KINGDOM OF CAMBODIA

KINGDOM OF CAMBODIA
Nation Religion King
PHOTO
staple or glue photo here
40 x 40
VISA APPLICATION FORM
ROYAL EMBASSY OF CAMBODIA
ÝSTANBUL / TURKEY
Please submit 1 copy with 1 photo and your passport
Passport Number:
Issuance Date:
Place of Issuance (City/Country):
Expiration Date:
Surnames:
Present Occupation:
First Name:
Home Address:
Sex:
Male
Female
Marital Status
Home Phone/Fax:
Nationality:
Mobile Number:
Date of Birth(dd/mm/yyyy):
Business Address:
Place of Birth(City/Country):
e-mail:
Work Phone/Fax:
Purpose of visit:
Diplomatic
Touristic
Official
Business
Other (Please Specify)
Date of entry to Cambodia (dd/mm/yyyy):
Have you ever been to Cambodia?
Yes
Date of departure:
No
At what address will you stay in Cambodia?
Surname
Are you travelling with a Group tour? Yes
Name of Organization / Person to be visited:
First name
Sex
M F
Date of Birth(dd/mm/yyyy):
Children under
12 years of age
travelling with you
Relatives in the
Kingdom of Cambodia
Relative’s address:
For official use
I hereby declare that the information
on this form is true and correct
Date of issue .....................................................................................
Date (dd/mm/yyyy): ...............................................
Visa # ................................................................................................
Applicant’s signature
Visa type ...........................................................................................
Date .......................... Month ............................... Year ....................
No