Visa Application Form
Online Visa Application
The print of this application will be sent to
Foreign Affairs Ministry. Incomplete forms can not be processed. All the
fields below must be filled out. Forms without feedback information can not be processed.
Personal Data
Name:
SurName:
Gender:
Male Female
Father's Name:
Date of Birth (dd/mm/yy):
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Place of Birth:
Nationality:
Please select Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua And
Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean
Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman
Islands Central African
Republic Chad Chile China Christmas Island Cocos
(Keeling) Islands Columbia Comoros Congo Cook Islands Costa
Rica Cote D'Ivoire (Ivory
Coast) Croatia (Hrvatska) Cuba Cyprus Czech Republic D.P.R.
Korea Dem Rep of Congo (Zaire) Denmark Djibouti Dominica Dominican
Republic East Timor Ecuador Egypt El Salvador Equatorial
Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French
Polynesia French Southern
Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and McDonald
Islands Honduras Hong
Kong SAR, PRC Hungary Iceland India Indonesia Iran Iraq Ireland Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Lao Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands
Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua new
Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Kitts And
Nevis Saint Lucia Saint Vincent And The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra
Leone Singapore Slovak
Republic Slovenia Solomon Islands Somalia South Africa South Georgia And The South Sandwich
Islands Spain Sri
Lanka St Helena St
Pierre and Miquelon Sudan Suriname Svalbard And Jan
Mayen Islands Swaziland Sweden Switzerland Syria Taiwan Region Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Turks And Caicos
Islands Tuvalu Uganda Ukraine United Arab Emirates United
Kingdom United States Minor Outlying
Islands Uruguay Uzbekistan Vanuatu Vatican City State (Holy See) Venezuela Vietnam Virgin Islands (British) Virgin Islands (US) Wallis
And Futuna Islands Western
Sahara Yemen Yugoslavia Zambia Zimbabwe
Occupation:
E-mail:
Full Address:
Tel:
Fax:
Where would you like to pick up
your visa?
Australia-ACT
Austria-Vienna
Azarbaijan-Baku
Bahrain-Manama
Canada-Ontario
China-Beijing
Denmark-Copenhagen
France-Paris
Germany-Bonn
Germany-Frankfurt
Germany-Hamburg
Germany-Munich
Greece-Athens
India-New Delhi
India-Mumbai
(Bambay)
India-Hyderabad
Iraq-Baghdad
Ireland-Dublin
Italy-Rome
Italy-Milan
Japan-Tokyo
Jordan-Amman
Kuwait-Kuwait
Lebanon-Beirut
Netherlands-The
Hagur
New
Zealand-Wellington
Pakistan-Islamabad
Pakistan-Karachi
Pakistan-Lahore
Pakistan-Peshawar
Pakistan-Quwtta
Qatar-Diplomatic
Area
Russia-Moscow
Saudi Arabia-Riyadh
Spain-Madrid
Sweden-Stockholm
Switzerland-Berne
Switzerland-Geneva
Syria-Damascus
Thailand-Bangkokt
Turkey-Ankara
Turkey-Istanbul
United
Arab Emirates (UAE)-Abu Dhabi
United
Arab Emirates (UAE)-Dubai
United
Kingdom-London
United
States of America-Washington
Yemen-San’a
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Flight No.:
Exit Date (dd/mm/yy):
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Airline
Name:
Duration of request Visa:
List the places you wish to visit:
Passport Information
Passport No.:
Date of Issue (dd/mm/yy):
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Expiration Date (dd/mm/yy):
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FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
/
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2010
2011
2012
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2014
2015
2016
2017
Place of Issue:
Have you ever been
to Iran:
Yes No
Image of Passport First page:
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