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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

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