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ENTRY VISA REQUEST FORM
APPLICATION PROCEDURES Kindly fill in your full Passport particulars as per the below form and Fax us a copy of your passport showing clearly your photograph to our Singapore Office for the Entry Visa Processing. Fax : (65) 6887 5489 for the visa processing. For Entry Visa Processing Please Fill In One Application Form Per Passenger. Destination : ________________________ Arrival Date : ________________________Flight No : ________________ Arrival Time : ________________________ Departure Date : _____________________Flight No : ________________ Departure Time : _____________________ PASSPORT DETAILS : Family Name : _________________________________________________________________ Given Name : __________________________________________________________________ Nationality : ___________________________________________ Passport Numbers : ____________________________________ Place of Issue : ________________________________________ Date of Issue : _________________________________________ Date of Expiry : ________________________________________ Date of Birth : __________________________________________ Place of Birth : _________________________________________ PERSONAL DETAILS : Marital Status : Single / Married Gender : Male / Female Occupation / Profession : ________________________________ Contact Informations Email : ________________________________________________ Tel : __________________________________________________ Fax : __________________________________________________ Home / Office Address : _____________________________________________________________ Purpose of Visit : Vacation / Business / Others Please specify : _____________________________ PAYMENT MODE : This is to authorize AT Reservation Network Pte Ltd - Singapore to DEBIT the below amount being payment of Handling Fee for the processing fees of Entry Visa through below credit card. (Note: Cardholder name must be one of the traveling parties) Credit Card Numbers : ______________________________________________ Credit Cardholder Name : ____________________________________________ Expiry Date of Card : ________________________________________________ ���������������� Signature of Card holder IMPORTANT NOTES : @ 5 Working days is required to process any visa application (Subject to each country processing time) @ Normal Tourist Visa � Validity for One Year. @ Subject to Visa processing fee For further information , please contact us at our office Tel : (65) 6887 4347 or Fax (65) 6887 5489 or via E-mail at zurita@asiatravel.com as its our pleasure serving you. Happy Holidays ! |