4application Form For Tourist Card 1 1 0

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Cuban Consulate 32 B Westland Square, Pearse Street,

Ireland Dublin 2

APPLICATION FORM FOR TOURIST CARD

SURNAME: Mr/Ms/Mrs: _____________________________ NAME: ______________________________

CITIZENSHIP: _________________________ PASSPORT NUMBER: _________________________

COUNTRY OF BIRTH: ___________________________ DATE OF BIRTH: _______ _______ _______


DAY MONTH YEAR

SEX: F _____ M _____ COUNTRY OF RESIDENCE: _______________________________________

CONTACT DETAILS:

ADDRESS: _______________________________________________________________________________

TELEPHONE: (________) _____________________ E-MAIL: ___________________________________

HAVE YOU BEEN TO CUBA: ________ IF YES, DATE OF LAST ENTRY: _______ _______ _______
DAY MONTH YEAR

DATE OF NEXT ENTRY IN CUBA: __________________________________

THE LAST STOP BEFORE ENTERING CUBA: __________________________

ARRIVAL POINT IN CUBA: ________________________________________

ADDRESS IN CUBA, (HOTEL OR SIMILAR): _______________________________________________________

____________________________________________________________________________________________

Method of payment Bank Draft _____ or Postal Money Order _____ ONLY (CASH IS
NOT ACCEPTABLE BY POST).

FEE: 47.00 EURO PER PERSON.

DATE: ________________________ SIGNATURE: ____________________________

WHEN APPLYING YOU MUST SUBMITT:

 Photocopy of the main page of your passport (valid for 6 months after the departure
from Cuba).
 Photocopy of your travel health insurance documents.
 Photocopy of your ticket in and out.
 Please send an ordinary or self-address registered envelope to send the visa back to
you.

If you have any enquires please send a mail to: infocubadublin@eircom.net.

Tourist Cards are issued for ONE entry in Cuba, for a maximum of 30 days. Longer stays will require extensions
made in Cuba.

Application form updated 10/03/2020

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