Transcription of The United Republic of Tanzania
1 Visa application form Type of visa requested : Travel visa Business Visa Transit visa Surname :_____ First name(s) :_____ Maiden name :_____ Sex : Male. Female. Flight number_____ Date of birth : _____ Purpose of visit Requested duration of stay: _____ Days (Max. 90) Requested number of entries: Single. Multiple* (* not for transit visa) Passport Number : _____ Type of passport : Ordinary Diplomatic Service Other Travel Document (Please specify)_____ Issue date : _____ Valid until:_____ Place of Issue :_____ Place of birth : _____ Country of birth : _____ Present Nationality :_____ Nationality at birth: _____ Marital status :_____ Contact address :_____ Telephone No :_____ E-mail address :_____ Current occupation :_____ Employers address :_____ Arrival date(s) in Tanzania :_____ Departure date(s) :_____ Your physical address while in Tanzania : _____ (Name of hotel(s), tour operator(s), person(s) or organization(s) visited) Budget available for your stay: _____ NB.
2 Children below 18 years of age should obtain parental permission. In case of transit: Do you have an entry permit for the final country of destination? No Yes, valid until: I hereby declare that the information stated above is true and correct: Note: The cost for Business Visa is 250 granted for 90 days (single entry only) Date: _____ Place: _____ Signature: _____ Leisure, Holiday Business Visit Various Visiting friends, relatives Study Diplomatic Mission Transit Official Meeting, Conference Health Treatment Same day visitor Counterfoil (For official use only) The United Republic of Tanzania
