Consulate General of Vietnam Passport in San Francisco, USA 1700 California Street, Suite 580 San Francisco, CA 94109 Tel: (415) 922-1577 Fax: (415) 9...
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t.... T.....3. TỔNG LÃNH SỰ QUÁN VIỆT NAM TẠI SAN FRANCISCO 1700 California St., Suite 580, CA 94109 Tel: 415-922-1707 CỘNG HÒA XÃ HỘI CHỦ NGHĨA VI
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Consulate General of Vietnam in San Francisco, USA 1700 California Street, Suite 580 San Francisco, CA 94109 Tel: (415) 922-1577 Fax: (415) 922-1848 www.vietnamconsulate-sf.org
APPLICATION FOR ENTRY AND EXIT VISA
Passport photo
(FOR FOREIGNERS)
(2” x 2”)
1. Full name (in block letters) ............................................................................................................ (Family name) (First name) (Middle name) 2. Date of birth ........ /........ / ............. dd mm yy 3. Male/Female ......... 4. Place of birth………………………………..... 5. Nationality at birth………………………….... Nationality at present………………………… 6. Passport number……………………………..… issued by…………………………………….... Date of issue……….Date of expiry………….. 7. Profession…………………………………….... Place of employment…………………………..
9. Purpose of visit to Vietnam……………………….. 10. Name, address of your contact (office, organization or individual) in Vietnam (if any) ....................................................................................... ....................................................................................... .................................................................................... 11. Proposed date of entry into and exit from Vietnam from ........../ ........../ .........to ........... /........./......... dd mm yy dd mm yy 12. Number of entries: Single multi
Office telephone number……………………..... 8. Present address……………………………….. ……………………………………………..…. Home telephone number………………………..
I solemnly declare that the statements made in this application are true and correct. Date and place of application …………………………………. Signature
________________________________ Please submit the following documents: 1. 2. 3. 4.
One copy of application form with one passport photo Original passport Visa fee (Please call visa section for current fees) If apply by mail, pls. enclose a prepaid self-addressed return envelope and retain one copy of the application form for enquiry about visa status
