tourist visa requirements - genvisa.com · tourist visa requirements ... generations visa service...

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Total cost Two people $647 Total cost One person $334 TOURIST VISA REQUIREMENTS FOR VIETNAM (Single Entry), CAMBODIA and LAOS Cost includes service fees, consular fees* and return shipping For delivery outside the contiguous U.S. please add additional $35.00. For FedEx Overnight Delivery please add $10.00 to above costs Please Send to GENERATIONS VISA SERVICE: (see address below) __ Your SIGNED passport: having two (3) completely blank visa” pages & six months remaining validity. If you need help securing, renewing or updating your passport please contact GenVisa at 800-845-8968 for requirements and fees. __ Six (6) recent professional passport pictures per person stapled to the application forms (approx. 2x2). __ One completed, signed visa application for Cambodia, two applications for Laos. Vietnam application must be submitted ONLINE via the following link: http://visa.mofa.gov.vn Note: place of visa submission and collection should be Embassy of Vietnam in United States. For manually completed Vietnam application (included in the kit) include additional $49 fee per person - application refilling fee. __ A copy flight itinerary or tour operator letter listing traveler’s name and flight information in duplicate. __ Payment: a check or money order payable to GenVisa in US Dollars and drawn on a US bank or I authorize GenVisa to charge my credit card for the following payments ( please add 3 % credit card transaction fee to the total amount): $__________________ US Dollars. By signing below, I understand and acknowledge the charges in the amount listed above. I acknowledge payment in full is to be made when billed or in extended payment in accordance with the standard policy of the company issuing the credit card. I waive my right to dispute these charges. For security reasons this information will not be stored by GenVisa. Card # _______________________________________ CC Holder Name: ______________________________ Card Exp. Date: __________ Card Holder Signature: ____________________ Date: __________________. Complete and return this entire form with the requested materials use a traceable form of mail. Important: Do not send your passport/materials more than 4 months prior to your trip date. Visa processing generally takes about 8 weeks. If you need your passport returned within 50 days: add $55 per person for expedited service, within 30 days: add $120 per person for expedited service, within 14 days: add $210 per person for expedited service. *Consular fees, processing times and forms are subject to change without notice. For current requirements, terms and conditions updated forms and fees please check at: www.genvisa.com/globus YOUR RETURN SHIPPING ADDRESS Last Name: _______________________________________________ First Name: ________________________________________ Last Name: _______________________________________________ First Name: ________________________________________ Return to: Home or Business (recommended for security reasons) Name & c/o:__________________________________ EXACT address: _______________________________________________ Apt/Ste#: _______ Phone: _ _____________________ City: __________________________________ State: _____________ Zip Code: ____________________ Date you need your passport: ________________ Your E-mail address (Important): ______________________________________ Date THIS TOUR Departs U.S.: ____________ Optional insurance: $9.00 per passport: in the unlikely event that your passport is lost or damaged in transit. This will cover your full out of pocket visa(s) and passport replacement costs up to $2,000. Please check one of the boxes below. Yes, I have added an additional $9.00 per person for the optional insurance. [FedEx signature required upon delivery.] No, I decline the optional insurance and understand that in the unlikely event my passport is lost or damaged; Generations Visa Service liability is limited to $100 [No signature required upon delivery. ] Mail materials to: Globus Family Vietnam (S/E)/Cambodia/Laos GENERATIONS VISA SERVICE 2233 WISCONSIN AVE N.W. #226 WASHINGTON D.C. 20007-4119 1-800-845-8968

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Total cost Two people

$647

Total cost One person

$334

TOURIST VISA REQUIREMENTS FOR VIETNAM (Single Entry), CAMBODIA and LAOS

Cost includes service fees, consular fees* and return shipping For delivery outside the contiguous U.S. please add additional $35.00.

For FedEx Overnight Delivery please add $10.00 to above costs

Please Send to GENERATIONS VISA SERVICE: (see address below) __ Your SIGNED passport: having two (3) completely blank “visa” pages & six months remaining validity. If you need help securing, renewing or updating your passport please contact GenVisa at 800-845-8968 for requirements and fees. __ Six (6) recent professional passport pictures per person stapled to the application forms (approx. 2x2). __ One completed, signed visa application for Cambodia, two applications for Laos. Vietnam application

must be submitted ONLINE via the following link: http://visa.mofa.gov.vn Note: place of visa submission and collection should be Embassy of Vietnam in United States. For manually completed Vietnam application (included in the kit) include additional $49 fee per person - application refilling fee.

__ A copy flight itinerary or tour operator letter listing traveler’s name and flight information in duplicate. __ Payment: a check or money order payable to GenVisa in US Dollars and drawn on a US bank or

I authorize GenVisa to charge my credit card for the following payments (please add 3 % credit card transaction fee to the total amount): $__________________ US Dollars. By signing below, I understand and acknowledge the charges in the amount

listed above. I acknowledge payment in full is to be made when billed or in extended payment in accordance with the standard policy of the company issuing the credit card. I waive my right to dispute these charges. For security reasons this information will not be stored by GenVisa.

Card # _______________________________________ CC Holder Name: ______________________________

Card Exp. Date: __________ Card Holder Signature: ____________________ Date: __________________.

Complete and return this entire form with the requested materials – use a traceable form of mail.

Important: Do not send your passport/materials more than 4 months prior to your trip date.

Visa processing generally takes about 8 weeks. If you need your passport returned within 50 days: add $55 per person for expedited service, within 30 days: add $120 per person for expedited service, within 14 days: add $210 per person for expedited service. *Consular fees, processing times and forms are subject to change without notice. For current requirements, terms and conditions updated forms and fees please check at: www.genvisa.com/globus

YOUR RETURN SHIPPING ADDRESS

Last Name: _______________________________________________ First Name: ________________________________________

Last Name: _______________________________________________ First Name: ________________________________________

Return to: Home or Business (recommended for security reasons) Name & c/o:__________________________________

EXACT address: _______________________________________________ Apt/Ste#: _______ Phone: ______________________

City: __________________________________ State: _____________ Zip Code: ____________________

Date you need your passport: ________________ Your E-mail address (Important): ______________________________________

Date THIS TOUR Departs U.S.: ____________

Optional insurance: $9.00 per passport: in the unlikely event that your passport is lost or damaged in transit. This will cover

your full out of pocket visa(s) and passport replacement costs up to $2,000. Please check one of the boxes below.

Yes, I have added an additional $9.00 per person for the optional insurance. [FedEx signature required upon delivery.]

No, I decline the optional insurance and understand that in the unlikely event my passport is lost or damaged;

Generations Visa Service liability is limited to $100 [No signature required upon delivery.]

Mail materials to: Globus Family – Vietnam (S/E)/Cambodia/Laos GENERATIONS VISA SERVICE 2233 WISCONSIN AVE N.W. #226 WASHINGTON D.C. 20007-4119 1-800-845-8968

Helpful information for completing Vietnam and Cambodia applications

CAMBODIA

Passport of traveling document is valid for (country) … USA for US citizens

Date of entry to Cambodia: Day…Month…Year…Please provide the date of expected arrival into Cambodia. Cambodia visa is issued for three months validity and it is OK to approximate. Date of departure (length of stay) … Please indicate the total expected length of stay in the country. Cambodia visa is issued for three months validity and it is OK to approximate.

Point of entry: …Please indicate a port of arrival/border crossing into the territory of Cambodia. (Siem Reap for example) Means of Transportation: … Please specify how you arrive in Cambodia: by plane, by boat, by bus etc.

Point of exit: … Please indicate a port of departure/border crossing from the territory of Cambodia. (Phnom Penh for example) Means of Transportation: ... Please specify how you depart from Cambodia: by plane, by boat, by bus etc.

Address during the visit… For land tours please provide 1 name of the hotel, for river cruises please state: on board cruise ship (name of the ship)

For hotel contact information please refer to the Globus Hotel information list below

Phnom Penh Juliana Hotel

Raffles Hotel Le Royal

Sunway Hotel

Siem Reap Borei Angkor Hotel

Raffles Grand Hotel d'Angkor

Tara Angkor Hotel

Victoria Angkor Resort & Spa

Organization, Persons to be visited: N/A

VIETNAM

Name, address of your contact (sponsor, host, hotel…) in Vietnam (if any) … Prepaid tour with “name for the tour operator”

11. Proposed date of entry: Vietnam visa is date specific! The visa will be issued for a 30 day stay from the date that is written below. It is OK to backdate your proposed date of entry by a day or two. For a multiple entry visa please indicate the date of the first arrival and the date of your last exit. .......... …./…............/......... ..... Date / Month / Year Proposed date of exit: ....… … /…………/……........ Date / Month / Year

* Required for further contact

Visa Approval/Reference Number (if any):

EMBASSY OF VIETNAM

1233 20th

Street, NW, Suite 400

Washington, D.C. 20036

Tel: (202) 861-0737 & (202) 861-2293

Fax: (202) 861-0917

http://www.vietnamembassy.us

VISA

APPLICATION

(FOR NON-VIETNAMESE

PASSPORT HOLDERS)

______

01 Photo

(2 inches x 2 inches)

Glued photo here 01 additional photo

stapled to this form for a

loose -leaf visa request

1. Name (in block letters):

.................................................................................………………………………………….

Family name First name Middle name

2. Date of birth:.................../............./….… …

Date / Month / Year

3. Male: Female

4. Place of birth:..............................................

5. Nationality at birth:......................................

Nationality at present:..................................

6. Passport number:........................................

Date of issue:................ ........... ........... .........

Date of expiry:........... ........... ........... ...........

7. Profession:......................................................

Place of employment:.....................................

.................................... ......................... ....

……….…………………………………………

Telephone (Office):…....…....................... .....

8. Present mailing address: (P.O Box Not

Accepted for USPS express mail)

………….………………………………………

…………………………………………………

…………………………………………………

…………………………………………………

* Email :………………………….

* Telephone :.......................................

9. Purpose of visit to Vietnam:

…………………………………………………

…………………………………………………

…………………………………………………

10. Name, address of your contact (sponsor, host,

hotel…) in Vietnam (if any)

................................................………………

................................................................……

.........................................................................

.........................................................................

.........................................................................

..………………………………………….…

11. Proposed date of entry:

.......... …./…............/......... ..... Date / Month / Year

Proposed date of exit:

....… … /…………/……........ Date / Month / Year

12. Requesting a visa good for:

• Times of entries:

- Single (one time) visit - Multiple visits

• Length of stay:

- One month

- 03 months

- Less than 6 Months (with an approval only)

- Up to one year (with an approval only)

I solemnly declare that the statements made in this application are true and correct.

Date:…………………………………………………

Signature of Applicant ............................................... Check list: Before submitting, make sure you have included:

Original Passport (for a visa sticker request); or Passport copy (front photo page, for a loose-leaf visa request)

Completed and signed Application with One Photo glued or stapled;

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PREPAID TOUR WITH
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TOURISM
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ROYAL EMBASSY OF CAMBODIA

IN : Washington D.C.

KINGDOM OF CAMBODIA Nation Religion King

~ ~

VISA APPLICATION FORM

Photograph

2 x 2

Please submit 1 copy with 1 photo and your passport Surname:

Present occupation:

First name:

Sex: Male □ Female □

Date of birth: Day..…..Month………Year…......

Place of birth: ……………………………………

Place of residence:

Fax: /Phone:

Birth nationality:

Present nationality: Work Place:

Passport of traveling document is valid for (country)

Date of entry to Cambodia: Day.….Month……Year…….

Date of departure (length of stay)

Purpose of visit □ Diplomatic

□ Tourist □ Official

□Business □Others (Please Specify)

Point of entry:

Means of Transportation:

Point of exit:

Means of Transportation:

Address during the visit: Organization, Persons

to be visited :

First trip to Cambodia □ Yes

□ No

Passport No:

Place of issue:

Date of issue:

Date of Expiration:

Traveling on group tour □ Yes

□ No

Sex Surname First name

Patronymic M F Date of birth

Permanent

Address

Children under 12 years

traveling with you

Relatives in the

Kingdom of Cambodia

I hereby declare that the information

on this form is true and correct

Place, (Date)………..…………….

(Signature of the applicant)

For official use

éf¶pþl; …………........... Tidæakarelx ………………

elxsMKal;……………… RbePT ………………… éf¶ …… Ex …… qñaM …… htßelxam®nþITTYlbnÞúkkic©karkugs‘ul

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7eIhv'0=;y-kAPPLICATION FOR VISA

I6[PHOTOGRAPH

2" x 2"

Embassy of the Lao PDR2222 S Street, N.W.Washington, DC 20008Tel: (202) 667-0076Fax: (202) 332-4923

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lkmk]tot]af xt-kmyxtw8 xt-k-qo]k;

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Peace Independence Democracy Unity Prosperity

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;aoF gfnvoF xugdufG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDATE OF BIRTH

lao-kfG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDNATIONALITY

soa'lnzCkocfos,kpg]dG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDPASSPORT No.

vvd.sh;aomuG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDATE OF ISSUE

muj16Cxt95[aoG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

]6d8yf8k,muj.-hsoa'lnzjkocfofP;daoGCHILDREN TRAVELING WITHTHE SAME PASSPORT

gsfzqo0v'dkogfuomk'G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDPURPOSE OF THE TRIP

;ao9tg4y' lxx ]k;G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

fCkog0Qkg,nv'G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

z6hIa[xtdao16C lxx ]k;G

DATE OF ARRIVAL IN THE LAO PDR

PORT OF ENTRY

ok,ltd5oG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

lt4komujgdufG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

vk-u[G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

vvd.shmujG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

.-hwfhg4y'G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

3m]tla[G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

FAMILY NAME (IN BLOCK LETTER)

PLACE OF BIRTH

OCCUPATION

PLACE OF ISSUE

EXPIRATION

TEL.

!D -nj (NAME) DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD@D -nj (NAME) DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD#D -nj (NAME) DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

vkp5 (AGE) DDDDDDDDDDDDDDDDDDDvkp5 (AGE) DDDDDDDDDDDDDDDDDDDvkp5 (AGE) DDDDDDDDDDDDDDDDDDD

-nj (NAME)G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD 3m]tla[ (TEL.)G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDmuj16C (ADDRESS)G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

95fgfuomk's^a'9kddko1hP,1k, lxx ]k;G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDNEXT DESTINATION AFTER YOUR VISIT TO THE LAO PDR

;aomuG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD ]kpg-aoG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDATE SIGNATURE

7egsao0v'lt4kom6f (OFFICIAL USE ONLY)

;y-kg]dmuG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD ]q';aomuG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

HOMEADDRESS

REFERENCE INTHE LAO PDR

rkstotdkogfuomk'G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDMEANS OF TRANSPORTATION

deoqf16C lxx ]k;G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD ;aoDURATION OF STAY IN THE LAO PDR DAYS

7eIhv'0=;y-kAPPLICATION FOR VISA

I6[PHOTOGRAPH

2" x 2"

Embassy of the Lao PDR2222 S Street, N.W.Washington, DC 20008Tel: (202) 667-0076Fax: (202) 332-4923

lt4kogvdvad7t]af4tm6fcsC' lxx] k;muj ;=- y'8ao fu-u

lkmk]tot]af xt-kmyxtw8 xt-k-qo]k;

lao8yrk[ gvdt]kf xt-kmyxtw8 gvdtrk[ ;afmtok4k;voLao People's Democratic Republic

Peace Independence Democracy Unity Prosperity

-njG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDFIRST NAME (IN BLOCK LETTER)

;aoF gfnvoF xugdufG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDATE OF BIRTH

lao-kfG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDNATIONALITY

soa'lnzCkocfos,kpg]dG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDPASSPORT No.

vvd.sh;aomuG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDATE OF ISSUE

muj16Cxt95[aoG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

]6d8yf8k,muj.-hsoa'lnzjkocfofP;daoGCHILDREN TRAVELING WITHTHE SAME PASSPORT

gsfzqo0v'dkogfuomk'G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDPURPOSE OF THE TRIP

;ao9tg4y' lxx ]k;G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

fCkog0Qkg,nv'G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

z6hIa[xtdao16C lxx ]k;G

DATE OF ARRIVAL IN THE LAO PDR

PORT OF ENTRY

ok,ltd5oG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

lt4komujgdufG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

vk-u[G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

vvd.shmujG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

.-hwfhg4y'G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

3m]tla[G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

FAMILY NAME (IN BLOCK LETTER)

PLACE OF BIRTH

OCCUPATION

PLACE OF ISSUE

EXPIRATION

TEL.

!D -nj (NAME) DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD@D -nj (NAME) DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD#D -nj (NAME) DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

vkp5 (AGE) DDDDDDDDDDDDDDDDDDDvkp5 (AGE) DDDDDDDDDDDDDDDDDDDvkp5 (AGE) DDDDDDDDDDDDDDDDDDD

-nj (NAME)G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD 3m]tla[ (TEL.)G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDmuj16C (ADDRESS)G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

95fgfuomk's^a'9kddko1hP,1k, lxx ]k;G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDNEXT DESTINATION AFTER YOUR VISIT TO THE LAO PDR

;aomuG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD ]kpg-aoG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDATE SIGNATURE

7egsao0v'lt4kom6f (OFFICIAL USE ONLY)

;y-kg]dmuG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD ]q';aomuG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD

HOMEADDRESS

REFERENCE INTHE LAO PDR

rkstotdkogfuomk'G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDMEANS OF TRANSPORTATION

deoqf16C lxx ]k;G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD ;aoDURATION OF STAY IN THE LAO PDR DAYS

Smart Traveler Enrollment Program

“Stay Informed, Stay Connected, Stay Safe!”

For a nominal fee Generations Visa Service will register you and your travel details with the

nearest U.S. Embassy or Consulate in the countries you are visiting. This registration allows

the US government to efficiently safeguard its citizens while overseas.

Benefits of Enrolling in Smart Traveler Enrollment Program:

Receive important information from the Embassy about up-to-the-minute safety conditions in your destination country, helping you make informed decisions about your travel plans.

Help the U.S. Embassy contact you in an emergency, whether natural disaster, civil unrest, or family emergency.

Help family and friends get in touch with you in the case of an emergency.

Personal Information

Traveler #1’s full name (LAST, First, Middle):

Date of Birth (MM/DD/YYYY): / /

Passport Number:

Date of Issue (MM/DD/YYYY): / /

Expiration Date (MM/DD/YYYY): / /

Email Address*:

Phone Number: *Email addresses will not be used for solicitation purposes

Traveler #2’s Full name (LAST, First, Middle):

Date of Birth (MM/DD/YYYY): / /

Passport Number:

Date of Issue (MM/DD/YYYY): / /

Expiration Date (MM/DD/YYYY): / /

Email Address*:

Phone Number:

Travel Information

Country #1:

Approx. Date of Entry (MM/DD/YYYY): / /

Approx. Date of Exit (MM/DD/YYYY): / /

Name and Address of the first hotel:

Contact in Country (phone or email):

Country #2 (if applicable):

Approx. Date of Entry (MM/DD/YYYY): / /

Approx. Date of Exit (MM/DD/YYYY): / /

Name and Address of the first hotel:

Contact in Country (phone or email):

Yes, please enroll me in Smart Traveler Program. I have added an additional $12.50 per person for this service.

No, I decline the optional Smart Traveler Program enrollment service.

Please note: If you receive an email confirmation from the Department of State titled “Smart Traveler

Enrollment Program Invitation,” GenVisa has enrolled you in the program with the information provided

and no further action is required on your part.