Transcription of See notes Ờ KHAI ĐỀ NGHỊ CẤP THỊ THỰC VIỆT NAM (1 ...
1 M u (Form) NA1. Ban h nh k m theo th ng t s 04 /2015/TT-BCA. nh - photo ng y 05 th ng 01 n m 2015. 4x6 cm See(1). notes See(2). notes T KHAI NGH C P TH TH C VI T NAM (1). VIETNAMESE VISA APPLICATION FORM. (D ng cho ng i n c ngo i For foreigners). 1- H t n (ch in hoa):.. Full name (in capital letters). 2- Gi i t nh: Nam N 3- Sinh ng Sex Male Female Date of birth (Day, Month, Year). 4- N i sinh:.. Place of birth 5- Qu c t ch g c: ..6- Qu c t ch hi n nay:.. Nationality at birth Current nationality 7- T n gi o: ..8- Ngh nghi p: .. Religion Occupation 9- N i l m vi c: .. Employer and business address 10- a ch th ng tr.
2 Permanent residential address ..S i n tho i/Email:.. Telephone/Email 11- Th n nh n Family members: Quan h (3) H t n (ch in hoa) Gi i Ng y th ng n m Qu c t ch a ch th ng tr . Relationship Full name t nh sinh Nationality Permanent residential (in capital letters) Sex Date of birth address (Day, Month, Year). 12- H chi u/gi y t c gi tr i l i qu c t s : ..lo i (4): .. Passport or International Travel Document number Type C quan c p: .. c gi tr n ng y:../../.. Issuing authority: Expiry date (Day, Month, Year). 13- Ng y nh p c nh Vi t Nam g n nh t (n u c ): .. Date of the previous entry into Viet Nam (if any).
3 14- D ki n nh p c nh Vi t Nam ng y ../../..; t m tr Vi t Nam ..ng y Intended date of entry (Day, Month, Year) Intended length of stay in Viet Nam days 15- M c ch nh p c nh: .. Purpose of entry 16- D ki n a ch t m tr Vi t Nam: .. Intended temporary residential address in Viet Nam 17- C quan, t ch c ho c c nh n t i Vi t Nam m i, b o l nh Hosting organisation/individual in Viet Nam C quan, t ch c: .. Name of hosting organisation a ch : .. Address C nh n (h t n) .. Hosting individual (full name). a ch .. Address Quan h v i b n th n .. Relationship to the applicant 18- Tr em d i 14 tu i i c ng h chi u (n u c ): nh - photo nh - photo Accompanying child(ren) under 14 years old included 4x6 cm 4x6 cm in your passport (if any) (under 14 years (under 14 years old) old).
4 See notes See notes (2) (2). S TT H t n (ch in hoa) Gi i t nh Ng y th ng n m sinh No Full name (Sex) Date of birth (in capital letters). 19- ngh c p th th c: m t l n nhi u l n Applying for a visa Single Multiple t ng y: ../ ../.. n ng y ../ ../.. valid from (Day, Month, Year) to (Day, Month, Year). 20- ngh kh c li n quan vi c c p th th c (n u c ):.. Other requests (if any).. T i xin cam oan nh ng n i dung tr n l ng s th t. I declare to the best of my knowledge that all the above particulars are correct L m t i: .. ng y ..th ng ..n m .. Done at date (Day, Month, Year).
5 Ng i ngh (k , ghi r h t n). The applicant's signature and full name Ghi ch / notes : G i h ng d n ghi t i li u: (1) M i ng i khai 01 b n k m h chi u ho c gi y t c gi tr i l i qu c t , n p tr c ti p t i c quan i di n Vi t Nam n c ngo i ho c n v ki m so t xu t nh p c nh t i c a kh u qu c t n i nh n th th c. Submit in person one completed application form enclosed with passport or International Travel Document at the Vietnamese Diplomatic Mission abroad or at the international border checkpoint immigration office where the visa is issued. (2) K m 02 nh m i ch p, c 4x6cm, ph ng n n tr ng, m t nh n th ng, u tr n, kh ng eo k nh m u (01 nh d n v o t khai, 01 nh r i).
6 Enclose 2 recently taken photos in 4x6 cm size, with white background, front view, bare head, without sunglasses (one on the form and the other separate). (3) Ghi r b , m , v , ch ng, con, anh, ch , em ru t (n u c ). State clearly the information about parents, spouse, children and siblings (if any). (4) Ghi r lo i h chi u ph th ng, c ng v , ngo i giao ho c gi y t c gi tr i l i qu c t . Specify type of passport whether it is Ordinary, Official or Diplomatic or specify name of the International Travel Document.
