ADVANCE MYANMAR VISA ON ARRIVAL FORM
 
Please full fill this form carefully to apply for visa on arrival, we need at least 30 days in advance to issue the visa, the details your filled must be corrected to your passport.
Gender :
Mr. Ms. Mrs.
Your Name :
 * as apear on passport
Family's Name :
 * as apear on passport
Date of Birth :
 Date: Month: Year:
Nationality :
Place of Birth (City) :
Occupation :
Permanent Address :
Address:
City:
State/Province:
Postal/Zip Code:
Contry:
   
PASSPORT
Passport Number :
Date of Issue :
 Date: Month: Year:
Date of Expiry :
 Date: Month: Year:
Father's name in Full :
Email Adress:
Date of Entry to Myanmar :
 Date: Month: Year:
Arrival Flight Number :
 Flight: Time:
Port of Entry :
 Yangon or Mandalay
Others Additioned :

The details your filled on this form will be forwards to the Myanmar Immigration to preapre your VISA ON ARRIVAL in Myanmar.
Please double check the details you filled before submit the form.

Please noted if any info are filled in-corrected, your visa on arrival might be trouble and not be approved. The form you filled is for advance prepare the visa, and you need to fill in another form again when you arrived in Vietnam, and please prepare
(1) A completed Application form (Apply when your arrived in Myanmar)
(2) A full clear page of original passport valid at least further 6 months

Required
After your submited the form you're required to scan your first page of your passport, and your colour photo and send us by email (Please click here for email address)

 
AZURE TRAVEL COMPANY LIMITED
15 Samsen Road Soi 6, Phranakhon, Bangkok 10200 THAILAND
Tel : (66 2) 628 6811 Fax: (66 2) 628 6812