VISA APPLICATION ONLINE Number of applications (Please choose the number accordingly and then press UPDATE): I. PERSONAL INFORMATIONApplication 1 1. Full name *: 2. Date of birth *: 3. Gender *: Male Female 4. Nationality *: Afghan Albanian Algerian American Andorran Angolan Antiguans Argentinean Armenian Australian Austrian Azerbaijani Bahamian Bahraini Bangladeshi Barbadian Barbudans Batswana Belarusian Belgian Belizean Beninese Bhutanese Bolivian Bosnian Brazilian British Bruneian Bulgarian Burkinabe Burmese Burundian Cambodian Cameroonian Canadian Cape Verdean Central African Chadian Chilean Chinese Colombian Comoran Congolese Costa Rican Croatian Cuban Cypriot Czech Danish Djibouti Dominican Dutch East Timorese Ecuadorean Egyptian Emirian Equatorial Guinean Eritrean Estonian Ethiopian Fijian Filipino Finnish French Gabonese Gambian Georgian German Ghanaian Greek Grenadian Guatemalan Guinea-Bissauan Guinean Guyanese Haitian Herzegovinian Honduran Hungarian Icelander Indian Indonesian Iranian Iraqi Irish Israeli Italian Ivorian Jamaican Japanese Jordanian Kazakhstani Kenyan Kittian and Nevisian Kuwaiti Kyrgyz Laotian Latvian Lebanese Liberian Libyan Liechtensteiner Lithuanian Luxembourger Macedonian Malagasy Malawian Malaysian Maldivan Malian Maltese Marshallese Mauritanian Mauritian Mexican Micronesian Moldovan Monacan Mongolian Moroccan Mosotho Motswana Mozambican Namibian Nauruan Nepalese New Zealander Ni-Vanuatu Nicaraguan Nigerien North Korean Northern Irish Norwegian Omani Pakistani Palauan Panamanian Papua New Guinean Paraguayan Peruvian Polish Portuguese Qatari Romanian Russian Rwandan Saint Lucian Salvadoran Samoan San Marinese Sao Tomean Saudi Scottish Senegalese Serbian Seychellois Sierra Leonean Singaporean Slovakian Slovenian Solomon Islander Somali South African South Korean Spanish Sri Lankan Sudanese Surinamer Swazi Swedish Swiss Syrian Taiwanese Tajik Tanzanian Thai Togolese Tongan Trinidadian or Tobagonian Tunisian Turkish Tuvaluan Ugandan Ukrainian Uruguayan Uzbekistani Venezuelan Vietnamese Welsh Yemenite Zambian Zimbabwean 5. Color portrait photograph *: Only allow image files with extensions: jpg, jpeg, png. The photograph must meet specifications: taken in front of a plain white or off-white background and in full-face view directly facing the camera; neutral face expression and no colored glasses. The size must be at least 35mm x 45 mm. 6. Passport (Copy of the ID page) *: Only allow image files with extensions: jpg, jpeg, png. 7. Additional documents (not applicable to Canadian passport holders): Copy of PR card, flight ticket, hotel reservation for certain countries. Only allow image files with extensions: jpg, jpeg, png. Remove Copy of PR card: Copy of flight ticket: Copy of hotel reservation: II. CONTACT INFORMATION 1. Phone number *: Cellphone to receive confirmation code, includes country code if not a Canada phone number. 2. Email *: 3. Mailing Address *: III. VISA SERVICES 1. Intended date of entry *: 2. Intended date of exit *: 3. Number of entry *: One entry Multiple entry 4. Purpose of entry *: Tourist Business Others Approval Letter by Immigration Department of Vietnam for Business/Others purposes: Only allow image files with extensions: jpg, jpeg, png document. Remove 5. Processing time *:10 working days after we have contacted you to confirm all details 6. Shipping services *: Canada Post Fedex 7. Credit card information (VISA OR MASTER CARD ONLY) Card holder name *: Visa/Master Card numbers (You should add a space after every 4 digits of your card number) *: Expiry date (mm/yy) *: Card Security Code *: Mandatory fields marked by *. Please make sure the image of your passport is readable; your credit card information, dates of entering and exiting Vietnam are correctly specified. Visa fees are various and depend on a number of factors such as length of stay, number of entries, types of visa, availability of pre-authorisation and may subject to change from time to time. Please note that the visa application fee covers all entry fees (no additional fee required upon arrival) and is non refundable. E-visas are not provided by Vietnam Embassy. I assure that I have truthfully declared all relevant details.