1625 K Street NW Suite 750 Washington DC 20006 Tel: 888 838 4867 ♦ Email: [email protected]
Visa requirements shown below are for CITIZENS OF THE U.S. ONLY. Nationals of all other countries please contact Pinnacle Travel Document Systems directly for specific requirements associated with your itinerary.
Russia 1 2 Uzbekistan 1 2 Turkmenistan 1 1 China 1 1
Please enclose your actual passport along with six (6) photographs and the number of completed visa application forms for each country as indicated above. Please also include one (1) color photocopy of your driver’s license or other state issued identification and two (2) clear photocopies of the vital information page of your passport. (If you reside in any of the following states: TX, OK, AR, LA, MS, AL, GA or FL and are traveling to China for the first time you must complete the enclosed China Visitation Letter. If you have traveled to China at any time in the past you must submit a photocopy of your last Chinese visa as well as the entry stamp that was placed in your passport, if you do not possess these items than you must complete the enclosed China Explanation Letter.) Please note that your Uzbekistan, China and Russia visa applications must be completed online at the links shown herein. Photographs should be recently shot passport-type color photos with a clear white background approximately 2” x 2” in dimension. (Note that machine or home photographs are not acceptable, shoulders must be covered and photographs must be different than those in your current passport.) Your passport must be valid for a minimum of twelve (12) months beyond the completion of your international travel and must have at least eight (8) blank unused pages available not including those reserved for amendments and endorsements at the back of your passport. Contact PTDS directly for assistance with the renewal of your U.S. passport, as this can easily be done at the same time you apply for your visas.
Fees shown above include all necessary consular and service fees as well as the cost to return your passport(s) via FedEx from our offices within the continental U.S. (Please add $30.00 to cover extra shipping costs for addresses in Alaska, Hawaii, or Canada.) We strongly suggest that you send your documents to us via FedEx or some other form of traceable overnight courier service.
Visa(s) # # Cost Req’d Forms Photos 1 – Persons - 2
Application Expedite Fee Deadline Per Person
(90 days prior to your departure) $270.00
The Silk Road Aboard the Golden Eagle
Applications should be received in our offices 90 days prior to your departure from your shipping address. Documents received after the deadline will be subject to the per person expediting fee shown above. If you have interim international travel scheduled in the 100 days prior to the tour departure you will need to obtain a second passport. Special requests for passports to be expedited due to other travel plans prior to your tour departure may also require expediting fees. Please contact PTDS directly regarding any special processing needs or before submitting documents you expect may be received substantially after the deadline as there may be special requirements and/or additional fees to process your request. It may not be possible to cancel processing of your applications once they have been submitted.
Please note that consular fees, shipping fees and application requirements quoted are subject to change without notice. Check or credit card payment accepted. Credit card payment subject to 3.5% surcharge.
$1138.00 $2246.00
VISAS ARE ISSUED FOR SPECIFIC DATES SO PLEASE COMPLETE FORMS CAREFULLY Shoulders must be covered for photos. Russian applications will expire after 30 days, they MUST be sent to PTDS immediately following online submission. Visas are not required for short tourist stays in Kazakhstan.
PLEASE BE CERTAIN TO INCLUDE THE FOLLOWING: Pinnacle Travel Document Systems 1625 K Street NW Suite 750
Washington DC 20006 ♦ Your actual passport (Please keep a photocopy for your records.) ♦ This completed form ♦ Two (2) photocopies of the vital information page of your current passport ♦ One (1) visa application form per person completed online for Uzbekistan ♦ One (1) completed visa application form per person for Turkmenistan ♦ One (1) visa application form per person completed online for Russia ♦ One (1) visa application form per person completed online for China ♦ One (1) color photocopy of your driver’s license
♦ One (1) completed China Visitation Form (TX, OK, AR, LA, MS, AL, GA or FL residents only) ♦ Photocopy of past visa and entry stamp (TX, OK, AR, LA, MS, AL, GA or FL residents only)
♦ Six (6) passport-type color photographs per person ♦ Credit or debit card authorization below
PLEASE PRINT CLEARLY
Full Name (1):_____________________________ Full Name (2): _____________________________
Passport #:____________________ Exp:___/___ Passport #:____________________ Exp:___/___ Mo Y r Mo Y r
Home ________________________________ Home Tel: ________________________________
Mailing ________________________________ Work Tel: ________________________________
Address: ________________________________ Email: ____________________________________
________________________________ Date of Departure from Home: ____/____/_____ (FedEx cannot deliver to PO boxes) Mo nt h Da y Ye a r
Address ________________________________ Tour Name: The Silk Road – Golden Eagle
For the ________________________________ Date of Tour Departure: / / Mo nt h Da y Ye a r Return of ________________________________ Date of Entry to Russia: __________________
Passport: ________________________________ Date of Entry to Uzbekistan: _______________
Tel: ________________________________ Date of Entry to Turkmenistan: _____________
Please indicate below if there are known periods prior to your tour during which you will need your passport for another international tr ip or when you will not be available to sign for the return of your passport. I wil l need my passport(s) for other international travel from _____/____/_____ to _____/____/_____ Mo nt h Da y Yea r Mo nt h Da y Yea r
I wil l not be at my home and/or return shipping address from _____/____/_____ to _____/____/_____ Mo nt h Da y Yea r Mo nt h Da y Yea r
Cardholder Name:_____________________ Signature:______________________ Bi l l ing Zip Code: _____________
Card #: ______________________________CID#______________ Expires: ____/___ Amount: US$ _________ Mo Y r GEOEX SILK – GOLDEN EAGLE 1138/2246 FX 30 (Russia198/UzbekX245/TukmenX100)85 (ChinaX175)75 (CHINA/UZBEK/RUSSIA APP)12 (COPY CHINA/UZBEK)12 VAL 12 MTHS 8 PGS DL 90 DYS 270.00 3.5%
ENTER RUSSIA, UZBEK & TURKMEN – SEE ABOVE
ONLINE ORDER COMPLETION & AUTOMATED UPDATES: If you have not already done so please complete your order online. This will allow you to create an inbound FedEx shipping label to securely send your documents to us and pay all required fees online. This will also allow you to receive automated email updates regarding the progress of your documents. Please locate and click on the name or number of your specific program at the link below to complete your order.
www.PinnacleTDS.com/Geoex
IMPORTANT NOTICE - PASSPORT PAGES & VALIDITY:
You must have at least eight (8) blank unused pages available in your passport for visas and entry/exit stamps. In addition, your passport must be valid for twelve (12) months beyond the completion of your international travel. If you are a U.S. citizen and do not have the adequate number of pages or validity you will need to renew your passport since the U. S. Passport Agency will no longer add pages. Pinnacle Travel Document Systems can easily assist you with this at the same time your visas are being processed. The total additional fees for this service (including U.S. government expediting fee) is $264.00 for passport renewals and second passports. We can also assist you with expediting first time passport applications.
You will need to complete an application form and a letter of authorization for PTDS and must send your actual passport to us. Specific requirements and the necessary forms are available for download from our Internet site:
Passport Renewals First Time Passports
Second Passports WWW.Traveldocs.com/PTDSPassports
You may also contact us at [email protected] or
888-838-4867 and we will send you an instruction kit.
APPLICATION COMPLETION SERVICE We will complete your online visa application(s) for you as an optional service if you are not able to or simply prefer not to go through the online process on your own. You must still provide all the necessary personal information in order for us to be able to provide this service. A hand written manual version of the visa application(s) must be completed and returned to us before you actually send in your passport and other required documents for visa processing.
Once we have received your completed manual visa application form(s) we will execute the online form on your behalf and return it to you within 2 working days. You will then need to sign this form and include it with your passport, photographs and other documents being sent to us for processing of your visa(s). Please note that this service is separate from the actual processing of your visa(s) and you must wait to receive and then sign the completed online version of the visa application form(s) from us before you physically ship your documents to us for visa processing. The fee for this service is $75.00 per application, per person payable via credit card at the time you send the manual version of the application(s) to us and is in addition to the visa processing fees quoted. If you would like to take advantage of this service please call us at 888-838-4867 or email us at [email protected] to request a manual version of the visa application form(s) be sent to you.
Online Visa Application Form for China
All application forms must be completed online at the following web page:
http://www.traveldocs.com/uploads/forms/chinavisa.pdf
Please click on or carefully type the link exactly as shown above directly into your web browser address window and NOT into your search engine, e.g. Google or Yahoo otherwise you will not reach the application.
All dates on the form are in YEAR/MONTH/DAY format.
All fields must be typed and fully completed. No handwritten forms will be accepted. All questions that cannot be
answered must say N/A or none. No handwritten marks can be made on form other than your signature.
Please print the online form and include it with
your documents. All forms must bear your original signature.
TIPS FOR COMPLETING CHINESE VISA APPLICATION
Pinnacle Travel Document Systems strongly recommends printing this tip sheet and using it as a guide while you are completing the Chinese application. Below is an explanation on how to avoid the most common errors that applicants make while filling out the application. Failure to follow instructions will cause your application to be rejected by the Chinese Embassy/Consulate and result in delays in issuing your visa.
Question 1.1 Name MUST match the name in your passport.
Question 1.2 Former Chinese citizens must write their name in ethnic script.
Question 1.3 Maiden name, Former married names, ETC.
Question 1.9 Driver’s License number or Social Security Number.
Question 1.10 If you have a blue US passport the correct answer is “Ordinary”.
Question 1.15 If retired please state retired and from what position. Residents of AL, AK, FL, GA, LA, MS, OK, TX and PR do not need to state from what profession they retired from.
Question 1.17 If you are a retired worker please include your previous employers contact information. Students must include school contact information. Residents of AL, AK, FL, GA, LA, MS, OK, TX and PR who are retired should type N/A in each field.
Question 1.18 Physical addresses only. No P.O. box numbers allowed.
Question 1.23 Must list major family members, Father/Mother, Husband/Wife and children.
Question 2.6 Fill in the dates of stay in each location. Fill in names, addresses and phone numbers for all hotels or other residences you will stay in.
Question 2.8 Fill in the details of your hotel, tour operator or private host in China.
Question 3.8 USA citizens must answer N/A to all nine fields.
Presented By: TRAVEL DOCUMENT SYSTEMS, INC.All fields below must be typed and fully completed. All Questions that cannotbe answered must say N/A or None. No handwritten marks can be made onthe form other than your signature.
DOE
BONHAM
JOHNATHAN
N/A MAIDEN NAME
✔ 1961-03-13
USA USA
LOS ANGELES, CA USA
DRIVER'S LICENSE #
✔
9876543210 2010-09-08
US DEPT OF STATE 2020-09-07
✔
✔
ABC INTERNATIONAL 987-654-3210
1234 MAIN STREET ANYWHERE, USA 98765
ENGINEER
4321 MAIN STREET ANYWHERE, USA 98765
987-456-3210 [email protected]
✔
JOANNA DOE USA RETIRED WIFE
DAVID DOE USA TEACHER SON
MARY JANE DOE USA DOCTOR DAUGHTER
ROBERT DOE USA ENGINEER SON
JOANNA DOE 987-654-9876
WIFE
USA
✔
✔
✔
PER YOUR ITINERARY
PER YOUR ITINERARY
PER YOUR ITINERARY XIAN - ON BOARD PRIVATE TRAIN - SHANGRI LA EXPRESS
PER YOUR ITINERARYBEIJING - ON BOARD PRIVATE TRAIN - SHANGRI LA EXPRESS
(MAKE NO MENTION OF TRAVEL TO DUNHUANG, URUMCHI OR KASHGAR)
PREPAID TOUR
ZHANG XIN SHENG
CBR INTERNATIONAL ROOM 603 WEIFENG INTERNATIONAL PLAZA 7088 RENMIN STREET, CHANGCHUN CITY PRC 130022
0086 1390 430 2380
INVITER
YES 2012-03-16 WASHINGTON DC
BRAZIL MEXICO
✔
✔
✔
✔
✔
N/A
PLEASE DO NOT FORGET TO SIGN AND DATE YOUR APPLICATION
N/A
N/A N/A N/A
N/A N/A N/A
N/A N/A N/A
Consulate of China Visa Section I, JOHNATHAN DOE_____, hereby state that I was issued a visa for the country of China on ___FEBRUARY 2005____. I entered China on ___MARCH 4, 2005___. My visa and entry stamp were issued in a passport that has expired and which I no longer have in my possession.
Thank you for your consideration.
Signature Print Name JOHNATHAN DOE
PLEASE FILL OUT THIS FORM TO THE BEST OF YOUR KNOWLEDGE. IT IS ACCEPTABLE TO ESTIMATE YOUR DATES. China Explanation Letter
Date
Consulate of China Visa Section I, JOHNATHAN DOE___, hereby state that I have not visited China during any of my previous travels. This will be my first trip to China.
Thank you for your consideration.
Signature Print Name JOHNATHAN DOE
China Visitation Letter
Date TODAY’S DATE
Consulate of China Visa Section I, ____________________, hereby state that I was issued a visa for the country of China on_______________. I entered China on _________________. My visa and entry stamp were issued in a passport that has expired and which I no longer have in my possession.
Thank you for your consideration.
Signature Print Name
China Explanation Letter
Date
Consulate of China Visa Section I, , hereby state that I have not visited China during any of my previous travels. This will be my first trip to China.
Thank you for your consideration.
Signature Print Name
China Visitation Letter
Date
Online Visa Application Form for Russia Please read ALL instructions carefully BEFORE beginning the online
application process. The DATA APP SAMPLE sheet included in this visa kit has EXTREMELY IMPORTANT INFORMATION THAT YOU MUST READ
BEFORE YOU PROCEED. Applications not filled in correctly WILL result in delayed processing.
VERY IMPORTANT: ALL applicants MUST INPUT “PINNACLE123” as
their password. DO NOT input any other name or word here. We may need to access your online application in order to make any necessary
amendments on your behalf. All application forms must be completed online at the following web page:
https://visa.kdmid.ru
Please be careful to type the link exactly as shown above directly into your web browser address window and NOT into your search engine, e.g.
Google or Yahoo otherwise you will not reach the application.
First time users click on “Complete New Application Form”
Refer to the sample visa application and data input sample included for information regarding dates and sponsoring organizations in the U.S. and
Russia. Use general sample information verbatim and substitute your personal information.
Please note that this online format is the only acceptable application.
No handwritten applications will be accepted.
Please print the online form and include it with your documents. All forms must bear your original signature. Your application will
expire after 30 days. Applications MUST be sent to PTDS immediately following online submission. Please DO NOT complete applications until
you are ready to send all of your documents to our offices via an overnight courier service.
Please be aware that the above link is maintained by a Russian government
sub-contractor and can sometimes be unavailable or not functioning properly. Please try again if you experience difficulties with this process.
Browser “cookies” must be enabled to access the above website.
Russian Visa Application – Sample Data Input VERY IMPORTANT: ALL applicants MUST INPUT “PINNACLE123” as
their password. DO NOT input any other name or word here. We may need to access your online application in order to make any necessary
amendments on your behalf.
YOU MUST CHOOSE “SAVE DRAFT” AFTER YOU HAVE ANSWERED ALL QUESTIONS ON EACH PAGE OF YOUR APPLICATION. FAILURE TO CHOOSE
“SAVE DRAFT” WILL RESULT IN DELAYED PROCESSING.
PLEASE USE SAMPLE INFORMATION VERBATIM AND SUBSTITUTE YOUR PERSONAL INFORMATION. FOLLOW INSTRUCTIONS BELOW IN RED
Country where you will be applying for your visa: USA (This is the only correct answer) Country: USA (This is the only correct answer) Nationality: Your Nationality Formerly a Russian Citizen: No Purpose Section: Tourism Purpose: Tourism Visa Category: Common Tourist Number of Entries: Multiple (THIS IS THE ONLY CORRECT ANSWER) PLEASE NOTE DAY/MONTH/YEAR DATE FORMAT RUSSIAN VISAS ARE ISSUED FOR SPECIFIC DATES. PLEASE BE CAREFUL FILLING OUT FORMS Date of Entry (dd/mm/yyyy): Per Your Itinerary Date of Exit (dd/mm/yyyy): Per Your Itinerary Your Last Name: Doe (MUST MATCH YOUR PASSPORT EXACTLY) First Name/Middle Name Johnathan Bonham (MUST MATCH YOUR PASSPORT EXACTLY) Other Name used in the past: Maiden name if married Gender: Male Date of Birth (dd/mm/yyyy): 13/03/1961 Place of Birth: California USA (MUST MATCH YOUR PASSPORT EXACTLY) Were you born in Russia: No
Type of Passport: Tourist Passport Number: 0123456789 Passport Issue Date (dd/mm/yyyy): 10/05/2009 Passport Expiration Date (dd/mm/yyyy): 09/05/2019 Which Institution are you going to visit: Travel Company (THIS IS THE ONLY CORRECT ANSWER) Name of Organization: Krugozor Travel Bureau
Address of Host Travel Company: 16/1 Prospect Mira Moscow 129090 Reference Number: 000988 Confirmation Number: 0000 (ALL APPLICANTS MUST ENTER THIS NUMBER) Passport Issued by: US Department of State (SAME FOR ALL US PASSPORTS) Places You Plan to Visit: Moscow Volograd Medical Insurance Policy: Yes
Name of Policy Provider: Blue Shield or Your personal Carrier Name Who Will Pay for Trip: Independently (THIS IS THE ONLY CORRECT ANSWER) Do you plan to stay anywhere while in Russia: Yes
Where do you plan to stay: Hotel (THIS IS THE ONLY CORRECT ANSWER)
Name of Hotel: Royal Aurora Hotel On Board Train-Golden Eagle Address of Hotel: Prtrovka St. Bld. 11 Moscow Phone Number: 7495 937 1000 44 1619 289410
Have You Ever Been Arrested of Convicted: No Have You Had an Infectious Disease or Ever Abused Drugs: No Have You Ever Been Refused a Russian Visa: No Has Your Russian Visa Ever Been Canceled: No Have You Ever Tried to Get a Russian Visa by Providing False Information: No Have You Been in Russia with an Expired Visa or Without a Visa: No Have You Ever Been Deported From Russia: No Is This Application Filled Out By You Personally: Yes Have You Ever Received a Russian Visa: No Do You Have Specialized Skills With Firearms: No Have You Ever Performed Military Service: No List All Professional, Civil and Charity Organizations You Belong to: Red Cross, United Way Have You Ever Been Involved In Armed Conflict: No List All Educational Institutions You Attended Other Than High School: Name,Address,Degree,Dates List Last Two Places of Work Excluding Current One: Name,Address,Position,Supervisor,Dates Have You Ever Been Issued a Russian Visa: No Has Your Passport Been Lost or Stolen: No (THIS IS THE ONLY CORRECT ANSWER)
List All Countries Visited in the Last 10 Years: China 2010 Australia 2000 Have you been issued a passport from another country: No (If Yes please provide details) Miscellaneous Information Fathers Full Name: Johan Sebastian Doe Mothers Full Name: Johanna Margaret Bach Your Permanent Address: 1234 Main Street Anywhere, California 98765 Do You Currently Work: No (If yes please provide details) Do You Have Relatives Currently in Russia: No
Location Where You Will Be Applying: Visa Application Center ILS Washington (All Applicants MUST choose ILS Washington. Applications will be denied if this is NOT chosen.) Appointment Date (dd/mm/yyyy): Next day AFTER you have filled out this application.
Please print the online form and include it with your documents. All forms must bear your original signature.
Your application will expire after 30 days. Applications
MUST be sent to PTDS immediately following online submission. Please DO NOT complete applications until you are ready to
send all of your documents to our offices via overnight courier service.
VISA APPLICATION
20002-9866990 \ 11/14/2014 3:37:21 AM Completed: visa.kdmid.ru Destination: Visa Application Center ILS (Washington);
I declare that all data given in this form is complete and true. I am aware that any false statements will lead to my application being rejected or to the annulment of a visa already granted and may also render me liable to prosecution under Russian law. I undertake to leave the territory of Russia upon the expiry of the visa If granted. I understand that possession of a visa does not entitle its bearer to enter Russia automatically. I will not seek compensation if I am refused to enter Russia. ** - not to be filled by holders of diplomatic and official passports 1. Nationality(If you formerly had USSR or Russian citizenship, please indicate when and why you lost it)
UNITED STATES 6. Purpose of visit TOURISM 7. Category and type of visa COMMON TOURIST
2. Last name(as in passport) DOE
8. Number of entries Single entry Double entry Multiple entry
3. First and middle names (as in passport) JOHNATHAN BONHAM
9. Date of entry in Russia PER YOUR ITIN (dd/mm/yy)
10. Date of departure from Russia
PER YOUR ITIN (dd/mm/yy) 4. Date of birth
(dd/mm/yy) 13/03/1961 5. Sex
M F
11. Passport No 9876543210 Date of issue (dd/mm/yy) 10/01/2010 Issued by US DEPT OF STATE Valid until (dd/mm/yy) 09/01/2020
12. Type of passport diplomatic official tourist other please specify
13. Russian institution or organization to be visited? (for tourists – name and reference number of the host tourist company, for businessmen – name of the host organization and town, for private persons – last name, first name, middle names and home address of the host)
KRUGOZOR TRAVEL BUREAU 16/1 PROSPECT MIRA MOSCOW 129090 000988 14. Itinerary(places of visit)
MOSCOW VOLOGRAD **15. Do you have a medical insurance valid in Russia?
yes Please specify? BLUE CROSS/BLUE SHIELD no 16. Who will pay for your trip to and stay in Russia? Independently 17. Marital status married single (never married) divorced separated widowed
18. Spouse’s full name (if divorced or separated, please indicate maiden name if applicable) JOANNA BACH DOE
19. Spouse’s date of birth
(dd/mm/yy) 16/01/1961 20. Spouse’s place of birth ARIZONA, USA **21. Your father’s full name JOHAN SEBASTIAN DOE
**22. Your mother’s full name MARY ALICE DOE
23. Have you ever been issued a Russian visa? (When and where?)
NONE
**24. Has your passport ever been lost or stolen? yes no
**25. List all countries you have visited in the last ten years and indicate the year of visit
AUSTRALIA, 12/02/1984; CHINA, 22/07/1987; EGYPT, 17/04/2004
**26. List all countries which have ever issued you a passport
NONE
**27. List your last two places of work, excluding the current one
1. Name ABC INTERNATIONAL Phone number 999-888-6666 Address 1234 MAIN ST. LOS ANGELES CA 98765 Your chief’s surname
WILLIAM TELL Your position ENGINEER Dates of joining – dismissal 02/1985 (mm/yy) 08/1999 (mm/yy)
2. Name NONE Phone number NONE Address NONE Your chief’s surname
NONE Your position NONE Dates of joining – dismissal NONE (mm/yy) NONE (mm/yy)
** - not to be filled by holders of diplomatic and official passports **28. List all educational institutions you ever attended, except high schools
1. Name Address and phone number UNIVERSITY OF LOS ANGELES 4321 COLLEGE WAY LOS ANGELES CALIFORNIA Course of study ENGINEERING Dates of admission and graduation 09/1980 (mm/yy) 06/1984 (mm/yy)
2. Name Address and phone number NONE NONE
Course of study NONE Dates of admission and graduation NONE (mm/yy) NONE (mm/yy)
**29. List all professional, civil and charity organizations which you are / were a member of or cooperate / cooperated with
NONE
**30. Do you have any specialized skills, training or experience related to fire-arms and explosives or to nuclear matters, biological or chemical substance? If yes, please specify NONE
**31. Have you ever performed a military service? If yes, indicate the country, branch of service, rank, military occupation and dates of service
NONE **32. Have you ever been involved in an armed conflicts, either as a member of the military service or a victim? If yes, please specify NONE 33. IMPORTANT! EACH APPLICANT MUST READ AND GIVE ANSWERS TO THE FOLLOWING QUESTIONS
A visa may be refused to persons who are within specific categories defined by the law as inadmissible to Russia. Have you ever been arrested or convicted for any offence?
yes When? (dd/mm/yy) Where? no
Have you ever been afflicted with a communicable disease of public health significance or a dangerous physical or mentalyes no disorder? Have you ever been a drug abuser or a addict? Have you ever been refused a Russian visa?
yes When? (dd/mm/yy) Where? no
Has your Russian visa ever been canceled? yes When? (dd/mm/yy) Where? no
Have you ever tried to obtain or assisted others to obtain a Russian visa or enter Russia by providing misleading or false information? yes no
Have you ever overstayed your Russian visa or stayed unlawfully in Russia? yes no
Have you ever been deported from Russia? yes When? (dd/mm/yy) Where? no
Your answer yes in item 33 does not automatically signify ineligibility for a visa. In this case you may be required to personally appear before a consular officer.
34. Name, address and phone number of a person or hotel in Russia that you plan to stay with ROYAL AURORA HOTEL PRTROVKA ST. BLD. 11 MOSCOW 7495 937 1000 ON BOARD TRAIN-GOLDEN EAGLE 44 1619289410 35. Has this application been completed personally by you? If no, indicate the person completing this application in item 36 yes no
36. Application completed: Surname, first name Relationship to Applicant’s applicant address
Place for photograph
I agree to my personal data on this application form being processed and communicated to the appropriate Russian authorities for the issue of a visa.
Date (dd/mm/yy), applicant’s signature
DO NOT FORGET TO SIGN AND DATE YOUR APPLICATION.
37. Other names ever used (maiden name, pen-name, holy orders, et..)
NONE 38. Your permanent address, phone and fax number, E-mail 4321 MAIN STREET LOS ANGELES CALIFORNIA 98765, 999-777-5555, [email protected]
39. Place of birth (If born in Russia, please indicate when and what country you emigrated to)
CALIFORNIA, USA
40. Place of work or study, present position (name, address, phone and fax numbers, E-mail)
NONE 41. Are any of your relatives staying in Russia now? (full name, relation degree, date of birth, permanent address)
NONE
Online Visa Application Form for Uzbekistan
All application forms must be completed online at the following web page:
http://evisa.mfa.uz/evisa_en/
Applications not filled in correctly may result in a delayed processing.
Please be careful to type the link exactly as shown above directly into your web browser address window and NOT into your search engine, e.g.
Google or Yahoo otherwise you will not reach the application.
Refer to the data input sample included for information regarding dates and
sponsoring organizations in Uzbekistan. Please use sample information verbatim and substitute your personal information.
All dates on the form are in DAY/MONTH/YEAR format.
Please note that this online format is the only acceptable application.
No handwritten applications will be accepted.
Please print the online form and include it with your documents.
All forms must bear your original signature and be in English.
Please be aware that the above link is maintained by a Uzbekistan
government sub-contractor and can sometimes be unavailable or not functioning properly. Please be patient and try again if you experience
difficulties with this process.
Visas are issued for exact dates on application. Please be careful when filling out forms.
Uzbekistan Visa Application – Sample Data Input
PLEASE USE SAMPLE INFORMATION VERBATIM AND SUPBSTITUTE YOUR PERSONAL INFORMATION.
Section 1 - Personal Information Surname: Doe Previous surname: Married Females Only First Name: Johnathan Other Name: Bonham Upload photo: DO NOT upload file here. Send with documents to PTDS. Sex: Male Date of Birth: 13 March 1961 Place of Birth: Los Angeles Country of Birth: USA Citizenship: USA
Previous Citizenship: USA
Passport Type: Ordinary Passport Number: 9876543210 Date of Issue: 09 September 2010 Issued By: US Department of State (Same for all US passports) Expiration Date: 08 September 2020 Marital Status: Married Spouses Name: Doe Joanna Bach
Section 2 – Travel Information
Period of Visit (DDMMYYYY): Per Your Personal Itinerary (Visas are issued for specific dates of entry based on your application so please complete your forms carefully.) Number of Entries: 2 (Multiple Entry) Duration of Stay: 9 Days (Do not count the day you leave Uzbekistan) Duration of Visa Procedure: Urgent (All applicants must choose this) Place of Visa Issuance: Washington DC (This is the only correct answer) Route of Transiting through Uzbekistan: Khiva, Bukhara, Samarkand, Tashkent Purpose of visit: Tourism Inviting Party: Marco Polo Discoveries Ltd. 31 Khusein Baykaro St. Samarkand, Uzbekistan 140100 Tel: 998 66 2336126
Section 3 – Additional Information
Address in Uzbekistan: On Board Private Train – Golden Eagle Previous visits to Uzbekistan: None Accompanied Persons: Not Applicable
Occupation: If Retired Please put “Retired”
Place of Work: If Retired Please Put Last Employer Info Here Work Address: If Retired Please Put Last Employer Info Here
Home Address and Phone: 1234 Main Street, Anywhere CA 98765 987-654-3210
Select “Continue (print forms)” at bottom of page.
PLEASE PRINT AND SIGN APPLICATION AND SEND WITH ALL OTHER DOCUMENTS TO PTDS.
Ministry of Foreign Affairs of the Republic of Uzbekistan
Visa Application Registration date: 2015.01.25 Expiration date: 2015.04.25
Surname
DOE
Previous Surname
First Name
JOHNATHAN Previous First Name
Other Names
BONHAM Previous Other Names
Date of Birth
16.01.1961
Place of Birth
LOS ANGELES
Country of Birth
USA
Citizenship
USA
Previous Citizenship
Passport Type
Ordinary
Passport Number
987654321
Date of Issue
24.01.2010
Issue By
US DEPT OF STATE
Expiration Date
23.01.2020
Sex
Male Marital Status
Married Spouse's Surname, First and Other Names
DOE JOANNA BACH Planned Period of Visit (from-to)
PER YOUR ITINERARY
Number of Entries
Two
Duration of Stay
9 Days
Duration of Visa Procedure
Urgent Place of Visa Issuance
Washington
Route for transit through the territory of the Republic of Uzbekistan (cities):
Khiva, Bukhara, Samarkand, Tashkent
Purpose of Visit
TOURISM
Inviting Party
Marco Polo Discoveries Ltd. 31 Khusein Baykaro St. Samarkand, Uzbekistan 140100 Tel: 998 66 2336126
Occupation
Retired
Place of Work (Study) and Position
ABC INTERNATIONAL - ENGINEER
Work (Study) Address and Phone
1234 MAIN STREET, ANYWHERE CA. USA 999-888-7777
Home Address, Phone and E-mail
4321 MAIN STREET, ANYWHERE CA. USA 999-888-6666
Address in Uzbekistan
Private Train – Golden Eagle
Previous Visits to Uzbekistan
NONE
Accompanied Persons
NONE
Applicant's signature Date (dd.mm.yyyy):
Comment: Please answer all the questions, visa request will not be processed if Application is incomplete. Providing false information may cause the denial of visa
For official use only Qayd в„– Blank в„– Tasdiq в„– Visa turi
Berilgan sana Muddati Tushum Xaqiqiy xarajat
EMBASSY OF TURKMENISTAN – CONSULAR SECTION2207 Massachusetts Avenue NW Washington DC 20008 USA
tel: (202)588-1500; fax: (202)588-0697;E-mail: [email protected]; http://www.turkmenistanembassy.org
Visa Application Form
IMPORTANT! Implementation of the following few additional steps is essential in order to processquickly your Application. Please read instructions also posted on our webpage and make changes as necessary before submitting to the Embassy. The information provided with the forms will be reflected inyour visa and any corrections/changes afterwards may be highly time, effort and resource consuming. Itmay also lead to total decline of your Application or in certain cases to deportation upon arrival and annulment of your visa. 2 Applications per Applicant! Please do not fold or otherwise deteriorate theApplication Forms as they will not be admitted for processing. Forms must be filled in duly, withoutcorrections, preferably typed or printed, all fields must be answered (enter “n/a” where applicable).Recent identical photos of max. 6 months old must be glued to each Application Form. Fees must be of exact amount in US funds, unless waived. Declined checks/ MOs subject to $25 return fee.
Do not write or mark in this area! Resmile dirilen wizany :
Senesi:
Möhleti:
Bahasy:
Esasy:
Senesi:
PHOTO
Please glue,do notstaple!
MaximumSize 1.5 x 2 in.
1
Surname/Last Name:
2 Name, Given Name(s):
3 Any Other Name(s) used before:(e.g. before marriage)
4 Date of Birth: (dd-mm-yyyy)
5 Place of Birth:
6 Current Citizenship:
7 Citizenship at Birth: 8 Sex:
9 Family Status:
(e.g. single, married, widowed, separated, divorced)
10 Type of Passport:
(e.g. diplomatic; official/service; ordinary)
11 Other Travel Document if none in #10 is applicable:
(in accordance with 1951 Convention)
12 Passport #: 13 Valid from: to:(dd-mm-yyyy)
14 Issuing Authority/Agency:
Children/Dependents included on your passport and traveling with you:
Full Name as written in Passport Date of Birth:(dd-mm-yyyy)
Place Birth
1234
15
5Type of Visa: (check all appropriate boxes) Individual: Group:
a Diplomatic f Student 17 Number of Entries and Duration of Stay:
b Official (service) g Tourist a Single e Number of days
c Business h Medical b Double f Number of months
d Private i Driver c Triple g Number of years
16
e Transit j Other d Multiple
18 Date of Entry: (dd-mm-yyyy)
19 Date of Exit: ( dd-mm-yyyy )
Rev. – 2005/04/01
1
GLUE 1 PHOTO HERE
DOE Jonathan Bonham
MAIDEN NAME 1 3 0 3 1 9 6 1
Los Angeles CA USA USA
USA Male Married
Ordinary LEAVE BLANK
0123456789 10 MAY 2010 09 MAY 2020US Dept of State
NOT APPLICABLE FOR USPASSPORT HOLDERS
✔
✔ ✔ PYI
PER YOUR ITINERARY PER YOUR ITINERARY
GEOEX
2
Page 2 Your Full Name Here: ____________________________________________
20 Mean(s)/Type(s) of Transportation (e.g. airplane, car, train, ferry, combination of all or some, other)
21 Number of Previous Trips to Turkmenistan:
If any, provide Date(s):
a Current Employment: (Job Title, Position, Profession)
b Employed since: ( mm-yyyy)
c Affiliation: (complete name & postal address)
22
d Tel., Fax, E-mail, Webpage, etc.:
a Permanent Residence Address in full :
23
b Tel., Fax, E-mail, Webpage, etc.:
24 Annual income (in USD)
25 Amount & Type of Funds Available for This Trip: (cash, etc.)
26 Who will pay for this trip? Where will you stay in Turkmenistan? (complete postal address)
27
Tel. Fax:
29
28 Name(s) of Host/Sponsor/Contact:
His/Her Citizenship:
30 Additional information, if any, related to you or your trip that you think may be useful in consideration of your application:
31 Declaration:- I confirm that all information provided in this Application Form is correct to the best of my knowledge. - I am aware that any false statement(s) can lead to denial to enter/deportation from Turkmenistan even
if I have valid visa. - In case of my/accompanying me person’s denial to enter/deportation from Turkmenistan, I/we have
no claim(s) to compensation. - I am aware that any false or incomplete statement(s) will lead to denial to obtain visa in future and may
also render me liable to prosecution under the local law. - I do realize that myself and person(s) accompanying me are to leave Turkmenistan upon expiration of
my/our visa. - I have read these provisions of Turkmenistan’s Foreign Visitors Act governing the entrance, stay and
leave by foreign nationals and under its penalty I undertake to follow them.
32 Signature:
33 Date: ( dd-mm-yyyy)
Rev. – 2005/04/01
Jonathan Bonham DOE
NONE IF YES ANSWER TO BEST OF YOUR RECOLLECTION
Vice President of Operations, Engineer 0 1 1 9 9 0
ABC International, Inc 4321 Main Street Anywhere CA 98765
987-654-0123 987-654-0000 www.anywhere.net
1234 Main Street Anywhere CA 98765
987-654-3210 [email protected] NO FAX OR WEB PAGE
ANSWER AS YOU DEEM APPROPRIATE $1000 Cash & Credit Card
PREPAID TOUR WITH GEOGRAPHIC EXPEDITIONS
PRIVATE TRAIN - THE GOLDEN EAGLE
N/A N/ATurkmen
AYAN TRAVEL - ASHGABAT TURKMENISTAN
LEAVE BLANK
PLEASE DO NOT FORGET TO SIGN AND DATE BOTH YOUR VISA APPLICATIONS
GEOEX
TRAIN
EMBASSY OF TURKMENISTAN – CONSULAR SECTION2207 Massachusetts Avenue NW Washington DC 20008 USA
tel: (202)588-1500; fax: (202)588-0697;E-mail: [email protected]; http://www.turkmenistanembassy.org
Visa Application Form
IMPORTANT! Implementation of the following few additional steps is essential in order to processquickly your Application. Please read instructions also posted on our webpage and make changes as necessary before submitting to the Embassy. The information provided with the forms will be reflected inyour visa and any corrections/changes afterwards may be highly time, effort and resource consuming. Itmay also lead to total decline of your Application or in certain cases to deportation upon arrival and annulment of your visa. 2 Applications per Applicant! Please do not fold or otherwise deteriorate theApplication Forms as they will not be admitted for processing. Forms must be filled in duly, withoutcorrections, preferably typed or printed, all fields must be answered (enter “n/a” where applicable).Recent identical photos of max. 6 months old must be glued to each Application Form. Fees must be of exact amount in US funds, unless waived. Declined checks/ MOs subject to $25 return fee.
Do not write or mark in this area! Resmile dirilen wizany :
Senesi:
Möhleti:
Bahasy:
Esasy:
Senesi:
PHOTO
Please glue,do notstaple!
MaximumSize 1.5 x 2 in.
1
Surname/Last Name:
2 Name, Given Name(s):
3 Any Other Name(s) used before:(e.g. before marriage)
4 Date of Birth: (dd-mm-yyyy)
5 Place of Birth:
6 Current Citizenship:
7 Citizenship at Birth: 8 Sex:
9 Family Status:
(e.g. single, married, widowed, separated, divorced)
10 Type of Passport:
(e.g. diplomatic; official/service; ordinary)
11 Other Travel Document if none in #10 is applicable:
(in accordance with 1951 Convention)
12 Passport #: 13 Valid from: to:(dd-mm-yyyy)
14 Issuing Authority/Agency:
Children/Dependents included on your passport and traveling with you:
Full Name as written in Passport Date of Birth:(dd-mm-yyyy)
Place Birth
1234
15
5Type of Visa: (check all appropriate boxes) Individual: Group:
a Diplomatic f Student 17 Number of Entries and Duration of Stay:
b Official (service) g Tourist a Single e Number of days
c Business h Medical b Double f Number of months
d Private i Driver c Triple g Number of years
16
e Transit j Other d Multiple
18 Date of Entry: (dd-mm-yyyy)
19 Date of Exit: ( dd-mm-yyyy )
Rev. – 2005/04/01
1
✔
✔ ✔
GEOEX SILK ROAD GOLDEN EAGLE
2
Page 2 Your Full Name Here: ____________________________________________
20 Mean(s)/Type(s) of Transportation (e.g. airplane, car, train, ferry, combination of all or some, other)
21 Number of Previous Trips to Turkmenistan:
If any, provide Date(s):
a Current Employment: (Job Title, Position, Profession)
b Employed since: ( mm-yyyy)
c Affiliation: (complete name & postal address)
22
d Tel., Fax, E-mail, Webpage, etc.:
a Permanent Residence Address in full :
23
b Tel., Fax, E-mail, Webpage, etc.:
24 Annual income (in USD)
25 Amount & Type of Funds Available for This Trip: (cash, etc.)
26 Who will pay for this trip? Where will you stay in Turkmenistan? (complete postal address)
27
Tel. Fax:
29
28 Name(s) of Host/Sponsor/Contact:
His/Her Citizenship:
30 Additional information, if any, related to you or your trip that you think may be useful in consideration of your application:
31 Declaration:- I confirm that all information provided in this Application Form is correct to the best of my knowledge. - I am aware that any false statement(s) can lead to denial to enter/deportation from Turkmenistan even
if I have valid visa. - In case of my/accompanying me person’s denial to enter/deportation from Turkmenistan, I/we have
no claim(s) to compensation. - I am aware that any false or incomplete statement(s) will lead to denial to obtain visa in future and may
also render me liable to prosecution under the local law. - I do realize that myself and person(s) accompanying me are to leave Turkmenistan upon expiration of
my/our visa. - I have read these provisions of Turkmenistan’s Foreign Visitors Act governing the entrance, stay and
leave by foreign nationals and under its penalty I undertake to follow them.
32 Signature:
33 Date: ( dd-mm-yyyy)
Rev. – 2005/04/01
PREPAID TOUR WITH GEOGRAPHIC EXPEDITIONS
PRIVATE TRAIN - THE GOLDEN EAGLE
N/A N/ATurkmen
AYAN TRAVEL - ASHGABAT TURKMENISTAN
GEOEX SILK ROAD GOLDEN EAGLE
PRIVATE TRAIN - THE GOLDEN EAGLE