docFEDERAL DEMOCRATIC REPUBLIC OF ETHIOPIA Visa application
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Photo FEDERAL DEMOCRATIC REPUBLIC OF ETHIOPIA Visa application Surname Given Names Birth date: D /M. Sex _____ /Yr.______ Birth Place Personal No. Present Nationality Any Other Field of Study/Profession Passport Type: Institution/Organization Ordinary Service Diplomatic Alien Others Passport No.__________________ Issue Date D._____/M._____/Yr._______ Expiry Date D.______/M.______Yr._______ Residence Address: Country City Postal Code Street Telephone E-Mail Tel: Name of Contact Person/Hotel in Ethiopia: Requested Visa Type: Tourist Business Requested Days: 30 90 (for tourist visa) Requested Days: 30 90 Transit Diplomatic Service 180 365 (for business visa) Entries: Single Multiple (Multiple entry is only for more than 30 days) Date of Arrival to Ethiopia To be filled by Proxy/Guardian (for children under 18 years Old) Surname Given Names Telephone I, the undersigned, declare that the above-mentioned statements are true to the best of my knowledge. Full Name & Signature Place of Request Request Date NB. Visa fees or any amount of money paid in excess of the required amount are not refundable. The Embassy welcomes any comment regarding the service it provides For office use only Visa No. Date of Issue Visa Type Date of Expiry Amount Paid Receipt Number Remarks
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