visited.
3 Bolivia special purpose visa fees for citizens of Canada living in Alberta Type of visa Validity Processing time Embassy fee Service fee HST Total Single Entry up to 30 days 5-7 business days $ $ $9.95 $ 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 Ministerio de Relaciones Exteriores y Cultos de Bolivia Ministerio de Gobierno Viceministerio de Relaciones Exteriores y Cultos Viceministerio de Régimen Interior Dirección General de Régimen Consular Dirección Nacional de Migración www. rree.gov.bo Avenida Camacho No Tel/Fax (591-2) No. DECLARACIÓN JURADA DE SOLICITUD DE VISA SWORN STATEMENT FOR VISA APPLICATION NOTA: No está permitido el cambio de status migratorio en Bolivia NOTE: It is not allowed to change migratory status while in Bolivia TIPO DE VISA REQUERIDA/TYPE OF VISA REQUESTED: TURISTA/TOURIST ESTUDIANTE/STUDENT 1. Apellidos/Surnames: OBJETO DETERMINADO/SPECIFIC PURPOSE EN TRANSITO/ TRANSIT Primer nombre/first name: Segundo nombre/middle name:.. Lugar y fecha de nacimiento Place and date of birth: (Opcional) Carnet de identidad/ (Optional)National Identification Number: Nacionalidad/Nationality: Ocupación actual/present occupation: Estado civil/marital status: Casado(a)/Married.. Soltero(a)/Single. Viudo(a)/ Widowed Separado/Separated Divorciado(a)/Divorced. Clase y número de pasaporte/passport type and number:.. Lugar de emisión/place of issuance: Ciudad/City:. Fecha de emisión/issuing date:. Fecha de expiración/expiration date:.. País/Country: Teléfono de su residencia/home phone number: Teléfono donde trabaja/work phone number:. Teléfono Celular/Mobile:.... Buscapersona/Beeper number: Dirección electrónica/ address:..
6 Solicitó visa anteriormente?/have you applied before for a visa?: Si/Yes No Dónde?/Where?... Fecha/Date:. Qué lugar le gustaría visitar?/which place would you like to visit?: Cuánto tiempo desea permanecer en Bolivia?/How long do you intend to stay in Bolivia?. Tiene familiares en Bolivia?/Do you have relatives in Bolivia?: Si/Yes No Nombre completo/full name: Dirección/ address:.. Ciudad/City:.. Teléfono/Telephone:. (Opcional) Persona(s) de contacto en caso de emergencia/(optional) In case of emergency, contact: 2. Nombre completo/full name: Dirección donde trabaja/work address:. Nombre completo/full name: Calle/Street address:.. Ciudad/City: Fecha de nacimiento/date of birth: Estado o Departamento/State or Province:.. Dirección donde vive/home address: Código Postal/Postal Code:.. País/Country:.. Calle/Street address: Teléfono/Telephone number:.. Estado o Departamento/State or Province:.. Código Postal/Postal Code: País/Country:.. 3. Medio de Transporte/ Transportation: Ruta/Route:.. Aéreo/Plane Lugar de presentación de la solicitud Place of application: Terrestre/Bus-Train-Others Fecha de Retorno/Date of return: Día/Day Mes/Month Año/Year Firma del solicitante Firma de la autoridad consular Applicant s Signature Consul s Signature
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