(Form) N1
APPLICATION FOR A VIETNAMESE VISA
Photo
in 4x6 cm
(1)
See note
1-: Full name (in capital letters) ................................................................................................................
Other name (if any): ..............................................................................................................................
2- Date of birth (day, month, year)
3- Sex: Male
Female
4- Place of birth: ........................................................................................................................................
5- Nationality at birth: ............................................. 6- Current nationality:............................................
7- Religion: ..............................................................
8- Current occupation/Profession: ............................................................................................................
9- Employer and employer’s address: ......................................................................................................
10- Home address (Permanent address): .................................................................................................
...................................................................Telephone/Email: ..............................................................
11- Family members:
Relationship
Full name
Date of
Nationality
Permanent address
birth
Father
Mother
Spouse
Children
Children
12- Number of passport/ Document in lieu of a passport: ......................................................................
Type of passport (2): .................................................................
Issuing authority: ......................................................................
Expiry date (day, month, year)...................................................
13- Date of the latest entry into Viet Nam (if any): ..................................................................................