Professional Documents
Culture Documents
Visa Certificate Form
Visa Certificate Form
__________________________
CATEGORY:
Non-immigrant______________
VALID UNTIL:
__________________________
PERSONAL INFORMATION
NAMES AND LAST NAME:
__________________________________________
NATIONALITY:
_________________________________________
_________________________________________
PASSPORT NUMBER:
_________________________________________
ISSUED BY:
_________________________________________
CURRENT ADDRESS:
(AT ORIGIN COUNTRY)
_________________________________________
ADDRESS IN ECUADOR:
_________________________________________
COMMENTS:
------------------------------------------------APPLICANT SIGNATURE
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NOTE: The aplicant must register the visa in the General Direction for Foreigners (Direccin General de Extranjera) within 30
days upon arrival in Ecuador. (Except 12 I, II, III, IV, and X)