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VISA APPLICATION - vietnam-consulate.org.au

CONSULATE GENERAL OF VIET NAMPERTH AUSTRALIAL evel 8, 16 St Georges Terrace WA 6000 PO Box 3122, East Perth, WA 6892 (08) 9325 3642 - 9221 1158 visa APPLICATION 1. Full name (in CAPITALS): .. Family name Middle name First name 2. Date of birth ../../.. DD MM YYYY 3. Sex Male Female 4. Nationality: .. 5. Passport number: .. Date of expiry: ../../.. 6. Occupation: .. 7. Current contact (required): Address (NOT PO Box, please).

CONSULATE GENERALOFVIETNAM PERTH–AUSTRALIA Level 8, 16 St Georges Terrace WA 6000 PO Box 3122, East Perth, WA 6892 (08) 9325 3642 - 9221 1158 vietnam-consulate.org.au VISA APPLICATION

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