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Yemen Visa Form

This document appears to be an application form for an entry visa to Yemen. It requests applicant information like name, nationality, passport details, contact information, purpose and duration of visit. It states the applicant must declare the information provided is accurate and they will obey Yemen's laws and regulations. Required attachments for processing include a valid passport, photos, copy of return ticket or itinerary, and health certificate.

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Kss selva
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401 views1 page

Yemen Visa Form

This document appears to be an application form for an entry visa to Yemen. It requests applicant information like name, nationality, passport details, contact information, purpose and duration of visit. It states the applicant must declare the information provided is accurate and they will obey Yemen's laws and regulations. Required attachments for processing include a valid passport, photos, copy of return ticket or itinerary, and health certificate.

Uploaded by

Kss selva
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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‫ﺳﻔﺎرة اﻟﺠﻤﻬﻮریﺔ اﻟﻴﻤﻨﻴﺔ )واﺷﻨﻄﻦ(‬

‫(‬ ‫اﻟﻘﻨﺼﻞ اﻟﻘﻨﺼﻠﻲ )‬


‫‪ATTACH‬‬ ‫‪Embassy of Yemen Republic‬‬
‫‪PHOTOS‬‬ ‫‪Washington D.C.‬‬
‫‪HERE‬‬ ‫‪Consular Section‬‬
‫(‬ ‫)‬
‫إﺳﺘﻤﺎرة ﻃﻠﺐ ﺗﺄﺷﻴﺮة دﺧﻮل‬
‫‪APPLICATION FORM FOR ENTRY VISA‬‬

‫‪APPLICANT INFORMATION:‬‬
‫‪):‬اﻻﺳﻢ اﻟﻜﺎﻣﻞ واﻟﻠﻘﺐ( ‪1- Full name & Surname‬‬
‫‪):‬اﻟﺠﻨﺴﻴﺔ( ‪2- Nationality‬‬ ‫‪):‬اﻟﺠﻨﺲ( ‪3- Sex‬‬
‫‪):‬ﻣﻜﺎن وﺗﺎریﺦ اﻟﻤﻴﻼد( ‪4- Place & Date of Birth‬‬
‫‪):‬اﻟﺤﺎﻟﺔ اﻻﺝﺘﻤﺎﻋﻴﺔ( ‪5- Marital Status‬‬ ‫‪):‬اﻟﻤﻬﻨﺔ( ‪6- Profession‬‬
‫‪):‬رﻗﻢ ﺝﻮاز اﻟﺴﻔﺮ( ‪7- Passport No‬‬ ‫‪):‬اﻟﻨﻮع( ‪8- Type‬‬
‫‪):‬ﻣﻜﺎن وﺗﺎریﺦ ﺻﺪورﻩ( ‪9- Place & Date of Issue‬‬ ‫‪) :‬ﺗﺎریﺦ اﻥﺘﻬﺎء ﺻﻼﺡﻴﺘﻪ( ‪10- Expires on‬‬
‫‪):‬أﻓﺮاد اﻷﺳﺮة اﻟﻤﺪرﺝﺔ أﺳﻤﺎﺋﻬﻢ ﺑﺎﻟﺠﻮاز( ‪11- Other names Shown in Passport‬‬
‫‪):‬اﻟﻌﻨﻮان اﻟﺪاﺋﻢ( ‪12- Permanent Address‬‬
‫‪ ):‬رﻗﻢ اﻟﻬﺎﺗﻒ ( ‪13- Phone Number‬‬
‫‪):‬اﻟﻐﺮض ﻣﻦ اﻟﺴﻔﺮ( ‪14- Purpose of visit‬‬
‫‪):‬ﻣﺪة اﻟﺘﺄﺷﻴﺮة اﻟﻤﻄﻠﻮﺑﺔ( ‪15- Duration of visa requested‬‬ ‫‪) :‬ﻋﺪد اﻟﺴﻔﺮات اﻟﻤﻄﻠﻮﺑﺔ( ‪16- No. of entries requested‬‬
‫‪):‬ﻣﺪة اﻹﻗﺎﻣﺔ ﻓﻲ اﻟﻴﻤﻦ( ‪17- Period of stay in Yemen‬‬
‫‪):‬اﻟﻌﻨﻮان ﻓﻲ اﻟﻴﻤﻦ( ‪18- Address in Yemen‬‬
‫‪):‬اﻟﻤﺮﺝﻊ ﻓﻲ اﻟﻴﻤﻦ( ‪19- Reference in Yemen‬‬

‫‪I hereby declare that the above information is‬‬ ‫أﻗ ﺮ ﺑ ﺼﺤﺔ اﻟﺒﻴﺎﻥ ﺎت اﻟﻤﺪوﻥ ﺔ أﻋ ﻼﻩ وأﺗﻌﻬ ﺪ‬
‫‪accurate, and that I will fulfill and obey the laws and‬‬
‫‪regulations of the Republic of Yemen.‬‬
‫ﺑﺈﺡﺘﺮام ﻗﻮاﻥﻴﻦ وأﻥﻈﻤﺔ اﻟﺠﻤﻬﻮریﺔ اﻟﻴﻤﻨﻴﺔ‬

‫)اﻟﺘﻮﻗﻴﻊ( ‪Signature‬‬ ‫)اﻟﺘﺎریﺦ( ‪Date‬‬


‫‪OFFICIAL USE ONLY‬‬
‫ﻣﻨﺤﺖ ﻟﻠﻄﺎﻟﺐ ﺗﺄﺷﻴﺮة ﻣﺮور ‪ :‬دﺑﻠﻮﻣﺎﺳﻴﺔ ‪ /‬ﺧﺎﺻﺔ ‪ /‬ﻟﻤﻬﻤﺔ ‪ /‬ﻟﻠﺰیﺎرة ‪ /‬ﻟﻠﺴﻴﺎﺡﺔ ‪ /‬ﻟﻠﺘﺠﺎرة ‪ /‬ﻟﻠﻌﻤﻞ ‪ /‬ﻟﻠﺪراﺳﺔ ‪ /‬ﻟﻠﻤﺮاﻓﻘﺔ‬
‫ﺻﺎﻟﺢ ﻟﻐﺎیﺔ ‪:‬‬ ‫ﺑﺘﺎریﺦ ‪:‬‬ ‫ﺑﺮﻗﻢ‪:‬‬
‫وﻣﺪة اﻟﺒﻘﺎء ﻓﻲ اﻟﻴﻤﻦ ‪:‬‬ ‫ﻟﻐﺮض ‪:‬‬
‫أو ﻣﺠﺎﻥﺎ ‪:‬‬ ‫رﻗﻢ ﺳﻨﺪ اﻟﺘﺤﺼﻴﻞ ‪:‬‬ ‫واﻟﺮﺳﻢ اﻟﻤﺤﺼﻞ ﻗﺪرﻩ ‪:‬‬
‫أﺳﺎس ﺻﺮف اﻟﺘﺄﺷﻴﺮة ‪:‬‬

‫ﺧﺘﻢ اﻟﻘﻨﺼﻠﻴﺔ‬ ‫إﺳﻢ وﺗﻮﻗﻴﻊ اﻟﻘﻨﺼﻞ اﻟﻌﺎم‬ ‫ﺗﻮﻗﻴﻊ اﻟﻤﻮﻇﻒ اﻟﻤﺨﺘﺺ‬

‫‪THE FOLLOWING ATTACHEMENTS MUST BE SUBMITTED WITH THIS FORM FOR PROCESSING‬‬
‫)ﻣﺮﻓﻘﺎت یﺠﺐ ﺗﻘﺪیﻤﻬﺎ ﻣﻊ اﻻﺳﺘﻤﺎرة(‬
‫‪VALID PASSPORT‬‬ ‫ﺟﻮاز اﻟﺴﻔﺮ ﺳﺎري اﻟﻤﻔﻌﻮل‬
‫‪TWO (2) PASSPORT PHOTOS‬‬ ‫ﺻﻮرﺗﻴﻦ ﺷﻤﺴﻴﺘﻴﻦ ﻡﻘﺎس ‪6x4‬‬
‫‪COPY OF RETURN TICKET or ITINERARY‬‬ ‫ﺗﺬآﺮة ﺳﻔﺮ ذهﺎب وإیﺎب‬
‫‪HEALTH CERTIFICATE or DOCTOR’S NOTE‬‬ ‫ﺷﻬﺎدة ﺻﺤﻴﺔ‬

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