BI FORM NO.IRDO4.QF.001 Rev 02 CONSOLIDATED GENERAL APPLICATION FORM FOR TOURIST VISA EXTENSION ‘Tis ocuent maybe reprociced and NOT fra ‘Method of Application: Po a Seman men emeeeey a ae fereneee mercer aie IATEST TOURIST VIsA EXTENSION: he eae Sceemeese an coer YATE Sectoreyoietan sere gene come ook or RMN OR api apo Clepress Lane Regular Lane “ oe nouns nove ey 308 g's BI FORM NO.IRDO04.QF.001 Rev 02 This document may be reproduced and ts NOT for sake & CONSOLIDATED GENERAL APPLICATION FORM FOR TOURIST VISA EXTENSION Method of Application: ‘LAPPLICATION INFORMATION CP ersonal Duthorized Representative [SEG A Mos ewes [ i I Reason: ‘Name of, ! preare With Valid Special Study Permit 2, Heath {Clwtn vaia Special Work permit TCOOOOTEo Fiera {E] wien vata Provisional Work Permit r Others, E]With Valid Limited Work Perm TT Tj en = oman ammnen 1 I I TT LI I aise Adoas hm eo I TTT Number of Street of ] eter poor Pee fia baba LE pOE CT OOF RRS ee Hrctes Gites” Soros SESE, = CREE PPE (CiMarried C]widowed (Divorced —_ Weight sapere to peerage wich we 0) SET CETIEES we w et } : "EST Sveti sss pr Fp trernalomer yey ret ae Sense cer cerearaie cas outa vgn crension, Soares co pommrareee ees CURIS VISA EXTENSION Spohr cier rege ce L- =f Lael nor oe TUNER TTP RTS Ta Coepress Lane Regular Lane