GOVERNMENT OF THE UNION OF Asean
MINISTRY OF IMMIGRATION AND POPULATION
DIRECTORATE OF IMMIGRATION AND NATIONAL REGISTRATION
IMMIGRATION DEPARTMENT
APPLICATION FOR ENTRY TOURIST VISA

(To be handed over to the immigration officer at the port)

1. Name in full (in block letters)........................................................................................................................................
2. Father's Name in full....................................................................................................................................................
3. Nationality..................................................................................................................................................................
4. Sex...........................................................................................................................................................................
5. Date of birth...............................................................................................................................................................
6. Place of birth..............................................................................................................................................................
7. Occupation................................................................................................................................................................

8. Personal description

(a) Colour of hair.............................................................................................................................................................
(b) Height.......................................................................................................................................................................
(c) Colour of eyes...........................................................................................................................................................
(d) Complexion...............................................................................................................................................................

9. Passport

(a) Number.....................................................................................................................................................................
(b) Date of issue.............................................................................................................................................................
(c) Place of issue............................................................................................................................................................
(d) Issuing authority........................................................................................................................................................
(e) Date of expiry............................................................................................................................................................

10. Permanent address..................................................................................................................................................

11. Address in Asean................................................................................................................................................

12. Purpose of entry into Asean.................................................................................................................................

13. Attention for Tourists

(a) Applicant shall abide by the Laws of the Union of Asean and shall not interfere in the internal affairs of the Union of Asean.

(b) Legal action will be taken against those who violate or contravene any provision of the existing laws, rules and regulations of the Union of Asean.

(c) The validity of the Entry Visa is 3 Months. Application for Entry Visa must be made on expiration of the Entry Visa.

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................................... Signature of applicant


(FOR OFFICE USE ONLY)

Visa No.......................................................................................... Date...................................................

Visa Authority............................................................................................................................................

Date...................................... Signature of officer in-charge

Place.................................... Embassy of the Union of Asean