APPLICATION for ENTRY VISA TOURIST PHOTO E V TF I T Form

DIRECTORATE OF IMMIGRATION AND NATIONAL REGISTRATION IMMIGRATION DEPARTMENT APPLICATION FOR ENTRY VISA TOURIST To be handed over to the Immigration Officer at the Port Official use only E*V. T F*I. T E*V. T Package Tour Name in Full Fill in Block Letters Surname As in Passport First Name Middle Name Date of Birth dd/mm/yyyy / / Place of Birth City / State / Country / / Nationality Present Occupation U*S* / Others 4. Sex F / M If retired write retired if student write student Marital Status Married Single Never Married Widowed Divorced Separated Father s Full Name Spouse s Full Name Personal Description a Color of Hair b Height m cm / ft. In* PHOTO Recently taken 2 X 2 or 50 mm X 50 mm color photo with full face front view no hat and against a plain light background c Color of Eyes d Complexion Passport 10. A Number b Date of Issue dd/mm/yyyy / / c Dt. of expiration dd/mm/yyyy / / d Place of issue e Issuing Authority United States United States Department of State / National Passport Centre / Other 11. Present Address in U*S* Include apartment number street city state or province postal zone 12. Contact Phn* No* Res* Work e-mail 13. Address in Myanmar 14. Have you ever been to Myanmar Yes No If Yes Date of Last Visit dd/mm/yyyy / / No* If Yes When dd/mm/yyyy / / Why 16. Purpose of Visit Tourism / Expected date of Arrival / / Flight No* Departure / / Flight No* 17. Attention for Tourists a Apart from the professions mentioned in this visa application form applicants are not to engage in any sort of work with or without charges. B Applicant shall abide by the Laws of the Union of Myanmar and shall not interfere in the Internal Affairs of the Union of Myanmar. C Legal action will be taken against those who violate or contravene any provision of the existing laws rules and regulations of the Union of Myanmar. I hereby declare that I fully understand the above mentioned conditions that the particulars given above are true and correct and that I will not engage in any activities irrelevant to the purpose of entry stated herein* ------------------------Date dd/mm/yyyy / / Signature of Applicant FOR OFFICE USE ONLY Visa No* Date Visa Authority MOFA Lt. No* 46 11 11 76 Dated 11 March 1994 If other MOFA Lt. No* Dated Signature of Officer in-Charge Embassy of the Union of Myanmar Washington D*C* - Phn* 202 332 3344 4350 4352 Fax 202 332 4351 http //www. Mewashingtondc*com - e-mail mewdcusa gmail*com GOVERNMENT OF THE UNION OF MYANMAR REPORT OF ARRIVAL This is to be delivered to the immigration authorities upon arrival in Myanmar. Citizen If other Passport No* If others - Flight No* Address in Myanmar Name and Address of Guarantor in Myanmar Signature of Passport Holder OFFICIAL USE ONLY Washington D*C* Immigration Officer Work History for Visa Applicant 2. Date of birth dd/mm/yyyy / / 3. Place of birth U*S* 4. Permanent Home Address 5. Tel* Res* e-mail 6. Work Description Current a Job Title From dd/mm/yyyy //-To dd/mm/yyyy / / b Office Section Division Describe your Duties Office activities irrelevant to the purpose of my entry.