GOVERNMENT OF THE UNION OF MYANMAR 
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 Myanmar..................................................................
12.     Purpose of entry into Myanmar....................................................... 

13.     Attention for Tourists 
(a)     Applicant shall abide by the Laws of the Union of Myanmar and shall not interfere in 
        the internal affairs of the Union of Myanmar. 
(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 Myanmar. 
(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 

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                                        (FOR OFFICE USE ONLY) 

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

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


Place.................................... Embassy of the Union of Myanmar