Islamic Republic of Afghanistan
Visa Application Form
Personal Details
Title:
Family Name:
Given Names:
Father’s Full Name:
Date of Birth (Gregorian): DD / MMM / YYYY
Country of Birth:
Marital Status: ! Single ! Engaged ! Married ! Separated ! Widow / Widower
Gender: ! Female ! Male
Child:(Under 18 Years) ! Yes ! No
Country of Residence:
Nationality:
Other Nationalities:
Contact Details
Current Address:
Email Address:
Mobile: Work Tel:
Home Tel: Fax:
Employment Details
Current Occupation:
Employer’s Name:
Employer’s Address:
Previous Employer’s Name:
Previous Employer’s Address:
Visa Details
Visa Type:
Purpose of Journey: ! Business ! Convention / Conference ! Education ! Employment ! Exhibition ! Visiting Friends / Family ! Holiday ! Other
Entry Date: Point of Entry:
Intended Duration of Stay (days): Number of Children Accompanied:
Places in Afghanistan intended to visit:
Complete Address in Afghanistan:
Have you ever visited Afghanistan before? ! No ! Yes
If yes, please provide details:
Have you applied for an Afghanistan Visa before? ! No ! Yes
If yes, please provide details:
Do you have a criminal record? ! No ! Yes
If yes, please provide details:
Passport Details
Passport Type:
Passport Number:
Place of Issue:
Issue Date:
Expiry Date:
I declare that the information provided in this application is true and correct
Signature:(please sign within the box)
Date: DD / MMM / YYYY
Passport Photograph: (Please Attach Within The Square Below). Note: The photograph must comply with the attached guidelines.
Please Attach Photo Here
Guarantor must endorse the photo
This is a true photo of:
---(name of applicant)
---(signature of guarantor)
Islamic Republic of Afghanistan
Visa Application Form
OFFICE USE ONLY
Receiving Office:
Application Details:
Date Application Received:
Date of Application:
Visa Type:
Comments:
Observations:
Passport Details
Name:
Passport Number:
Issued By:
Visa Issued: !yes ! no
Visa Number: Visa Serial Number:
Issued by: Issuing office:
Date:
Collected by / Sent to:
