Ы
Э
Э
VISA APPLICATION FOR MONGOLIA
: .
Please read carefully before you fill in.
1. / Surname (as in passport)/ 2. / Given and Middle names (as in passport)/ Э
. /For for official use only/
ө шөө өл л а а / у у л а/
ө шөө л у аа
………... ...
Ол а лал
………...
а у а аа
………...
ял аа
2
2
1
6
Ол у аа
ү :
...
... / ү /
:
...
... / ү /
О а ө ө
………...
3. я / Current nationality(ies)/
4. / Date of birth/
(year-month-day) 5. / Place and country of birth/
6. Х / Sex/
Э /Male Э /Female
7. /Marital status/
Single Married
8. ,
/Profession & Occupation/
ddress Street
City Country Phone/ Fax
9. я, / Permanent address and telephone number in
your home country/
Address:
Telephone number:
10. / Type of passport /
Э /Ordinary /Diplomatic /Service
я / Other travel document(please specify):
11. / Number of passport/ 12. / Valid until/
(year-month-day)
13. , , я
/Name and address of host person or organization in Mongolia/
Company name:
Address:
14. я, / Your home address and telephone number
in Mongolia/
Address:
Telephone number
15. я / Purpose of travel/
Ж /Tourism /Business / Study /Employment
ү /Visiting or joining family /Transit Х /Private
/Other
16. Х / Number of entries requested/
/ Single Х ё / Double / Multiple entries
3*4 photo (taken within the last six months 3*4
( үү 6
)
姓
名・ミドルネーム
現在の国籍
生年月日
年 月
日
生まれた都市・国
性別
男
女
婚姻状況
独身
既婚
現在の職業
&
雇用主または学校の名前
(
就業先・就学先の住所
)
通り
市・県
国
電話番号
/FAX
番号
現住所と電話番号
住所
電話番号
パスポートの種類
普通
外交
公務
その他→詳細明記
パスポート番号
有効期限
年 月
日
モンゴルでの受入先個人または組織の名前と住所
受入先企業
(
組織）名
住所
モンゴル滞在先ホテル名、住所と電話番号
ホテル名と住所
電話番号
渡航目的
観光 業務 留学 就労
家族訪問 乗り継ぎ 私用
その他
入国回数
. , .
I hereby declare that the statement given above is true and correct. I understand that any false or misleading statement may result in the permanent refusal of a visa or denial of entry into Mongolia.
………... ………...
/Applicant’s signature/ Date(year-month-day)
17. Х я 16 / Children under 16 years travelling with you/
ү үү .
(Applications must be submitted separately for each passport)
И я /
Current nationality(ies)/
/Surname/ /Given name/
/Date of birth/
я
/Relationship to Applicant /
1
2
3
18. Х Х .
PLEASE READ AND GIVE ANSWERS TO THE FOLLOWING QUESTIONS.
A. ?
Have you ever been refused a visa at a Mongolian diplomatic mission?
Yes... No
B. үү ?
Have you ever applied for Mongolian visa with a different name?
Yes... No
19. Э үү үү ү үү.
/Please complete this section if you are filling this form on behalf of visa applicant/
1. Э үү ү
... /Name of person completed the form/
…...
2. я
... /Relationship to the applicant/.
...
3. я,
... /Address and phone number/
...
4. ү ... /Signature/
I agree to my person data on this appliation form being communicated to the appropriate authorities of Mongolia if necessary for the issue of visa
I declare that to the best of my knowledge the above particulars are correct and complete. I am aware that any false statements will lead to my application being rejected or to the annulment of visa already granted and may also render me liable to prosecution under the law of Mongolia.
I undertake to leave the territory of Mongolia upon the expiring date of the visa, if granted.
I realize that possession of a visa is only on or the prerequisite for entry into the territory of Mongolia.
I would get registered within 7 days after my arrival in Mongolia at the Immigration Agency and get deregistered before the departure at same office, if my stay length over thirty days.
