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Visa Application Form

The document is a visa application form for Nindya Ayu Cloudya Putri, an Indonesian student born on September 7, 2001. She is applying for a single-entry student visa to Turkey for educational purposes, with a planned stay from October 25 to October 30, 2024. The application includes personal, passport, and contact information, along with a declaration of understanding the visa regulations.

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88 views2 pages

Visa Application Form

The document is a visa application form for Nindya Ayu Cloudya Putri, an Indonesian student born on September 7, 2001. She is applying for a single-entry student visa to Turkey for educational purposes, with a planned stay from October 25 to October 30, 2024. The application includes personal, passport, and contact information, along with a declaration of understanding the visa regulations.

Uploaded by

pesaydef
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

T.C.

Dışişleri Bakanlığı
Republic of Turkey, Ministry of Foreign Affairs Visa Application Form

Personal information

Name : Nindya Ayu Cloudya Date of birth : 7.9.2001


Surname : Putri Marital status : Single

Gender : Female Present occupation : Student/Trainee

Current citizenship : Indonesia Mother’s full name : Yohana Tumini

Town/City of birth : Bekasi Father’s full name : Refli

Country of birth : Indonesia Reference Number : 7114948524907

Passport information
Type of travel document : Ordinary Passport Issue date : 20.7.2023

Passport number : E4409400 Expiry date : 18.7.2028

Issuing authority : Government Of Indonesia Place of issue : Indonesia

Contact information
Personal Address: Professional Address:

Griya Asri II Block H 25 num.12 011/024 street Merpati IV, South Griya Asri II Block H 25 num.12A 011/024 street Merpati IV,
Tambun, West Java, Bekasi, Indonesia. South Tambun, West Java, Bekasi, Indones

City:Bekasi Country: Indonesia City:Bekasi Country: Indonesia

Telephone number : 085163225854 Telephone number : 085163225854

E-mail address : [email protected] E-mail address : [email protected]

About your travel


Type of visa : Student/Education Visa Number of entries requested: Single Entry

Purpose of travel :Education Purpose Duration of stay : 90 days

Date of entry : 25.10.2024


Means of transport : Air
Date of departure : 30.10.2024
Who is covering the costs of your travel to Turkey? Myself

Name: Email:
Name of host person or host
company:
Address: Telephone:
Do you have any travel and/or health insurance for your travel to Turkey? Yes Valid until: 5.11.2024
I certify that I have read and understood all the questions set forth in this application form and the answers I have furnished on this form are true and correct to the best of
my knowledge and belief. I understand that possession of a visa does not automatically entitle me to enter the Republic of Turkey upon arrival at a port of entry.
If I fail to comply with the relevant provisions of the Turkish Passport Law No: 5682 and Law on Foreigners and International Protection No:6458, my entry will be refused and in
case of refusal, I will not claim any compensation.

Place and date Signature


13.8.2024 NINDYA AYU CLOUDYA PUTRI

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