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
G AB O N T OU RIS T VI SA
U.S. PASSPORT HOLDER
DOCUMENTS REQUIRED:
VALID PASSPORT:
PASSPORT TYPE PHOTO (S):
INVITATION LETTER:
INT’L HEALTH CERTIFICATE:
OTHER:
1
2
1
1
APPLICATION (S):
TRAVEL ITINERARY:
HOTEL CONFIRMATION:
COVER LETTER:
2
1-COPY
1-COPY
1
SEE NEXT PAGE FOR MORE DETAILED INSTRUCTIONS.
PLEASE FORWARD THIS SHEET AND ALL THE ABOVE REQUIREMENTS TO THE ABOVE
LISTED ADDRESS
FEES PER PERSON:
$75.00
VIP SERVICE FEE: (REGULAR PROCESS)
CONSULATE FEE: (SEE NEXT PAGE)
$200.00
$6.00
MONEY ORDER:
□
SPECIAL HANDLING FEE: (24 TO 48 HOUR RUSH*)
ADD RETURN FEDERAL EXPRESS FEE:
TOTAL:
(NO PERSONAL CHECKS PLEASE)
FEDERAL EXPRESS FEES:
**VISA PROCESSING TIME
PRIORITY LETTER
$29.00
REGULAR PROCESSING TIME:
2-DAY LETTER
$23.50
3-DAY LETTER
$19.50
SATURDAY LETTER
$41.50
PLEASE MARK THE APPROPRIATE BOX IF YOU NEED
VIP TO REQUEST TO HAVE THE VISA ISSUED WITHIN
48 TO 72 HOURS FROM THE DAY THE APPLICATION IS
SUBMITTED ($20.00 SPECIAL HANDLING FEE).
1
ST
OVERNIGHT DELIVERY
COMMENTS:
5 TO 7 DAYS
$75.00
RUSH AND REGULAR VISA REQUESTS CAN BE SUBMITTED MONDAY
THROUGH FRIDAY.
REVISED: 6-13-2016 (JENN)
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
GABON TOURIST VISA
PLEASE SUBMIT THE FOLLOWING REQUIREMENTS
1.) U.S. PASSPORT (MINIMUM OF 6 MONTHS REMAINING VALIDITY WITH
AT LEAST 1 BLANK VISA PAGE)
2.) TWO PASSPORT-TYPE PHOTOGRAPHS (2x2)
3.) TWO COMPLETED APPLICATIONS
4.) COVER LETTER EXPLAINING THE DETAILS OF THE VISIT
5.) COPY OF THE TRAVEL ITINERARY
6.) CLEAR COPY OF THE INTERNATIONAL HEALTH CERTIFICATE
SHOWING YELLOW FEVER IMMUNIZATIONS
7.) PROOF OF LODGING (PLEASE SUBMIT ONE OF THE FOLLOWING)
•
•
CLEAR COPY OF THE HOTEL CONFIRMATION
INVITATION LETTER FROM THE FRIEND OR FAMILY MEMBER IN
GABON, NOTARIZED AT THE IMMIGRATION SERVICES IN
LIBREVILLE (CEDOC)
8.) CONSULATE FEE: $200.00
NOTE:
• APPLICATIONS REQUESTING RUSH SERVICE CAN BE PICKED UP WITHIN 24 TO
72 HOURS.
•
APPLICATIONS REQUESTING REGULAR PROCESS CAN BE PICKED UP WITHIN 5
TO 7 BUSINESS DAYS.
•
APPLICATIONS FOR RUSH OR REGULAR PROCESS CAN BE SUBMITTED
MONDAY THROUGH FRIDAY.
VALIDITY: THE VISAS VALIDITY RANGES FROM A SINGLE ENTRY VISA (VALID FOR A
STAY FROM 1 – 4 MONTHS) TO A (5) FIVE YEAR MULTIPLE ENTRY. THE VALIDITY OF
THE VISA IS DETERMINED ON AN INDIVIDUAL BASIS BY THE ISSUING VISA OFFICER.
REVISED: 6-13-2016 (JENN)
Specializing in Visas, Passports, Document Legalization and Translations
Print Form
PRINT
AMBASSADEDELAREPUBLIQUEGABONAISE
AUXETATSUNIS
NELE…………………………………………….………………….à………………………………………….
BornonPlaceofBirth
D’ORIGINE
ofbirth:…………………………………………………………………………..
NATIONALITE
Citizenship
ACTUELLE
Nom
Name:…………………………………………………
NOMDEJEUNEFILLE
Maidenname:
……………………………………………………………
PRENOMS
Firstname:
…………………………………………………………...
Photographic
Photograph
Now:…………………………………………………………………………
SITUATIONDEFAMILLEENFANTSAGES
Familystatus:………..………………..……Children:………………………....Ages:…………..
DOMICILEHABITUEL
PermanentAddress:……………………………………………………….………………………………
RESIDENCEACTUELLE
PresentAddress……………………………………………………….………………………………………
TELEPHONE……………………………………………..PROFESSION…..…………………………….
AreaCode………………………………………………..
DATED’ENTRÉEAUGABON
DateofentryinGabon……………………………………………………………………………..………
PAYSDEPROVENANCE
Arrivingfrom………………………………………….………………………………….……………………..
COMBIENDETEMPSRESTEREZͲVOUSAUGABON?
HowlongdoyouintendtostayinGabon?........................................................
DATEDUDEPARTDUGABON………………………………….…NO.DEVOL………………
DateofDeparture………………………………………………………..FlightNo…………………
PAYSDEDESTINATION……………………………………………….NO.DEVOL……………….
Destination………………………………………………………………..….FlightNo…………………
AVEZͲVOUSDEJAHABITELEGABONPENDANTPLUSDE3MOIS
CONSECUTIFS?
HaveyoualreadylivedinGabonlongerthan3monthswithoutinterruption?.........
PRECISEZQUELLESDATES
No.dePasseport
Passport……………………………………………...
Délivréle
Dateofissue………………………………………..
Par
Bywhom…………………………………………….
Valablejusqu’a
Validuntil…………………………………………….
When?.........................................................................................................................
INDICATIONPRECISEDULIEUD’ENTRÉEAUGABON.
Indicateportofentry………………………………………………………………………………………………
Visite de courtoisie :
Tourisme :
Officiel :
Affaires :
MOTIFS DU VOYAGE :
Purpose of journey
Courtesy visit:
Tourism:
Official Business:
v.i.p. to meet:
Indiquezavecprécisionlesnomsetlesadressesexactesdescommerçantsoudesindustriesquevousdésirezrencontrers’il
s’agitd’unvoyaged’affaires.
Indicatepreciselythenamesandaddressesofmerchantsandindustrialistsyouwishtomeetonyourbusinesstrip.
………………………………………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………………………………………….
AttachesfamilialesauGabon(adressesexactes)
FamilyconnectionsinGabon(exactaddresses)………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………………………………………………………………………….
Référencesdanslepaysderésidence.
Referencesinthecountryofapplicant’sresidence…………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………………………………………………………………………….
IndicationdevosadressespendantvotreséjourauGabon.
IndicateyourexactaddressesinGabonduringyourstaythere………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………………………………………………………………………….
ComptezͲvousinstallerauGabonuncommerceouuneindustrie?
DoyouintendestablishingabusinessorindustryinGabon?..............................
OucomptezͲvousrendreensortantduGabon?
WheredoyouintendproceedingtowhenleavingGabon?..........................................................................................................
VousengagezͲvousan’accepteraucunemploirémunéréoupairDurantvotreséjourauGabon,anepaschercheràvousy
installeretaQUITTERLETERRITOIREGABONAISAL’EXPIRATIONDUVISAquivousseraéventuellementaccorde?
DoyouundertakeduringyourstayinGabonnottoacceptanyemployment,paidorunpaid,ortotrytosettlethere
permanentlyandtoleaveGaboneseterritoryontheexpirationofthevisagrantedtoyou?....................
Masignatureengagemaresponsabilitéetm’exposeensusdepoursuitesprévuesparlaloiencasdeFAUSSEDECLARATION,
àmevoirREFUSERTOUTVISAAL’AVENIR.
Mysignaturebindsmeandmakesmeliabletoprosecutionincaseoffalsedeclarationandtorefusalofmyvisainthefuture.
A………………………………………………………………date…………………….………..20……….