NO VISA REQUIRED FOR ENTRY INTO BANGLADESH : FORM–D

1 EMBASSY OF THE PEOPLE S REPUBLIC OF BANGLADESH 3510, International Drive, NW Washington, DC 20008 Tel: (202) 244-0183, Ext: 111 Fax: (202) 244-7248/2771 NO VISA REQUIRED FOR ENTRY into BANGLADESH : FORM D 1. Name: _____ (IN BLOCK LETTERS) 2. Present Address: _____ _____ _____ Telephone:_____ (Work)_____ (Home) 3. Place of Birth: _____ Date of birth: M/D/Y_____ 4. Nationality at Birth:_____ Present Nationality: _____ 5. US Passport No: _____ Place of Issue: _____ Valid Until: _____ 6. Occupation: _____ 7. Name, Address & Tel. No. of contact person in: USA: _____ _____ BANGLADESH : _____ _____ 8. Whether visa/extension of stay in BANGLADESH ever refused?

2 Yes No If yes please explain:_____ _____ Signature: Date: Please Note: 1. Any misrepresentation of facts may lead to cancellation of visa at any time. 2. Please see page 2 and 3 for instructions. Page-1 Staple one copy of Recent Passport size Photograph here NO VISA REQUIRED (NVR) ENDORSEMENT INSTRUCTIONS General information BANGLADESH origin foreign citizens (except SAARC countries) are eligible for endorsement of No Visa REQUIRED to Travel to BANGLADESH in their foreign passports. Their (foreign born) wives and children are also eligible for this endorsement, which allows the holder multiple entries into BANGLADESH with unlimited duration of stay within the validity of the passport.

3 Citizens other then the USA must submit the proof of residence in USA (Resident permit/work permit/Visa etc.) Requirements for No Visa REQUIRED (NVR) Endorsement: Fees for NVR (New issue or transfer) US $50 (Fifty US dollars) fee in the form of Money Order or Cashier Check Payable to Embassy of BANGLADESH . Cash or personal check is not accepted. For Bangladeshi American: 1. 1 (one) copy of duly filled in application form (Form D). 2. 1 (one) recent Passport size Color Photo 3. US Passport (valid at least for six months) 4. Copy of valid or expired BANGLADESH Passport (Pages 1 7), or Dual Citizenship Certificate.

4 5. Copy of court order in case of name change. For foreign wife / Husband of Bangladeshi or Bangladeshi American: 1. 1 (one) copy of duly filled in application form (Form D). 2. 1 (one) recent Passport size Color Photo 3. US Passport (valid at least for six months) 4. Copy of husband's/wife s valid or expired BANGLADESH Passport (Pages 1 7), or his Dual Citizenship Certificate. 5. Copy of court order in case of name change. 6. Notarized copy of marriage certificate. 7. Notarized affidavit/declaration by wife/husband stating that their marriage is not broken. For children of Bangladeshi / Bangladeshi American (not born in BANGLADESH ): 1.

5 1 (one) copy of duly filled in application form (Form D). 2. 1 (one) recent Passport size Color Photo 3. US Passport (valid for at least six months) 4. Copy of Birth certificates showing parents name. 5. Copy of BANGLADESH passport of father or mother (first seven pages). Page -2 For transfer of NVR (From Old Passport to New Passport): 1. 1 (one) copy of duly filled in application form (Form D). 2. 1 (one) recent Passport size Color Photo 3. New US Passport 4. Original old US passport along with photocopy of its first page and the page containing expired NVR seal. 5. Copy of court order in case of name change.

6 Mailing service: Self-addressed prepaid envelope for return mail service preferably USPS Certified / Express Mail Flat Rate (from US Post Office) / UPS or FedEx Prepaid label. Processing time: Application is received at the counter between 10:00 1:00 , Monday to Friday, except holidays. Delivery time is from 3:30 5:00 the next working day. The NVR Endorsement is valid until the validity of the passport on which it is endorsed. Note: 1) Please fulfill all requirements to avoid any delay in processing. 2) Any document such as Birth Certificates / Marriage Certificate / Academic Certificates etc issued from BANGLADESH has to be attested first by the Ministry of Foreign Affairs (Consular Section), Dhaka.

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