10.
1
12.
2B.
14.
(GOVERMENT OF THE REPUBLIC OF THE UNION OF MYANMAR.
MINISTRY OF IMMIGRATION AND POPULATION
DIRECTORATE OF IMMIGRATION AND NATIONAL REGISTRATION
IMMIGRATION DEPARTMENT
APPLICATION FOR ENTRY TOURIST VISA
Name in full (In Block Letters)
Father's Name in full
Nationality 4,Sex
Date of Birth 6. Place of birth
Occupation 8. Phone No.
Personal description
{a) Color of hair (b) Height
(6)Color ofeyes__ Ed) Complexion
Passport
(a) Number (b) Date of issue
(c)Place of issue Sd) Issuing authority
(e) Date of expiry ,
Permanent address:
address in Myanmar
Purpose of entry into Myanmar
Attention for Applicants
RECENT
PHOTO
(2) Applicant shall abide the Laws of the Republic of the Union of Myanmar and shall not
interfere in the internal affairs of the Republic of the Union of Myanmar.
(b) Legal actions will be taken against those who violate or contravene any provision of the
existing laws, rules and regulations of the Republic of the Union of Myanmar.
| hereby declare that | fully understand the above mentioned conditions , that the particulars given
above are true and correct and that | will not engage in any activities irrelevant to the purpose of entry
stated herein.
Date
Signature of Applicant
Visa No. Date
Visa Authority
Date
Place Kuala Lumpur, Malaysia
Embassy of the Republic of the Union of
Myanmar . Kuala Lumpur