APPLICATION FORM TO THE MINISTRY OF GOVERNMENT
F o r t h e s a f e a n d o rg a n i z e d e n t r a n c e a n d ex i t t o N i c a r a g u a o f v i s i t o r s o f
other nationalities.
H e r e b y , t h e o r g a n i z a t i o n o r a s s o c i a t i o n ( L e g a l N a m e ) _ ______________________________________
_______________________________________________________________________________________________,
u n d e r t h e l e g a l r e p r e s e n t a t i o n o f , ___________________________________________________________,
w i t h i d e n t i t y c a r d ____________________________________________, r e q u e s t s t h e e n t r y a n d e x i t t o
N i c a r a g u a o f ________________________________________________________________________,
with nationality ____________________________________ an d identity card (Passport Number)
___________________________________________________.
O u r g u e s t ( s ) e n t e r ( d a y / m o n t h / y e a r ) ______/______/______ b y t h e b o r d e r c h e c k p o i n t
___________________________________________________. T h e l e n g h t o f s t a y i n N i c a r a g u a w i l l b e
_______________________________________,
i n t e n d e d d e p a r t u r e d a t e ( d a y / m o n t h / y e a r ) ______/______/______, b y t h e b o r d e r c h e c k p o i n t
_ ________________________________________________________.
P l a c e , d a t e a n d d e s c r i p t i o n o f t h e a c t i v i t y : __________________________________________________
________________________________________________________________________________________________
_______________________________________________________________________________________________.
You can contact the telephone number ______________________________________________, write to the email(s)
_______________________________________________________________________________,
or visit our facilities located at the address ___________________________________________________
_______________________________________________________________________________________________.
Date, signature and stamp of the applicant.
Note: In case of being more than one visitor, attach a list with names, surnames, identity document number and nationality.
Request for visitors who have an invitation from organizations or associations, must be sent by the organization in Nicaragua
EMAILS:
[email protected]
[email protected]