Embassy of Pakistan

(1)
Embassy of Pakistan
SHI/SUL-QL-12,Conj, 02, Casa 19, Brasília – DF, CEP 71630-225
Tele: (55-61) 3364-1632
Fax: (55-61) 3248-0246
E-mail: [email protected]
VISA APPLICATION
APPLICATION FORM
FORMULÁRIO PARA PEDIDO DE VISTO
Passaporte válido
Valid passport
2.
Duas fotos 3x4 cm
Two photographs sized 3x4 cm
3.
Cartão de vacina contra febre amarela: original e cópia
Original and copy of vaccination card stating last inoculation against yellow
fever
4.
Cópia da passagem aérea ou do print de reserva
Copy of air ticket or reservation print
5.
Em viagens de turismo, favor escrever uma carta informando o
itinerário dentro do país
For tourism trips, enclose a letter informing the itinerary inside Pakistan
6.
Em viagens de negócios, deverão ser enviadas uma cópia da carta
convite e uma carta da empresa convidada
For business trips, enclose a copy of the invitation letter from the host
company and a letter from the company that is sending representatives to
Pakistan
7.
Enviar guia original de depósito da taxa consular a ser paga no Banco
do Brasil (ver quadro abaixo). O valor da taxa varia de acordo com a
nacionalidade do passaporte e é responsabilidade do requerente
verificar o câmbio do dia.
Send the original receipt for the deposit of the consular fee, made to Banco
do Brasil (see box below). The fee varies according to the applicant’s
nationality and it is the applicant’s responsibility to check currency exchange
rates.
8.
Preencher E ASSINAR o formulário fornecido por esta Embaixada
Fill in AND SIGN the application form
9.
A taxa consular não poderá ser devolvida
The consular fee is non-refundable
Em vista do grande número de pedidos de serviços consulares, esta Embaixada
não pode se responsabilizar por qualquer despesa de envio postal, aceitar
pagamento para tanto ou assinar recibos e termos de responsabilidade. Sugerese o uso de couriers (ex.TNT Express, DHL, TAM Express, UPS, Fedex) pré-pagos.
Due to the large amount of consular requests this Embassy deals with, we cannot be
responsible for any mail expenses, accept payment for such, or sign any receipts or
terms of responsibility in any case. Please arrange for posting and collection with a prepaid courier service (e.g. DHL, Fedex, TNT Express, UPS, etc.).
1.
INFORMAÇÕES PARA DEPÓSITO DA TAXA CONSULAR
BANK INFORMATION
BANCO DO BRASIL
Favor consultar a tabela “Visa/Passport Fees” no website
Ag./Branch 1606-3
Please check the Visa/Passport Fee table on the website
C.C.: 200.000-8
(2)
Embassy of Pakistan
SHI/SUL-QL-12,Conj, 02, Casa 19, Brasilia
Tele: (55-61) 3364-1632
Fax: (55-61) 3248-0246
VISA APPLICATION FORM
LATEST
PHOTOGRAPH
OF THE
APPLICANT
1.
Full Name:
2.
Nationality:
3.
Date of birth: Day
4.
Father’s Name /Nationality:
5.
Mother’s Name/Nationality:
6.
Partner’s Name/Nationality:
7.
Occupation:
8.
Permanent Address:
9.
Present Address:
Month
Telephone No:
10.
Year
Fax No:
Passport No:
Place and date of issue:
Expiring Date:
11.
Type of passport (kindly mark √):
Diplomatic (
12.
)
)
Ordinary (
)
Entries required (kindly mark √):
Single Entry( )
13.
Official (
Double Entry( )
Multiple Entries ( )
Purpose of Journey (kindly mark √):
Family visit(
Tourism (
)
)
Official(
)
Journalism ( )
Business (
Other (
)
)
______________________
14.
Mode of travel with details:
Date of travel:
(3)
15.
Duration of stay in Pakistan:
16.
Province and city/town/village of destination in Pakistan:
17.
Port of landing in Pakistan:
18.
Name, address & telephone number in Pakistan:
19.
Details of previous stays in/visits to Pakistan with address and dates:
20.
Visa request or extended stay in Pakistan refused (kindly mark √):
(Yes-
) or (No-
)
21.
If yes, when and why? Kindly give details:
22.
Has applied for grant of visa been made to another Pakistan Visa Issuing?
(kindly mark √)
(Yes-
23.
) or (No-
)
If yes give details:
When:
If refused, why:
24.
Children endorsed in the passport and traveling with the Applicant:
Name
Age
Sex
(i)
(ii)
(iii)
Date
Signature of the Applicant
(PLEASE NOTE: INCOMPLETE FORM WILL NOT BE ACCEPTABLE AND WILL NOT BE
CONSIDERED FOR THE ISSUANCE OF VISA)
*********
FOR OFFICIAL USE ONLY
(SINATURE OF THE VISA ISSUING AUTHORITY)
(Prepared by Raheel Aslam)