ADVANCE VIETNAME VISA APPLICATION FORM
 
Please full fill this form carefully to apply for Vietnam visa on arrival, we need at least 3 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 :
 Month : Year :
Place of Birth (City) :
Place of Birth (Country) :
Nationality :
Passport Number :
 Expire Date : Month : Year :
Entry date to Vietnam :
 Date : Month : Year :
Arrival Flight Number :
 Arrival Time:
Point of Entry :
Email Adress:
Addition require:

The details your filled on this form will be forwards to the Vietnam Immigration to preapre VISA ON ARRIVAL in Vietnam.
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 Vietnam)
(2) Two copies of photo (size 4x6 or 3x4 cm)
(3) A full clear page of original passport valid at least further 6 months
 
AZURE TRAVEL COMPANY LIMITED
15 Samsen Road Soi 6, Phranakhon, Bangkok 10200 THAILAND
Tel : (66 2) 628 6811 Fax: (66 2) 628 6812