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Arab Republic of Egypt Republique Arabe d'Egypte لوخد ةريشأت ىلع لوصحلا بلط Entry Visa Application Form Demande De Visa D'Entrée

This document appears to be an application form for an entry visa to Egypt. It requests information such as the applicant's name, date of birth, passport details, contact information, purpose and duration of visit, and addresses in Egypt. It also asks for details of any family members or children traveling with the applicant and their relationship. Previous travel dates and addresses in Egypt are requested. The applicant is notified that visa fees will be refunded in case of refusal or withdrawal of the application. Space is provided at the bottom for place, date and signature of the applicant and for consular use only.

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Iqra Angels
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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426 views2 pages

Arab Republic of Egypt Republique Arabe d'Egypte لوخد ةريشأت ىلع لوصحلا بلط Entry Visa Application Form Demande De Visa D'Entrée

This document appears to be an application form for an entry visa to Egypt. It requests information such as the applicant's name, date of birth, passport details, contact information, purpose and duration of visit, and addresses in Egypt. It also asks for details of any family members or children traveling with the applicant and their relationship. Previous travel dates and addresses in Egypt are requested. The applicant is notified that visa fees will be refunded in case of refusal or withdrawal of the application. Space is provided at the bottom for place, date and signature of the applicant and for consular use only.

Uploaded by

Iqra Angels
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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‫الصق صورتك بخلفية بيضاء هنا‬

Affix your Photo with white


background
‫جمهورية مصر العربية‬ here
Arab Republic of Egypt
Collez votre Photo avec un
Republique Arabe d’Egypte fond blanc

‫طلب الحصول على تأشيرة دخول‬


Entry Visa Application Form
Demande De Visa D’Entrée
‫اللقب أو الجد‬ ‫االسم‬ ‫اسم الوالد‬
Family name First Name Middle Names
Nom de Famille Prénom Autres Noms

‫تاريخ الميالد‬ ‫محل الميالد‬ ‫النوع‬


Date of Birth Place of Birth Sex
Date de Naissance Lieu de Naissance Sexe

‫الجنسية الحالية‬ ‫الجنسية األصلية‬ ‫المهنة‬ ‫الحالة االجتماعية‬


Present Nationality Nationality of origin Occupation Marital Status
Nationalité actuelle Nationalité d’origine Profession Statut familal

‫رقم جواز السفر ونوعه‬ ‫محل اإلصدار‬ ‫تاريخ اإلصدار‬ ‫انتهاء الصالحية‬
Passport type and number Issued at Issued on Expires on
Numéro et Type du passeport Délivré a Délivré le Expire le

‫عنوان اإلقامة الحالية‬ ‫عنوان اإلقامة الدائمة‬


Present address Permanent address
Adresse actuelle Adresse Permanente

Phone number/numero de telephone ‫رقم الهاتف‬/ Phone number/numero de telephone‫رقم الهاتف‬/

‫الغرض من الزيارة‬ ‫تاريخ الوصول إلى مصر‬ ‫مدة اإلقامة بمصر‬ ‫عدد مرات الدخول المطلوبة‬
Purpose of visit Date of arrival in Egypt Duration of stay in EGypt Number of entries required
Motif du voyage Date d’arrivee en Egypte Duree du Sejour en Egypte Nombre d’entrees demandees

‫منفذ الدخول لمصر‬ ‫العنوان في جمهورية مصر العربية‬


Port of Entry to Egypt Address in the Arab Republic of Egypt
Port d’entrée en Egypte Adresse en Republique Arabe d’Egypte
‫أسماء األقارب واألصدقاء في مصر‬ ‫عنوان األقارب واألصدقاء في مصر‬
Names of relatives or friends in Egypt Addresses of relatives or friends in Egypt
Noms des relatifs ou d’amis en Egypte Adresses des relatifs ou d’amis en Egypte

‫أسماء أفراد األسرة المرافقين‬ ‫صلة القرابة ألفراد األسرة المرافقين‬ ‫تاريخ ومحل الميالد‬
Accompanying Family members Relationship Date and places of birth
Membre de Famille Lien de parente Date et lieu de naissance

‫أسماء األبناء المضافين على نفس جواز السفر‬ ‫تاريخ ومحل ميالد األبناء المصاحبين على نفس جواز السفر‬
Names of children endorsed on the same passport Date and place of birth of children endorsed on the same passport
Noms des enfants ajoutes sur le même passeport Date et lieu de naissance des enfants ajoutes sur le même passeport

‫تاريخ السفرات السابقة لمصر‬ ‫غرض السفرات السابقة لمصر‬ ‫عنوان اإلقامة في مصر خالل السفرات السابقة‬
Dates of previous visits Purpose of previous visits Address in Egypt in previous stays
Date des visites precedentes Motif des visites precedentes Adresse en Egypte Durant les sejours precedents

‫معلومات أخرى‬
Other informatio
Autres information

NOTE: "IN CASE OF REFUSAL / WITHDRAWAL OF VISA APPLICATION, VISA FEES WILL BE REFUNDED."
‫محل وتاريخ تحرير طلب التأشيرة‬ ‫التوقيع‬
Place and date of visa application Signature
Lieu et date de demande de visa Signature

‫ رجاء عدم الكتابة‬-‫هذا الجزء مخصص الستخدام البعثة‬


For consular use only- Please do not write below
Espace réserve a l’usage consulaire- Prière de ne rien y écrire

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