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Please copy this form, fill out completely and send us by fax or attaching to mail. Vietnam Visa Information | | Request (Normal/ Urgent): | | | Name as in passport: | | | Sex: | | | Date of birth: | | | Nationality: | | | Occupation: | | | Passport number: | | | Passport date of issue/ expiration: | | | Proposed date of arrival: | | | Flight Ref. & arrival time: | | | Port of arrival: | | | Type of visa (Multiple/ Single entry): | | | How long is your stay in Vietnam: | | | Purpose of visit: | | | Where would you like to get Vietnam Visa stamped: | | | Note: - You can get visa on arrival at Vietnam International Airports only. - If you choose to get visa at Vietnam Embassy abroad, please be careful. Once approved, you can not change. | | Contact information | | Email address: | | | Other information: | |
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