docAmbassade de la République Démocratique du Congo
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Ambassade de la République Démocratique du Congo
Ambassade de la République Démocratique du Congo à Pretoria PHOTO DEMANDE DE VISA (Visa Application Form) NOM (Surname) : ................................................................................... PRENOM (Names) : ............................................................................... LIEU DE NAISSANCE (Place of birth) : .................................................. DATE DE NAISSANCE (Date of birth) : .................................................. SEXE (Sex) : .......................................................................................... ETAT CIVIL (Marital status) : .................................................................. NATIONALITE D’ORIGINE (Nationality at birth) : ................................... NATIONALITE ACTUELLE (Current nationality) : ................................... PROFESSION (Occupation) : ................................................................. N° CELLULAIRE (Cell No.) : ................................................................... ADRESSE DE RESIDENCE (Residential address) : ............................................................................................................................................... ................................................................................................................................................. EMPLOYEUR (Employer) : ............................................................ TEL (Tel) : ....................................... E-MAIL :................................................... ADRESSE (Address) : ............................................................................................................................................................................................ ............................................................................................................................................................................................. TYPE DE PASSEPORT (Type of passport) ORDINAIRE (Ordinary) SERVICE (Official) DOCUMENT DE VOYAGE (Travel document) DIPLOMATIQUE (Diplomatic) AUTRE, PRIERE DE SPECIFIER (Other, Please specify) ......................... NUMERO DE PASSEPORT (Passport number) : ................................................................................................................................................... LIEU ET PAYS D’EMISSION (Place and country of issue) : ................................................................................................................................... DATE DE DELIVRANCE (Date of issue) : .............................................................................................................................................................. DATE D’EXPIRATION (Date of expiry) : ................................................................................................................................................................. MOTIF DU VOYAGE (Purpose of visit) : ................................................................................................................................................................. DATE D’ENTREE EN RDC (Date of entry in DRC) : ............................................................................................................................................... DUREE DU SEJOUR (Duration of stay) : ............................................................................................................................................................... PORT D’ENTREE EN RDC (Point of entry in DRC) : .............................................................................................................................................. MOYEN DE VOYAGE (Means of transport) ROUTE (Road) AVION (Air) BATEAU (Sea) AUTRE, PRIERE DE SPECIFIER (Other, Please specify) ...................................................................................................................... REFERENCE EN RDC (References in DRC) NOM (Surname) ADRESSE (Address) TELEPHONE 1. ................................................................ ............................................................................. ....................................................... 2. ................................................................ ............................................................................. ....................................................... ...................................................................................... DATE Date ...................................................................................... SIGNATURE (POUR MINEURS, SIGNATURE DE L’ADULTE) Signature (for minors, signature of custodian/guardian) LE SERVICE EST DE 24 HEURES (The service takes 24 hours). N° VISA : DELIVRE LE : REMARQUE : 791 Francis Baard Str Arcadia 0083, Pretoria Email:[email protected] CADRE RESERVE A L’ADMINISTRATION (for office use only) DUREE : SIGNATURE : P.O. Box 28795 Sunnyside 0132 Republic of South Africa Tel: (+27) 012 3432455 (+27) 012 3446476 Fax: (+27) 012 3444010 Ambassade de la République Démocratique du Congo à Pretoria VISA FEES MULTIPLE ENTRIES TRANSIT VISA 30 DAYS ........................................................... R1500 45 DAYS ........................................................... R1875 60 DAYS ........................................................... R2250 90 DAYS ........................................................... R2625 180 DAYS ........................................................... R5250 SINGLE ENTRY ................................................. R350 DOUBLE ENTRY ............................................... R500 REQUIREMENTS 1. 2. 3. 4. 5. 6. A FULLY COMPLETED APPLICATION FORM TWO (2) RECENT PASSPORT PHOTOS A VALID PASSPORT (MINIMUM 6 MONTHS) VISA FEES ARE NON REFUNDABLE YOUR REASONS FOR VISITING THE DRC FOR BUSINESS * A NOTARIZED LETTER OF INVITATION FROM THE HOST IN DRC * A LETTER FROM THE APPLICANT’S EMPLOYER WITH DETAILS OF YOUR BUSINESS CONTACT 7. FOR VISIT * A NOTARIZED LETTER OF INVITATION FROM THE HOST IN DRC WITH FULL ADDRESS AND/OR CONFIRMED BOOKING HOTEL * A LETTER FROM THE APPLICANT’S EMPLOYER CONFIRMED THAT HE/SHE WILL RETURN TO EMPLOYMENT AFTER TERMINATION OF THE VISIT IN THE DRC 8. FOR TOURISM * DETAILS OF YOUR INTENDED TOUR ITINERARY 9. FOR OFFICIAL/DIPLOMATIC * NOTE VERBALE The Embassy endeavours to process applications as quickly as possible. However, the Embassy cannot accept responsibility for any delays caused by inadequately documented applications. Note: CASH payments are no longer accepted, all payments have to be deposited to the following account : STANDARD BANK BRANCH : ARCADIA ACCOUNT No. : 011276886 BRANCH CODE : 010845 HOLDER : EMBASSY OF DRC Cheque payments will wait seven working days for clearance before service being provided by the Embassy. The service takes 24 hours. 791 Francis Baard Str Arcadia 0083, Pretoria Email:[email protected] P.O. Box 28795 Sunnyside 0132 Republic of South Africa Tel: (+27) 012 3432455 (+27) 012 3446476 Fax: (+27) 012 3444010
