Me Acre STATE OF ERITREA cor tees REA RUTH? TED Lie DEPT. OF IMMIGRATION & NATIONALITY watt Tonte TH APPLICATION FORM FOR ENTRY VISA SRE ANE Rote IMMIGRATION IDENTITY No. Fes aa | za ON TES FRE STREET AND NUMBER, TT sad rer Av, Porm METER | oe 41] 1409 hD-t> taeP AVAnA SARS, aay tas canes Blass Ur on town Reb Mthoer fat FURR ATi Cian CUS Cl bnass COM oven Oe One Cl Sher WEA one Beta Desi Cie CoB: CURR Ran ARTE De On WHE. PERSONS TRAVELLING ON THE SAME PASSPORT: i BoE PME RON MET AROTES CORRECT AND COMPLETE os. ont nr PLAGE DATE: SIGNATURE fe IA oo Teh aeANT | FOR OFFICIAL USE ONLY ONE ot DECISION TAKEN & 9 Botte Rkihexs, ‘ont DATE Tar aiaont NAMEOFAUTHORITY _[R2% M9AoeH, /SIGNAURE OF AUTHORITIVForm 62.13 © STATE OF ERITREA MINISTRY OF FOREIGN AFFAIRS: IDENTITY CLARIFICATION FORM ‘THE ERITREAN EMBASSY OR MISSION Code, RefNo. Date /_. ‘To: - THE DEP. OF IMMIGRATION & NATIONLITY ALIENS DIVISION |, FULL NAME OF APPLICANT AS IN PASSPORT (reason io REQUESTS ENTRY EA ) 2. SEX 3 PRESENT NATIONLITY, 3. NATIONLITY BY BIRTH. 3.2 OTHER NATIONLITIES IF ANY. A.DATEOFBIRTH / 5. PASSPORT No, GPASSPORT EXPIRATION DATE, HEEL 7. APPLICANT'S SIGNATURE, 7 DATE. FOR OFFICIAL USE ONLY TM BOR ONE TL NOTH WATE FABIA, WAIN oj a pak a5 y6 a 5M ald ah Ca 9 TL, RF PRR HTN aE OM, IPA WEA 4 his 23S 1 A gyal ER cS TNS Ie el A J tt ly TAI WF. ANCA ha LHNAN Aes basa [NB Passport copy should be attached with this forma Official stamp \ ‘Name of authority Signature of authority