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Attach Two

BANGLADESH HIGH COMMISSION


CANBERRA

Photographs
(40mmx 50mm)

NO VISA REQUIRED FOR TRAVEL TO BANGLADESH FORM


1. Name: _________________________________________________________________
(IN BLOCK LETTERS)
2. Address: ________________________________________________________________
__________________________________________________________________________
Telephone: (Work) __________________________ (Home) ________________________
3. Place of Birth: __________________________

Date of birth: ___________________

4. Nationality at Birth: ___________________ Present Nationality: _________________


5. Australian/New Zealand Passport No: _________________, Valid Until: _________
6. Occupation: __________________________________________________________
7. Name, address & telephone number of contact person in:
Australia/New Zealand: ____________________________________________________
(If different than above)
__________________________________________________________________________
Bangladesh: _______________________________________________________________
__________________________________________________________________________
Signature: ____________________________
Date: ________________________________
Check List:
1. Original Bangladesh Passport/original Birth Certificate duly attested by the Ministry
of Foreign Affairs, Dhaka for getting NVR for first time.
2. Old Australian/New Zealand passport with NVR seal for transfer of NVR.
3. In case of application concerning children, birth certificate (original and one
photocopy) and father/mothers Bangladesh passport
4. In case of application concerning foreign husbands/wives, marriage certificate
(original and one photocopy) and wife/husbands Bangladesh passport as well as
statutory declaration.
5. Postal money order/bank cheque equivalent to relevant fee payable to Bangladesh
High Commission, Canberra
6. Self addressed registered return envelope in case of application sent to Bangladesh
High Commission, Canberra
7. Any misrepresentation of facts may lead to cancellation of NVR at any time.

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