gob.

mx
Secretaría de Relaciones Exteriores

Visa Application Form

Photo Consular Office in Folio Number

An application form must be completed for each

Para uso oficial
applicant, typing or printing clearly in ink

I. Personal Information
1. Given name(s):
(As they appear in your passport or travel and identity document)
2. Last name: 3. Second last name:
(paternal) (maternal) TALÓN
(As they appear in your passport or travel and identity document)
4. Gender:  Female  Male
5. Date of birth: / / 6. Age:
DD MM YYYY
7. Country of birth: 8. Nationality
9. Number of passport or travel and identity document:
a) Country of issue: b) Date of issue: / /
DD MM YYYY
The distribution of this form is free of charge

b) Date of expiry: / /
DD MM YYYY

II. Complementary Information Tipo de visa (marca con una X):

 Visitante sin permiso para realizar actividades
10. Marital status:  single  married  common-law remuneradas

11. Current address:  Visitante sin permiso para realizar actividades

remuneradas (Larga Duración)
12. Telephone number: 13. Email:  Visitante con permiso para realizar actividades
remuneradas
14. Occupation:  Visitante para realizar trámites de adopción
15. Name of company or institution:  Residente temporal estudiante
 Residencia temporal
16. Place of residence: 17. Legal migratory status:  Yes  No  Residencia permanente
18. Criminal record in Mexico or another country:  Yes  No  Diplomática
 Oficial
19. If yes, please specify:
 Servicio

III. Information and Purpose of the Trip Tipo de pasaporte (marca con una X):
20. Date of entry to Mexico: / /  Ordinario  No ordinario  Laissez-Passer
DD MM YYYY
21. Point of entry to Mexico (city):
22. Length of stay:  Less than 180 days
 More than 180 days and less than 4 years Observaciones:
 Definitive
23. Have you ever been to Mexico:  Yes  No
24. Have you ever been deported from Mexico:  Yes  No
25. If yes, please explain:
26. Purpose of visit:

Contact:
Ricardo Flores Magón no. 2, piso 3, Col. Guerrero, Delegación Cuauhtémoc
C.P. 06300, México, D.F.
Telephone: (55) 3686-5100
Email: dgsconsulares@sre.gob.mx
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 gob.mx
Secretaría de Relaciones Exteriores

IV. Minors
In the case of children, adolescents or wards of the court, in accordance with civil legislation, the visa application must be presented
signed by the mother and the father or those who hold parental authority or guardianship. If the application is presented by one of the
parents, s/he must present notarized authorization from the other parent giving consent to processing the visa.
Minors applying alone or in the company of a third party of legal age must present a document granted before a notary public or by an
authority empowered to do so, stating the authorization of both parents or those who hold parental authority or guardianship.
In the case of minors, the signature shall be that of the parents or guardians or those who hold parental authority.

V. Attached Supporting Documents

1) _______________________________________________________________________________________________________________________
2) _______________________________________________________________________________________________________________________
3) _______________________________________________________________________________________________________________________
4) _______________________________________________________________________________________________________________________
5) _______________________________________________________________________________________________________________________
The distribution of this form is free of charge

In cases where an applicant presents documents that have been altered, falsified or obtained in by fraudulent means, it will be registered in the
migratory databases and the applicant will be unable to obtain a visa to enter Mexico.
According to the Immigration Law and its Code, a Mexican visa allows a foreigner to appear in a place destined for international transit of
persons and at the migratory screening point, and request entry to national territory. Presentation of a visa does not guarantee entry to
national territory. Entering Mexico is conditional upon the approval of the health and migratory authorities at the point of entry, who can verify
at all times the requirements established in the legal provisions applicable at the migratory screening point.
The information contained in this application is confidential pursuant to Article 18, paragraphs I and II, and 19 of the Federal Law on
Transparency and Access to Public Governmental Information, and will be treated as stipulated in Articles 20, 21 and 22 of the same Law.
Date and Place
Place: Date: / /
DD MM YYYY

Name and signature of the mother Name and signature of the father
Name and signature of Applicant (In the case of minors or individuals who have been (In the case of minors or individuals who have been
declared incompetent) declared incompetent)

Recibió Entrevistó Capturó

(Nombre y firma de quien recibe la solicitud) (Nombre y firma del funcionario que entrevista) (Nombre y firma de quien captura)

Autorizó
El (la) suscrito(a) hace constar que los documentos
anexados a este expediente han sido validados a mi
juicio y, por ello, autorizo

Nombre y firma del funcionario

Contact:
Ricardo Flores Magón no. 2, piso 3, Col. Guerrero, Delegación Cuauhtémoc
C.P. 06300, México, D.F.
Telephone: (55) 3686-5100
Email: dgsconsulares@sre.gob.mx
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