Please

Affix

THE UNITED REPUBLIC OF TANZANIA

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Passport size Photograph

VISA APPLICATION FORM

Tanzania High Commission
3 Stratford Place

Tel: 0207 569 1481(&rictly for visa enquiries only) Fax: 0207 495 8817

London WlC lAS

Email: lilA@lAnZeSir-ojd]lj!.ggv.qk
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CONSULAR SECTION SCHEDULE:

10.00am

2pm

- 12.30pm Visa Application Only 3.30pm Visa Collection Only

(PLEASE COMPLETE THE FORM IN CAPITAL LETTERS)

Surname
Date and Place of

Title....... OtherNames.

Birth ... Gender.......... Marital Status... Nationality at Birth........ Present Nationalify.... PassportNo.. Place oflssue Date of Issue.
StateYourEmployerfuniversity/College.............

ExpiryDate.................. ..........Position..............
Post Code.....

Address....... OfficeTei.....
Residence Address. TeI
-

.................FaxNo ...".....

No......"..

"....

,.

...Post Code... ".... "..

.MobiieNo"...".................FaxNo

Email Address (please write clearly) Type of Visa: Transit/Floliday/Tourist (Visiting Tourist Attractions)/Business (Single/Multiple),Refered,Doubie
Entry...... "....
Date of

Entry

..... Port of Entry.......

Duration of Stay
.

Means of Financial Support (Self/Company/Other (Specifu))..... ". "... Name of Tour Company if Any .........

Reference in Tanzania (Contact Address ,iFiosV Hotei)

Address
Te1

No.....................Fax...............

Email (of thehost)..........

APPLICANT'S SIGNATURE

DATE

NOTE:
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It is illegal to work or conduct business with

a Tourist Visa

A Tourist Visa is for single entry to the United Republic of Tanzania; Entry should be effected within 3 n{onths from the date of issue of the Visa. Your stay in Tanzania is
valid for 3 monthsy'om date of entry.
We do not issue post-dated visas. Multiple entry visas are issued for Business on1y. Travel Document Holders: Visas are issued at the Immigration Headquarters in Dar es Salaam. Please apply through the High Commission and inform your host inTanzania.

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FOR OFFICIAL USE ONLY

VISANO:

ERVNO: FEES PAID:..

DATE ISSUED:........"... ". DAYS GRANTED:"..........

CONSULAR OFFICER:.".. SIGNATURE

VISA REJECTED AND REASONS