THE KYRGYZ REPUBLIC
VISA APPLICATION FORM
THE EMBASSY OF THE KYRGYZ REPUBLIC, 119 CRAWFORD STREET, LONDON, W1U 6BJ
PURPOSE OF VISIT
TOURIST
BUSINESS
_____________
NUMBER OF ENTRIES
MULTIPLE
_____________
DURATION OF STAY
1 MONTH
6 MONTH
1 YEAR
____________
DATE OF ENTRY
ATTACH YOUR RECENT
PHOTO HERE
PASSPORT STYLE ONLY
SIZE (35mm x 45mm)
NAME
SURNAME
DATE OF BIRTH
GENDER
MALE
FEMALE
CITIZENSHIP
BRITISH
AUSTRALIA
AUSTRIA
BELGIUM
CANADA
CYPRUS
DENMARK
FINLAND
FRANCE
GERMANY
GREECE
ICELAND
IRELAND
ISRAEL
ITALY
KOREA
LIECHTENSTEIN
LUXEMBURG
MALTA
MONACO
NETHERLANDS
NEW ZEALAND
NORWAY
PORTUGAL
SPAIN
SWEDEN
SWITZERLAND
USA
OTHER
PASSPORT NUMBER
CONTACT PHONE NUMBER
CONTACT ADDRESS WITH FULL POST CODE
INVITING PARTY IN KYRGYZ REPUBLIC
ADDRESS OF THE INVITING PARTY, PHONE
THIS FIELDS MUST BE FILLED FOR ALL BUSINESS VISA APPLICATIONS AND FOR APPLICANTS WHOSE CITIZENSHIP IS NOT LISTED IN CITIZENSHIP LIST
I DECLARE THAT THE DATA GIVEN IN THIS APPLICATION FORM
ARE CORRECT AND COMPREHENSIVE
____________________________
SIGNATURE
NOTE: VISA FEES FROM 1 MARCH 2008 : 1 MONTH - £50, 6 MONTH - £100, 1 YEAR - £140
