vip passport services, inc. - VIP Passports and Visa Services

VIP PASSPORT SERVICES, INC.
2012 Louisiana Street
Houston, Texas 77002
713-659-8472 1-800-856-8472 Fax 713-659-3767
W e b s i t e : www.vippassports.com E m a i l : i n f o @ v i p p a s s p o r t s . c o m
WORK ORDER REQUEST FORM
(RETURN THIS FORM WITH EACH REQUEST)
BILLING INFORMATION:
RETURN DOCUMENTS TO:
CONTACT: _____________________________
CONTACT: ______________________
COMPANY: _____________________________
COMPANY: ______________________
ADDRESS: _____________________________
ADDRESS: ______________________
CITY/ST: _____________________________
CITY/ST: ______________________
PHONE:
_____________________________
PHONE:
______________________
CELL:
_____________________________
CELL:
______________________
FAX:
_____________________________
FAX:
______________________
EMAIL:
_____________________________
EMAIL:
______________________
CREDIT CARD INFORMATION:
BILLING INSTRUCTIONS:
CARD#: _______________________________
YOUR P.O. OR REF#:_____________
EXP. DATE: _______
CVV#: ________
SIGNATURE OF CARD HOLDER
REQUIRED: _________________________
AUTHORIZED AMOUNT TO CHARGE MY
CREDIT CARD: US$______________
TRAVELERS NAME: ______________________
DATE OF USA DEPARTURE:
DATE OF BIRTH:
DATE YOU NEED PASSPORT: ________
______________________
________
VIP RESERVATION/FILE LOCATOR NUMBER: ___________
SPECIAL INSTRUCTIONS: ____________________________________________________
__________________________________________________________________________
HOW DID YOU HEAR ABOUT VIP?
REPEAT CUSTOMER__ INTERNET__ REFERRED___ BY_________________ WALK-IN_____
Specializing in Visas, Passports, Document Legalization and Translations
VIP PASSPORT SERVICES, INC
2012 Louisiana Street
Houston, Texas 77002
713-659-8472 1-800-856-8472 Fax 713-659-3767
W e b s i t e : www.vippassports.com E m a i l : i n f o @ v i p p a s s p o r t s . c o m
CONGO TOURIST VISA INSTRUCTION SHEET
DOCUMENTS REQUIRED:
VALID PASSPORT:
PASSPORT TYPE PHOTO (S):
STATEMENT LETTER:
OTHER:
1
2
1
APPLICATION (S):
TRAVEL ITINERARY:
HOTEL CONFIRMATION:
2
1-COPY
SEE NEXT PAGE
SEE NEXT PAGE FOR MORE DETAILED INSTRUCTIONS.
PLEASE FORWARD THIS SHEET AND ALL THE ABOVE REQUIREMENTS TO THE ABOVE
LISTED ADDRESS
FEES PER PERSON:
VIP SERVICE FEE: (REGULAR PROCESS)
$75.00
$200.00
CONSULATE FEE:
$6.00
MONEY ORDER:
*ADD RETURN FEDERAL EXPRESS FEE:
TOTAL:
(NO PERSONAL CHECKS PLEASE)
*FEDERAL EXPRESS FEES:
PRIORITY LETTER
$29.00
2-DAY LETTER
$23.50
3-DAY LETTER
$19.50
SATURDAY LETTER
$41.50
**VISA PROCESSING TIME
REGULAR PROCESSING TIME:
4 TO 7 DAYS
COMMENTS:
REVISED:
05-28-2014 (SW)
Specializing in Visas, Passports, Document Legalization and Translations
VIP PASSPORT SERVICES, INC.
2012 Louisiana Street
Houston, Texas 77002
713-659-8472 1-800-856-8472 Fax 713-659-3767
W e b s i t e : www.vippassports.com E m a i l : i n f o @ v i p p a s s p o r t s . c o m
CONGO TOURIST VISA
PLEASE SUBMIT THE FOLLOWING REQUIREMENTS
1.) U.S. PASSPORT (MINIMUM OF 6 MONTHS VALIDITY)
2.) TWO (2) RECENT PASSPORT-TYPE PHOTOGRAPHS (2x2)
3.) TWO (2) COMPLETED AND SIGNED APPLICATIONS
4.) INVITATION OR HOTEL CONFIRMATION-THE INVITATION LETTER
MUST BE TYPEWRITTEN AND NOTARIZED IN THE REPUBLIC OF
CONGO, STATING:
•
THE NATURE OF THE TRIP
•
THE NAME AND ADDRESS OF A REFERENCE TO BE VISITED
IN THE REPUBLIC OF CONGO
•
THIS MUST BE ADDRESSED TO THE EMBASSY OF THE
REPUBLIC OF CONGO, VISA SECTION
5.) COPY OF TRAVEL ITINERARY
6.) INT’L HEALTH CERTIFICATE (FOR YELLOW FEVER)
7.) CONSULATE FEE: $200.00
VALIDITY: TOURIST VISAS ARE ISSUED FOR UP TO THREE (3) MONTHS OF
VALIDITY WITH A STAY OF UP TO THIRTY (30) DAYS. THE VALIDITY OF THE
VISA IS ISSUED AT THE DISCRETION OF THE CONSULATE.
REVISED: 05-28-2014 (SW)
Specializing in Visas, Passports, Document Legalization and Translations
Embassy of the Republic of Congo - Visa Section
1720 16th Street, NW Washington, D.C 20009
DEMANDE DE VISA
Visa Application
PHOTO
Demande pour un visa de:
Visa application for
TRANSIT
COURT SEJOUR
Short stay
2inches x 2inches
LONG SEJOUR
Long stay
1. Nom (family name)
2. Prénoms (given name/first name)
3. Nom de jeune fille (maiden name)
4. Date de naissance
(jour-mois-année)
Date of birth
(day-month-year)
9. Sexe (Sex)
Masculin (Male)
Féminin (Female)
5. Lieu de naissance
(Place of birth)
7. Nationalité actuelle
(Current nationality)
6. Pays de naissance
(Country of birth)
8. Nationalité à la naissance, si différente
(Nationality at birth if different)
10. Etat civil (marital status)
Célibataire-single
Séparé(e)-separated
Veuf(veuve)-widow(er)
Marié(e)-married
Divorcé(e)-divorced
Autres (veuillez préciser)
Other (specify please)
11. Nom et prénom(s) du conjoint (full spouse name)
12. Nombre d’enfants (number of children)
13. Age (age)
14. No du passeport (passport no)
15. Délivré le (date of issuance)
16. Expire le (date of expiration)
17. Numéro de téléphone (telephone number)
18. Adresse électronique (E-mail address)
19. Profession (occupation)
20. Nature et durée du visa sollicité (type of visa and period of stay requested)
21. Motifs détaillés du voyage (purpose of the journey)
22. Résidence actuelle (current address)
23. Etes-vous déjà venu au Congo?
Have you ever visited the Congo?
OUI (yes)
24. Quand et où? (when and where)?
U N I T E
-
T R A V A I L
-
P R O G R E S
NON (no)
25. Avez-vous déjà habité le Congo pendant plus de 3 mois?
Have you ever lived in the Congo for more than 3 months?
OUI(yes)
NON(no)
26. A quelle(s) date(s)?
On which date(s)?
27. Date d’arrivée et lieu d’entrée
Date of arrival and port of entry
28. Date de départ et lieu de sortie
Date of departure and port of exit
29. Indications de vos adresses exactes durant votre séjour
Indication of your exact addresses during your stay in Congo
30. Comptez-vous installer un commerce ou une industrie au Congo?
Do you intend to set up a firm or manufacturing unit in Congo?
OUI(yes)
NON(no)
31. Où comptez-vous vous rendre en quittant le Congo?
Where do you intend to go when leaving the Congo?
Ma signature engage ma responsabilité et m’expose aux poursuites prévues par la loi en cas de fausse déclaration et à me voir refuser tout
visa à l’avenir.
I hereby certify to the truth of all the above, I realize that any false statement renders me liable to legal suit, and that I may be denied any
visa in the future.
Signature
(Pour les mineurs, signature de l’un des parents/du tuteur légal)
(For minors, signature of one of the parents/legal guardian)
Lieu et date
Place and date
OFFICIAL USE ONLY
AVIS ADMINISTRATIF
Fac-similé du visa apposé sur le passeport de l’intéréssé
o
Visa n …………………………………………………………………………………………………………………………………………………………………………
Pour permettre à Mr……………………………………………………………………………………………………………………………………………………...
De nationalité……………………………….................................................................................. titulaire du present passeport de séjourner en
République du Congo pour une période de ...………........................................................................................………………………………………..
Allant du …………........................…………………………………………. au ……………….........................................……………………………...................
WASHINGTON DC, LE
U N I T E
-
T R A V A I L
-
P R O G R E S