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AMBASSAI}E DE T,A R.EPUtsLTQ{JE DU tsURUI\DI ryns.{ Appr,Ic.{rtoruE}rw; AFRIQUE DU S{.ID VISA l.{"PRET/.... .. .. ..t R E M P L I RE N F R A N CAISOU EN ANGL AIS F I L LT H E. F O R I 4 I N FRENCH OR IN ENGL ISH .il i-. 3. N A T I O N A L I T EA C T UEL L E- PRESENT NAT IONAL IT Y 2. N OM E T P R E N OM(S ) S U R N A MEnN o roR erunrvel sl 4. ETATCIVIL- MARITAL STATUS 5. N A T I O N A L I T E S A N T ERIEURES 1. P R E V I O U SN A T I O NAL IT IES - 6 DEPASSEPORT I/fE Er NUMERO TYPEOF PASSPORT ANDNUMBER 7. D A T E E T L I E U D E N AISSANCED A T EA N D P L A C EOF BIRT H I DUpASSEpoRT_ !lE_u_ETDATEDE DELTVRANCE ' PLACE ANDDATEOF ISSUE OF PNSSPONT- 9. A D R E S S EC O M P L E T E- F UL LADDRESS '10 LEP A S S E P OR T E S T V A LID EJU S QU 'A U TH E P A S S P OR TIS V A LIDU N TIL 1. 1.DE N O M I N A T I O N D E V OT RE EM PL OYEUR,ECOL E- pENoMrNAroN oF youR evpioienlsb;o6i: 1a A D R E S S ED EV OTR E E MP LOY E U R A D D R E S SOF Y OU R E MP LOY E RS, C H OOL 13. P R O F E S S I O N 14 C ON TA C T: C E L,OFFtC E MA , TS ON (H OME ) 15, DA T ED ' E N T R E EA U B URUNDI. AE R I V A LD A T E I N B U RUNDI to 17.POR T ED ' E N T R E E- ENT RYPOINT 18. MOTIFD U V OY A GE- P U R P OS EOF V IS IT SEJOUR AU BURUND|, HorEL ou ATLLEURS .!rF.q_D! WHERE WILLYOUSTAYINEURUNDI ? 21 NOI/I_ETADRESSE DE VOTRE HOTEL AU BURUNDI oFyouRuosi tvrL-r_e'-''"' IlyFSryDADDRESS eUARTTER - TowN- suBURB, evrruue ruii- 23. * VE Z - V O U SD E S I N DEM NIT ESDE VOYAGE D E C OMB IE ND 'E N TR E E S A V E Z.V OU SB E S OIN S H OW MA N Y E N TR IE SR E QU IR E D7 EN 20. D U R E ED E S E JOU RA U B U R U N D I H OW LON GWILLY OU S TA Y IN B U R U N D?I A U TR E SMOY E N SD 'H E B E R GE ME N?T OTHERWAYS OF LODGING? 24. A V E Z-V OU SD E JAS E JOU R N EA U B U R U N D I ? S I OU I,QU A N DE T P OU RQU E L MOTIF? H A V EY OU B E E NIN B U R U N D I,IF Y E S , FORWH IC HR E A S ON S? st NoN,coMMENrcoA.lprez_vous"' PF.vls-ES :.,pAyER vos DEpENSES LocALES er G n-elbunz Do_y_ou HAVETRAVEL nlrownNcrs rNio;+iii,J' gllF.NglEs,rFNo,How wrr_r_ vou ueEr ;ou;'' Lo^cAL EXpENSES ANDrHEFAREoriiL h-eiLinlr . TICKET ? 25. CES R E N S E T G N E M ENTSONT S VERtDte UES ; EN CAS g.q-11Tus DEvrsA, le Nenecr_nureniiiis ilis"-"noros , M9E REFERENcES nnernuruiuf nrvo'iririi lsn rs REFUSED I wrLLNorDEMAND eAckMi'Ffibi6bi""*s. 26. DATEET SIGNATURE v!sA'R E Q UI RE M E N T :1 A p p l i c a ti o n fo rm -Va l i d P assport-2l D P hotos-V acci nati oncard-Letterofi nvi tati on f r om Bur undi ot purposefrom company/ NoteVerbalfrom - Let t er Mission!. gqSI, o0 tiiD cash per orJin"rv pr="p",t. pRocESS: 2 workingdays. ' 'i':Tel(+27 12)342 4881--r^-i*zJlziS+z +sssl e-*"ir' "[email protected] on [email protected]