VISA APPLICATION FORM 1

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2 PHOTOGRAPH CONSULATE GENERAL OF THE ARGENTINE REPUBLIC Montreal VISA APPLICATION FORM 1 SURNAME:.... NAME:..... NATIONALITY:.. MARITAL STATUS:. PLACE AND DATE OF BIRTH..... OCCUPATION:,,,.PRESENT JOB: NAME AND ADDRESSOF EMPLOYER: WORK TELEPHONE: HOME ADDRESS:.,, HOME TELEPHONE: IMMIGRATION STATUS IN CANADA:.. PASSPORT NUMBER:... ISSUED BY:. DATE ISSUED: EXPIRY DATE: TYPE OF VISA REQUESTED:.. PURPOSE OF TRIP: REFERENCES IN ARGENTINA (Name, address and telephone):,.... REFERENCES IN COUNTRY OF RESIDENCE (Name, address and telephone): HAVE YOU EVER APPLIED FOR ANY ARGENTINE IMMIGRATION VISA?:... DATE: HAVE YOU A RETURN TICKET: ARRIVAL DATE: LENGTH OF STAY:.. I DECLARE THAT I HAVE ANSWERED ALL QUESTIONS IN THIS APPLICATION FULLY AND TRUTHFULLY. PLACE AND DATE: SIGNATURE OF APPLICANT 1 PLEASE COMPLETE THIS FORM THOROUGHLY IN BLOCK CAPITALS

3 Consulado General de la República Argentina (Photo) SOLICITUD DE VISA DEMANDE DE VISA VISA REQUEST APELLIDO NOM FAMILLE SURNAME... NOMBRES PRÉNOM NAMES... NACIONALIDAD NATIONALITÉ NATIONALITY... PAIS Y FECHA DE NACIMIENTO PAYS ET DATE DE NAISSANCE COUNTRY AND DATE OF BIRTH... ESTADO CIVIL ÉTAT CIVIL MARITAL STATUS... PROFESION PROFÉSSION OCCUPATION... INSTITUCION Y FECHA EN LA QUE OBTUVO SU DIPLOMA INSTITUTION ET DATE OU VOUS AVEZ OBTENU VOTRE DIPLÔME INSTITUTION AND DATE IN WHICH YOU RECEIVED YOUR DIPLOMA.. LUGAR DONDE TRABAJA LIEU DE TRAVAIL PLACE OF WORK.... LUGAR DE RESIDENCIA HABITUAL LIEU DE RESIDENCE PERMANENTE PERMANENT ADDRESS... TIPO Y NUMERO DOCUMENTO DE VIAJE (PASAPORTE) TYPE ET NUMERO DE DOCUMENT DE VOYAGE (PASSEPORT) TYPE AND NUMBER OF TRAVEL DOCUMENT (PASSPORT)...

4 LUGAR DE EXPEDICION BUREAU DE DÉLIVRANCE ISSUING OFFICE... FECHA DE EXPEDICION VENCIMIENTO DATE DE DÉLIVRANCE.& DATE D EXPIRATION DATE OF ISSUE DATE OF EXPIRY CLASE DE VISA SOLICITADA TYPE DE VISA DEMANDÉ TYPE OF VISA REQUESTED... MOTIVO DEL VIAJE RAISON DU VOYAGE REASON OF THE TRIP... REFERENCIAS EN LA REPUBLICA (Nombre y apellido, dirección y teléfono) RÉFÉRENCES EN ARGENTINE (Nom, adresse et téléphone) REFERENCES IN ARGENTINA (Name, address and telephone) REFERENCIAS EN EL PAIS DE RESIDENCIA(Nombre y apellido, dirección y teléfono) RÉFÉRENCES DANS LE PAYS DE RESIDENCE (Nom, adresse et téléphone) REFERENCE IN THE COUNTRY OF RESIDENCE (Name, address and telephone) SOLICITÓ VISA ANTERIORMENTE? AVEZ VOUS DEJÀ DEMANDÉ UN VISA? HAVE YOU PREVIOUSLY REQUESTED A VISA?... RESIDIÓ EN ARGENTINA? AVEZ VOUS DEJA HABITÉ EN ARGENTINE HAVE YOU EVER LIVED IN ARGENTINA?... FECHA EN QUE VIAJARIA DATE D ARRIVÉE DATE OF ARRIVAL... TIEMPO DE PERMANENCIA ESTIMADO EN LA REPUBLICA DURÉE DU SÉJOUR EN ARGENTINE INTENDED LENGTH OF STAY IN ARGENTINA...

5 CUENTA CON PASAJE DE REGRESO CON FECHA CIERTA? AVEZ VOUS UN BILLET ALLER-RETOUR DO YOU HAVE A ROUND-TRIP TICKET... -POR FAVOR, COMPLETAR EL FORMULARIO CON TODOS LOS DATOS. -S IL VOUS PLAÎT, COMPLETEZ TOUS LES POINTS DU FORMULAIRE. -PLEASE COMPLETE THIS FORM IN FULL. LUGAR Y FECHA, LIEU ET DATE, PLACE AND DATE, FIRMA DEL INTERESADO (ACLARACION) SIGNATURE DU REQUERANT (LETTRES MOULÉES) APPLICANT S SIGNATURE & PRINTED NAME (Signature) (Printed Name) OPINION CONSULAR :

6 VISA SERVICES CANADA VISA APPLICATION FEES FOR ARGENTINA *** Visa fees and times are subject to change by embassies without notice *** BUSINESS VISA Single Entry Business Visa, valid for a stay up to ninety (90) days $54 Multiple Entry Business Visa, valid for a stay up to ninety (90) days Please contact us for fees SERVICE CHARGE (per person per visa) $99. SPECIFIC VISA REQUIREMENTS FOR ARGENTINA BUSINESS VISA For business stays up to 90 days; and for Artistic, Technical, Professional, and Conference visits up to 15 days. - passport, valid for 6 months at least, - one (1) fully completed and signed visa application form, - two (2) recent passport-style photographs, - return or onward air ticket or flight itinerary from travel agent, - a Corporate/organization letter addressed to the Embassy of Argentina requesting the visa. This letter must be signed by a responsible party, other than the applicant and written or translated into Spanish. This letter needs: 1) confirmation that the company/organization assumes financial responsibility for the applicant. 2) name, nationality and passport number of the applicant. 3) position/title of the applicant within the company. 4) brief description of activity to be undertaken in Argentina. The letters must be notarized by a lawyer, and then certified by DFAIT. - invitation to a conference in Argentina (if applicable), - a photocopy of all documents submitted. IF YOU ARE NOT CANADIAN, PLEASE CONTACT US FOR FULL REQUIREMENTS. TOURIST VISA Canadian citizens who are tourists MUST pay the Argentine Reciprocity Fee on-line prior to travel.

7 VISA SERVICES CANADA Suite Slater St. Ottawa, ON, K1P 5H9, CANADA I,, authorize Visa Services Canada to act on my behalf in acquiring a visa for my passport. Visa Services Canada is authorized to drop-off and pick-up my passport and any other personal documents from the embassy, high commission, consulate, diplomatic mission of the country of while aiding me in acquiring a visa. Visa Services Canada is also authorized to receive information about my application from the visa office while acting on my behalf. Signed on this day of the month of in the year, in the city of in the province of, in Canada. Signature Witness OFFICE COPY VISA SERVICES CANADA Suite Slater St. Ottawa, ON, K1P 5H9, CANADA info@visaservicescanada.ca toll-free I,, authorize Visa Services Canada to act on my behalf in acquiring a visa for my passport. Visa Services Canada is authorized to drop-off and pick-up my passport and any other personal documents from the embassy, high commission, consulate, diplomatic mission of the country of while aiding me in acquiring a visa. Visa Services Canada is also authorized to receive information about my application from the visa office while acting on my behalf. Signed on this day of the month of in the year, in the city of in the province of, in Canada. Signature Witness EMBASSY COPY

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