formulário de pedido de visto visa application form

Transcrição

FORMULÁRIO DE
PEDIDO DE VISTO
VISA APPLICATION FORM
REPÚBLICA FEDERATIVA DO BRASIL
MINISTÉRIO DAS RELAÇÕES EXTERIORES
DADOS PESSOAIS / PERSONAL INFORMATION
PROTOCOLO Nº
01 - NOME COMPLETO (FIRST/MIDDLE/FAMILY NAME)
VISTO Nº
02 - NASCIDO EM (cidade/estado/país)
PLACE OF BIRTH (city/state/country)
04 - NACIONALIDADE
NATIONALITY
03 - DATA DE NASCIMENTO
(dia/mês/ano)
DATE OF BIRTH
(day/month/year)
05 - SEXO
SEX
06 - ESTADO CIVIL
MARITAL STATUS
ATTACH
3 X 4 cm
07 - DOCUMENTO DE VIAGEM
PASSPORT OR
TRAVEL DOCUMENT
08 - PAÍS EXPEDIDOR
ISSUING
COUNTRY
09 - EXPIRAÇÃO (dia/mês/ano)
EXPIRATION DATE (d/m/y)
PHOTO
HERE
10 - NOME DOS PAIS /PARENT´S NAME
do pai/father’s: _______________________________________________________________
da mãe/mother’s: _____________________________________________________________
11 - ENDEREÇO RESIDENCIAL / HOME ADDRESS
12 - TELEFONE Nº
TELEPHONE Nº
13 - PROFISSÃO
PROFESSION
14 - ENDEREÇO PROFISSIONAL /BUSINESS ADDRESS
15 - TELEFONE Nº
TELEPHONE Nº
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. ANSWER 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
B - Autorização da SERE
____________Nº. _________
DConcessão
Denegação
Prorrogação
H - Observações
______________ Nº._________
E - Entradas
Uma
Múltiplas
_________________________
F - Prazo de Estada
_________anos/dias
G - Data
______/______/_____
dia
mês ano
I - Assinaturas
Funcionário
TOMO II – Capítulo 11
C - Tipo do Visto
Modelo NSCJ 11.1.18
Chefia
Versão 1.00 (02/06/2000)
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)
MY VISIT WILL BE STRICTLY FOR TOURISM (NO PAID ACTIVITIES ARE ALLOWED).
VIAGEM DE NEGÓCIOS
I AM GOING TO BRAZIL ON BUSINESS.
VIAGEM DE TRÂNSITO
I AM IN TRANSIT.
PARTICIPAÇÃO EM SEMINÁRIOS OU CONFERÊNCIAS
I WILL PARTICIPATE IN SEMINARS OR CONFERENCES.
PARTICIPAÇÃO EM PROGRAMAS CULTURAIS/CIENTÍFICOS
I WILL TAKE PART IN A CULTURAL/SCIENTIFIC PROGRAM.
DESEMPENHO DE ATIVIDADES DE PESQUISA
I WILL DEVELOP RESEARCH ACTIVITIES.
TRABALHO EM ATIVIDADES DE ASSISTÊNCIA SOCIAL
I WILL ACCOMPANY A GROUP OF CHURCH VOLUNTEERS AND/OR TAKE PART IN COMMUNITY SOCIAL WORKS.
PARTICIPAÇÃO EM ATIVIDADES ESPORTIVAS E/OU ARTÍSTICAS
I INTEND TO PARTICIPATE SPORT AND/OR ARTISTIC ACTIVITIES.
TRABALHO COMO CORRESPONDENTE JORNALÍSTICO
I INTEND TO WORK AS A MEDIA CORRESPONDENT.
TRABALHO COM CONTRATO NO BRASIL
I INTEND TO HOLD A POSITION UNDER AN EMPLOYMENT CONTRACT IN BRAZIL.
TRABALHO COMO MISSIONÁRIO RELIGIOSO NO BRASIL
I INTEND TO WORK AS A RELIGIOUS MISSIONARY
ATIVIDADE EM ÁREAS HABITADAS POR POPULAÇÕES INDÍGENAS
I INTEND TO VISIT AREAS INHABITED BY INDIGENOUS POPULATIONS.
CURSOS ESCOLARES NO BRASIL
I WILL ATTEND SCHOOL IN BRAZIL.
VIAGEM EM MISSÃO OFICIAL
I WILL TRAVEL IN AN OFFICIAL MISSION.
ACOMPANHAMENTO DE PESSOAS EM MISSÃO OFICIAL
I WILL ACCOMPANY MEMBERS OF AN OFFICIAL MISSION.
SOLICITAÇÃO DE VISTO PERMANENTE
I AM APPLYING FOR A 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
19 - ENDEREÇO NO BRASIL
ADDRESS IN BRAZIL
20 - TELEFONE Nº
TELEPHONE Nº
21 - LOCAL E DATA DE DESEMBARQUE
PLACE AND DATE OF ARRIVAL
22 - DESTINO
DESTINATION
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)
23 - PERÍODO DA ESTADA
LENGTH OF INTENDED STAY
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
Modelo NSCJ 11.1.18
ASSINATURA /SIGNATURE
Versão 1.00 (02/06/2000)
TOURIST VISA
Who is eligible?
¾ Tourists in general (sightseeing, pleasure trip, etc.);
¾ Participants in sport competitions or artistic contests, conferences or seminars, whenever they are not
being paid for such activities (daily allowances and accommodation expenses coverage excepted).
Requirements:

a passport valid for a minimum of six months from the date of intended arrival in Brazil (with at least one
blank page available);

one Visa Application Form, filled out, dated and signed by the applicant (parents must sign for minors under
18 years old);

one recent 2”x 2” passport-photo, front view, white background. Snapshots or computer pictures are not
accepted;

a copy of a round-trip ticket or a booked itinerary showing travel to and from Brazil, confirming purchase of
the ticket and passenger’s name, itinerary, flight number and arrival/departure dates;

a copy of the US Alien Resident Card for foreign residents and/or a valid visa or document to return from
Brazil to the US or to another country;

for minors under 18 years of age, the original birth certificate and a copy. Copies presented without the
original must be notarized. Minors also need a letter of consent, signed by both parents, and legalized by a
notary public;

International certificate of vaccination against polio for children between ages of three months and six years.
If the child cannot be inoculated, a notarized letter from the child’s physician.

the Consulate may request additional information/documentation as deemed necessary
in the case of participants in sport competitions or artistic contests, conferences, or seminars, affidavit from
the organizing institution in Brazil, with specific information on the activity to be performed, location and
duration, stating that the participant will not receive payment and that no tickets will be sold for the event. A
notary public in Brazil must legalize the letter.
Consular fees

visa fees vary according to nationality:
US$ 30.00- Mexico and South Korea;
US$ 35.00- Australia;
US$ 40.00- Canada and Nigeria;
US$ 50.00- Japan and Russia;
US$ 20.00- all other countries;

US passport holders are exempt from the visa fee, but must pay a processing fee of US$100.00 in reciprocity
for an identical fee paid by Brazilian citizens who apply for a Visa to the US.

An additional absent fee of US$10.00 will be charged for any application not submitted in person by the
applicant.
No personal or company checks are accepted, only cash (exact change), money order, cashier’s check or
certified check, made out to the Consulate General of Brazil.
Note that:
Modelo NSCJ 11.1.18
Versão 1.00 (02/06/2000)

The Consulate General of Brazil in Los Angeles does not process same day visas. It usually takes from 2 to
5 working days;

The Tourist Visa is good for multiple entries for the duration of the visa, and it must be used within 90 days
from the date that it was issued;

All tourist visa holders, regardless of nationality or the length of time that the Visa is given for may only
stay in Brazil for up to 90 days. The Federal Police may extend the Visa, yet it may not exceed 180 days per
year under any circumstances;

The validity of the visa begins on the date of the first entry in Brazil;

The Visa can be processed through the mail if the applicant lives within the Consulate’s jurisdiction. A selfaddressed-stamped envelope must be submitted with the application, with the applicant’s name as sender
and recipient. The Consulate only accepts United States Postal Service. The turn around time for mailed visa
applications is approximately 2 to 3 weeks in high tourist season (November to February);
Attention: The Consulate will not be held responsible for the loss or delay of mailed documents.

check vaccination for information about yellow fever and anti-polio shots;

The legalization of documents issued in the United States must be done by a Notary Public within the
jurisdiction of the Consulate. If the Notary Public is not registered at the Consulate, a Specimen of the
Notary Public’s signature and stamps must be brought by applicant to the Consulate. Alternatively, the
applicant may verify the Notary's signature at the County Clerk.
Modelo NSCJ 11.1.18
Versão 1.00 (02/06/2000)