FORMULÁRIO DE PEDIDO DE VISTO VISA APPLICATION FORM

REPÚBLICA FEDERATIVA DO BRASIL
MINISTÉRIO DAS RELAÇÕES EXTERIORES
CONSULADO-GERAL DO BRASIL EM TORONTO
FORMULÁRIO DE PEDIDO
DE VISTO
VISA APPLICATION FORM
77 Bloor Street West, Suite 1109 – Toronto, ON M5S 1M2
Tel: (416) 922-2503 Fax: (416) 922-1832
www.consbrastoronto.org e-mail: [email protected]
DADOS PESSOAIS
PROTOCOLO Nº
01 - NOME COMPLETO (FIRST/MIDDLE/LAST NAME)
VISTO Nº
02 - NASCIDO EM (cidade/estado/país)
PLACE OF BIRTH (city/state/country)
04 - NACIONALIDADE
NATIONALITY/CITIZENSHIP
07 - DOCUMENTO DE VIAGEM
PASSAPORT NUMBER
03 - DATA DE NASCIMENTO
(dia/mês/ano)
DATE OF BIRTH (day/month/year)
05 - SEXO
SEX
08 - PAÍS EXPEDIDOR
ISSUING COUNTRY
GLUE
06 - ESTADO CIVIL
MARITAL STATUS
5 X 7 cm
PHOTO
09 - EXPIRAÇÃO (dia/mês/ano)
EXPIRATION DATE
(day/month/year)
HERE
10 - NOME DOS PAIS/PARENTS’ NAMES
do pai/father’s: ____________________________________________________________
da mãe/mother’s: __________________________________________________________
11 - ENDEREÇO RESIDENCIAL / HOME ADDRESS
12 - TELEFONE Nº
TELEPHONE N0.
13 - PROFISSÃO
PROFESSION
14 - ENDEREÇO PROFISSIONAL / BUSINESS ADDRESS
15 - TELEFONE Nº/ e-mail
TELEPHONE N0. / e-mail
16 - EMPREGADOR
EMPLOYER
FAVOR PREENCHER À MÁQUINA OU EM LETRA DE FORMA. RESPONDER AOS ITENS 1 A 26 (FRENTE E VERSO
E ASSINAR. OS FORMULÁRIOS INCOMPLETOS SERÃO DEVOLVIDOS.
PLEASE TYPE OR PRINT. FILL OUT ITEMS 1 THROUGH 26 (FRONT AND BACK AND SIGN. INCOMPLETE FORMS
WILL BE RETURNED.
PARA USO OFICIAL / FOR OFFICIAL USE ONLY
A - Consulta à SERE
_____________ Nº ______________
D-
! Concessão
! Denegação
! Prorrogação
H - Observações
E - Entradas
! Uma
! Múltiplas
B - Autorização da SERE
C - Tipo do Visto
_____________ Nº ______________
______________________________
F - Prazo de Estada
________ anos/dias
G - Data
_____/______/______
dia
mês
ano
I - Assinaturas
Funcionário
Chefia
DADOS PESSOAIS / PERSONAL INFORMATION (CONT.)
17 - OBJETIVO DA VIAGEM AO BRASIL PURPOSE OF VISIT TO BRAZIL (PLEASE CHECK AS APPROPRIATE) :
√
VIAGEM ESTRITAMENTE DE NATUREZA TURÍSTICA (ATIVIDADES REMUNERADAS PROIBIDAS)
TOURISM (NO PAID ACTIVITIES ARE ALLOWED)
! VIAGEM DE NEGÓCIOS
BUSINESS
! VIAGEM DE TRÂNSITO
TRANSIT
! PARTICIPAÇÃO EM SEMINÁRIOS OU CONFERÊNCIAS
SEMINAR OR CONFERENCE
! PARTICIPAÇÃO EM PROGRAMAS CULTURAIS/CIENTÍFICOS
CULTURAL/SCIENTIFIC PROGRAM
! DESEMPENHO DE ATIVIDADE DE PESQUISA
RESEARCH ACTIVITIES
! TRABALHO EM ATIVIDADES DE ASSISTÊNCIA SOCIAL
GROUP OF CHURCH VOLUNTEERS AND/OR COMMUNITY SOCIAL WORK
! PARTICIPAÇÃO EM ATIVIDADES ESPORTIVAS E/OU ARTÍSTICAS
SPORT AND/OR ARTISTIC ACTIVITIES
! TRABALHO COMO CORRESPONDENTE JORNALÍSTICO
MEDIA CORRESPONDENT
! TRABALHO COM CONTRATO NO BRASIL
EMPLOYMENT IN BRAZIL.
! TRABALHO COMO MISSIONÁRIO RELIGIOSO NO BRASIL
RELIGIOUS MISSIONARY
! ATIVIDADE EM ÁREAS HABITADAS POR POPULAÇÕES INDÍGENAS
VISITING AREAS INHABITED BY INDIGENOUS POPULATIONS
! CURSOS ESCOLARES NO BRASIL
SCHOOL IN BRAZIL
! VIAGEM EM MISSÃO OFICIAL
OFFICIAL MISSION
! ACOMPANHAMENTO DE PESSOAS EM MISSÃO OFICIAL
ACCOMPANYING MEMBERS OF AN OFFICIAL MISSION
! SOLICITAÇÃO DE VISTO PERMANENTE
PERMANENT VISA
! OUTROS (INDICAR)
OTHER (EXPLAIN)___________________________________________________________________________________________
18 - NOME E ENDEREÇO DA PESSOA, ENTIDADE OU EMPRESA DE CONTATO NO BRASIL
NAME AND ADDRESS OF PERSON, INSTITUTION OR COMPANY WHERE YOU CAN BE CONTACTED IN BRAZIL
RENTAMAR – Rua Santa Clara 70/608 Copacabana - Rio de Janeiro ( Attn: Reinaldo Padilha )
20 - TELEFONE Nº/ e-mail
TELEPHONE N0. /e-mail
19 - ENDEREÇO NO BRASIL
ADDRESS IN BRAZIL SHERATON RIO HOTEL & TOWERS
AVENIDA NIEMEYER 121
RIO DE JANEIRO, 22450
BRAZIL
001-55-21-2274 1122
21 - LOCAL E DATA DE DESEMBARQUE
PLACE AND DATE OF ARRIVAL
22 - DESTINO
DESTINATION
23 - PERÍODO DE ESTADA
LENGTH OF INTENDED STAY
RIO DE JANEIRO - Sept 25, 2002
RIO DE JANEIRO
Up to 10 DAYS
24 - JÁ ESTEVE NO BRASIL?
HAVE YOU EVER BEEN IN BRAZIL?
25 - EM CASO AFIRMATIVO, QUANDO/LOCAL/DURAÇÃO DA ÚLTIMA ESTADA
IF YES, WHEN/PLACE/LENGTH OF LAST STAY
! SIM (YES)
!
NÃO (NO)
TERMO DE RESPONSABILIDADE / FORMAL STATEMENT
26 - DECLARO SEREM VERDADEIRAS E COMPLETAS AS INFORMAÇÕES CONTIDAS NO PRESENTE DOCUMENTO.
I DECLARE THAT THE ABOVE INFORMATION IS TRUE AND ACCURATE.
NOME/NAME
DATA/DATE
Dia
Day
Mês
Month
ASSINATURA/SIGNATURE
Ano
Year
USUAL REQUIREMENTS FOR TOURIST AND BUSINESS VISAS.
YOU MUST SUBMIT THE FOLLOWING TO THE
CONSULATE GENERAL:
-
1.Passport valid for a minimum of 6 (six) months from date of
intended arrival in Brazil;
10.PERIOD OF VALIDITY: Holders of tourist or business visas
must enter Brazil within 90 (ninety) days from the date the visa is
issued.
At the port of entry, unless otherwise specified, each visa holder is
granted a period of stay of 90 days. Citizens of certain countries with
which Brazil has signed a reciprocal agreement, may apply for an
extension of their initial period of stay. The Brazilian Federal Police
may extend the visitor’s period of stay an equal period, for a total
stay of 180 days per year.
2.One (1) visa application form , supplied by this Consulate, duly
filled out and signed by each applicant;
3.One (1) passport-type photograph, recently taken;
4.Photocopy round trip ticket to Brazil or ticket in transit, with flight
numbers, dates and itinerary. In lieu of the ticket the Consulate will
also accept a signed letter from the carrier or travel agent, on
company letterhead, with the name of the vessel, itinerary, dates of
arrival and departure, in and from Brazil;
5.Airline employees or standbys with open tickets must present
copies ticket with itinerary and an airline ID card, or a signed letter
from the airline on company letterhead, with the name of the
employee and his/her itinerary;
6.FOR BUSINESS VISA ONLY: A letter on company letterhead,
addressed to the Consulate, signed by an authorized representative
(other than the candidate for the visa), stating the purpose of the trip
to Brazil, itinerary, business contacts, dates of arrival and departure
to and from Brazil. The letter should also state that the company
assumes all financial responsibility for the applicant while in Brazil;
7.FOR APPLICANTS UNDER 18 YEARS OF AGE:
a) If traveling alone (or accompanied by another person, other than
the parents) must present a letter, signed by both parents, duly
notarized, giving permission for the minor to travel. It should also
state the name and address of the person(s) responsible for the child
while in Brazil;
b) If traveling accompanied by either parent, must present a letter
signed by the other parent (not traveling), duly notarized,
acknowledging the trip and authorizing it, as mentioned above;
c) A certificate of vaccination against polio, stating kind and dosages
of vaccine, is necessary for children between the ages of three
months and six years.
8.VISA PROCESSED BY MAIL OR THROUGH A THIRD
PARTY:
An extra fee of Cdn$ 18.00 (eighteen dollars), must be paid, in
certified check or money order, if the applicant wants to send his/her
passport and visa application by mail or through a third party, as
well as a self addressed prepaid envelope, through a courier which
accepts to carry passports. If passport is to be returned via Canada
Post (In this case we recommend that the applicant send postage
for registered mail), do not send prepaid post-office stickers,
which are not accepted by the local post office.
9.TIME
REQUIRED
FOR
ISSUING
A
VISA
(TO CANADIAN PASSPORT HOLDERS):
at least 3 (three) working days are required for a tourist or
business visa to be issued, upon presentation of proper
documentation at the visa counter, during office hours (9 a.m.
to 1 p.m., Monday to Friday).
PICK-UP TIME: BETWEN 1 P.M. AND 3 P.M.
Incomplete or improperly prepared applications will cause
delay and/or denial of the required visa.
at least 5 (five) working days are required for a tourist or
business visas submitted by mail or courier.
11.CONSULAR FEES FOR VISAS ON CANADIAN
PASSPORTS:
certified check or money order made to the Consulate General
of Brazil
TOURIST VISA - Cdn$ 72.00 (Cdn$ 90.00 if sent by mail or
through a third party – see item 8);
BUSINESS VISA - Cdn$ 108.00 (Cdn$ 126.00 if sent by mail or
third party – see item 8);
12.CONSULAR FEES FOR TOURIST OR BUSINEESS VISAS
ON NON-CANADIAN PASSPORTS MAY BE DIFFERENT.
Please inquire at the Consulate about the required amount.
13.The following situations must be checked with the Consulate,
prior to the application for a visa:
a)
Children born outside Brazil, of Brazilian parents;
b)
Children born in Brazil, of foreign parents;
c)
Brazilian citizens who acquire another nationality by
naturalization.
14.EXEMPTION FROM TOURIST AND BUSINESS VISAS The visa requirements have been waived for citizens of the
following countries, which are now exempt from visas for both
tourist and strictly regular business trips, except when followed by
an asterisk (*):
Andorra (*)
Argentina
Austria
Bahamas(*)
Barbados(*)
Belgium
Bermuda
Bolivia(*)
Chile
Colombia
Costa Rica
Denmark
Ecuador
Finland
France
Germany
Great Britain
Greece
Iceland
Ireland
Israel
Italy
Liechtenstein
Luxembourg
Malaysia (*)
Morocco
Monaco
Namibia(*)
Netherlands
Norway
Paraguay
Peru
Philippines
Poland
Portugal
San Marino
Slovenia
South Africa
Spain
Surinam
Sweden
Switzerland
Thailand
Trinidad&Tobago(*)
Uruguay
Vatican
Venezuela(*)
(*) EXEMPTION FROM TOURIST VISA ONLY.
15.FOR OTHER TYPES OF VISA, PLEASE REQUEST
ADDITIONAL INFORMATION AT THE CONSULATE
GENERAL.
16.VISA REQUIREMENTS ARE SUBJECT TO CHANGE
WITHOUT NOTICE.