GOVERNMENT OF THE REPUBLIC OF THE UNION OF MYANMAR
MINISTRY OF IMMIGRATION AND POPULATION
IMMIGRATION AND NATIONAL REGISTRATION DEPARTMENT
APPLICATION FOR VISA ON ARRIVAL
(For Entry Visa)
Photo
(4cm x 6cm)
Family Name First Name Middle Name
Name
Nationality ……………………………………………………… Male Female
Date of Birth Y M D Place of Birth ……………………….
Occupation …………………………………………………………..……………………………………………………………………
Passport Number
Place of issue ………………………. Date of issue Y M D
Date of expiry Y M D
Name, Date and Place of Birth of Minor Children. (If accompanying.)
Above seven years must fill up separate form.
……………………………………….…………………………. Male Female
……………………………………….…………………………. Male Female
Remark: Be able to produce the evidence of parent-children relationship if the children are holding separate passport.
Permanent Address ……………………………………………………………………………………………………..
Tel ………………………. Email …………………………………………………
Address in Myanmar ……………………………………………………………………………………………………..
Tel ………………………. Email …………………………………………………
Contact Person ……………………………………………………………………………………………………..
(Name/Organization/Ministry) Tel ………………………. Email …………………………………………………
Purpose in Myanmar ……………………………………………………………………………………………………..
……………………………………………………………………………………………………..
Date of Arrival in Myanmar …………………….. Flight No.………………….Vessel's Name …………………..
Date of Departure in Myanmar …………………….. Flight No.………………….Vessel's Name …………………..
Attention for Applicant
- Applicant shall abide by the laws of the Republic of the Union of Myanmar and shall not interfere in the
internal affairs of the Republic of the Union of Myanmar.
- Legal action will be taken against those who violate or contravene any provision of the existing laws, rules
and regulations of the Republic of the Union of Myanmar.
- For those who enter with entry visa, the invitation letter from the relevant ministry must be shown.
- Applicant shall not be allowed to travel to the restricted areas without seeking prior permission.
I hereby declare that I fully understand the above mentioned condition, that the particulars given above are
true and correct and that I will not engage in any activities irrelevant to the purpose of entry here in.
Date Signature of applicant
(FOR OFFICIAL USE ONLY)
Application / Reference No
……………………………………………….. Visa ……………………………………………………………………….
No.
Date of Issue
………………………………………………………………………
Visa ……………………………………………………………………….
Fee
Entry Visa
Authorized Signature………………………………