Total cost Two people
$647
Total cost One person
$334
TOURIST VISA REQUIREMENTS FOR VIETNAM (Single Entry), CAMBODIA and LAOS
Cost includes service fees, consular fees* and return shipping For delivery outside the contiguous U.S. please add additional $35.00.
For FedEx Overnight Delivery please add $10.00 to above costs
Please Send to GENERATIONS VISA SERVICE: (see address below) __ Your SIGNED passport: having two (3) completely blank “visa” pages & six months remaining validity. If you need help securing, renewing or updating your passport please contact GenVisa at 800-845-8968 for requirements and fees. __ Six (6) recent professional passport pictures per person stapled to the application forms (approx. 2x2). __ One completed, signed visa application for Cambodia, two applications for Laos. Vietnam application
must be submitted ONLINE via the following link: http://visa.mofa.gov.vn Note: place of visa submission and collection should be Embassy of Vietnam in United States. For manually completed Vietnam application (included in the kit) include additional $49 fee per person - application refilling fee.
__ A copy flight itinerary or tour operator letter listing traveler’s name and flight information in duplicate. __ Payment: a check or money order payable to GenVisa in US Dollars and drawn on a US bank or
I authorize GenVisa to charge my credit card for the following payments (please add 3 % credit card transaction fee to the total amount): $__________________ US Dollars. By signing below, I understand and acknowledge the charges in the amount
listed above. I acknowledge payment in full is to be made when billed or in extended payment in accordance with the standard policy of the company issuing the credit card. I waive my right to dispute these charges. For security reasons this information will not be stored by GenVisa.
Card # _______________________________________ CC Holder Name: ______________________________
Card Exp. Date: __________ Card Holder Signature: ____________________ Date: __________________.
Complete and return this entire form with the requested materials – use a traceable form of mail.
Important: Do not send your passport/materials more than 4 months prior to your trip date.
Visa processing generally takes about 8 weeks. If you need your passport returned within 50 days: add $55 per person for expedited service, within 30 days: add $120 per person for expedited service, within 14 days: add $210 per person for expedited service. *Consular fees, processing times and forms are subject to change without notice. For current requirements, terms and conditions updated forms and fees please check at: www.genvisa.com/globus
YOUR RETURN SHIPPING ADDRESS
Last Name: _______________________________________________ First Name: ________________________________________
Last Name: _______________________________________________ First Name: ________________________________________
Return to: Home or Business (recommended for security reasons) Name & c/o:__________________________________
EXACT address: _______________________________________________ Apt/Ste#: _______ Phone: ______________________
City: __________________________________ State: _____________ Zip Code: ____________________
Date you need your passport: ________________ Your E-mail address (Important): ______________________________________
Date THIS TOUR Departs U.S.: ____________
Optional insurance: $9.00 per passport: in the unlikely event that your passport is lost or damaged in transit. This will cover
your full out of pocket visa(s) and passport replacement costs up to $2,000. Please check one of the boxes below.
Yes, I have added an additional $9.00 per person for the optional insurance. [FedEx signature required upon delivery.]
No, I decline the optional insurance and understand that in the unlikely event my passport is lost or damaged;
Generations Visa Service liability is limited to $100 [No signature required upon delivery.]
Mail materials to: Globus Family – Vietnam (S/E)/Cambodia/Laos GENERATIONS VISA SERVICE 2233 WISCONSIN AVE N.W. #226 WASHINGTON D.C. 20007-4119 1-800-845-8968
Helpful information for completing Vietnam and Cambodia applications
CAMBODIA
Passport of traveling document is valid for (country) … USA for US citizens
Date of entry to Cambodia: Day…Month…Year…Please provide the date of expected arrival into Cambodia. Cambodia visa is issued for three months validity and it is OK to approximate. Date of departure (length of stay) … Please indicate the total expected length of stay in the country. Cambodia visa is issued for three months validity and it is OK to approximate.
Point of entry: …Please indicate a port of arrival/border crossing into the territory of Cambodia. (Siem Reap for example) Means of Transportation: … Please specify how you arrive in Cambodia: by plane, by boat, by bus etc.
Point of exit: … Please indicate a port of departure/border crossing from the territory of Cambodia. (Phnom Penh for example) Means of Transportation: ... Please specify how you depart from Cambodia: by plane, by boat, by bus etc.
Address during the visit… For land tours please provide 1 name of the hotel, for river cruises please state: on board cruise ship (name of the ship)
For hotel contact information please refer to the Globus Hotel information list below
Phnom Penh Juliana Hotel
Raffles Hotel Le Royal
Sunway Hotel
Siem Reap Borei Angkor Hotel
Raffles Grand Hotel d'Angkor
Tara Angkor Hotel
Victoria Angkor Resort & Spa
Organization, Persons to be visited: N/A
VIETNAM
Name, address of your contact (sponsor, host, hotel…) in Vietnam (if any) … Prepaid tour with “name for the tour operator”
11. Proposed date of entry: Vietnam visa is date specific! The visa will be issued for a 30 day stay from the date that is written below. It is OK to backdate your proposed date of entry by a day or two. For a multiple entry visa please indicate the date of the first arrival and the date of your last exit. .......... …./…............/......... ..... Date / Month / Year Proposed date of exit: ....… … /…………/……........ Date / Month / Year
* Required for further contact
Visa Approval/Reference Number (if any):
EMBASSY OF VIETNAM
1233 20th
Street, NW, Suite 400
Washington, D.C. 20036
Tel: (202) 861-0737 & (202) 861-2293
Fax: (202) 861-0917
http://www.vietnamembassy.us
VISA
APPLICATION
(FOR NON-VIETNAMESE
PASSPORT HOLDERS)
______
01 Photo
(2 inches x 2 inches)
Glued photo here 01 additional photo
stapled to this form for a
loose -leaf visa request
1. Name (in block letters):
.................................................................................………………………………………….
Family name First name Middle name
2. Date of birth:.................../............./….… …
Date / Month / Year
3. Male: Female
4. Place of birth:..............................................
5. Nationality at birth:......................................
Nationality at present:..................................
6. Passport number:........................................
Date of issue:................ ........... ........... .........
Date of expiry:........... ........... ........... ...........
7. Profession:......................................................
Place of employment:.....................................
.................................... ......................... ....
……….…………………………………………
Telephone (Office):…....…....................... .....
8. Present mailing address: (P.O Box Not
Accepted for USPS express mail)
………….………………………………………
…………………………………………………
…………………………………………………
…………………………………………………
* Email :………………………….
* Telephone :.......................................
9. Purpose of visit to Vietnam:
…………………………………………………
…………………………………………………
…………………………………………………
10. Name, address of your contact (sponsor, host,
hotel…) in Vietnam (if any)
................................................………………
................................................................……
.........................................................................
.........................................................................
.........................................................................
..………………………………………….…
11. Proposed date of entry:
.......... …./…............/......... ..... Date / Month / Year
Proposed date of exit:
....… … /…………/……........ Date / Month / Year
12. Requesting a visa good for:
• Times of entries:
- Single (one time) visit - Multiple visits
• Length of stay:
- One month
- 03 months
- Less than 6 Months (with an approval only)
- Up to one year (with an approval only)
I solemnly declare that the statements made in this application are true and correct.
Date:…………………………………………………
Signature of Applicant ............................................... Check list: Before submitting, make sure you have included:
Original Passport (for a visa sticker request); or Passport copy (front photo page, for a loose-leaf visa request)
Completed and signed Application with One Photo glued or stapled;
ROYAL EMBASSY OF CAMBODIA
IN : Washington D.C.
KINGDOM OF CAMBODIA Nation Religion King
~ ~
VISA APPLICATION FORM
Photograph
2 x 2
Please submit 1 copy with 1 photo and your passport Surname:
Present occupation:
First name:
Sex: Male □ Female □
Date of birth: Day..…..Month………Year…......
Place of birth: ……………………………………
Place of residence:
Fax: /Phone:
Birth nationality:
Present nationality: Work Place:
Passport of traveling document is valid for (country)
Date of entry to Cambodia: Day.….Month……Year…….
Date of departure (length of stay)
Purpose of visit □ Diplomatic
□ Tourist □ Official
□Business □Others (Please Specify)
Point of entry:
Means of Transportation:
Point of exit:
Means of Transportation:
Address during the visit: Organization, Persons
to be visited :
First trip to Cambodia □ Yes
□ No
Passport No:
Place of issue:
Date of issue:
Date of Expiration:
Traveling on group tour □ Yes
□ No
Sex Surname First name
Patronymic M F Date of birth
Permanent
Address
Children under 12 years
traveling with you
Relatives in the
Kingdom of Cambodia
I hereby declare that the information
on this form is true and correct
Place, (Date)………..…………….
(Signature of the applicant)
For official use
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7eIhv'0=;y-kAPPLICATION FOR VISA
I6[PHOTOGRAPH
2" x 2"
Embassy of the Lao PDR2222 S Street, N.W.Washington, DC 20008Tel: (202) 667-0076Fax: (202) 332-4923
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Peace Independence Democracy Unity Prosperity
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lao-kfG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDNATIONALITY
soa'lnzCkocfos,kpg]dG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDPASSPORT No.
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]6d8yf8k,muj.-hsoa'lnzjkocfofP;daoGCHILDREN TRAVELING WITHTHE SAME PASSPORT
gsfzqo0v'dkogfuomk'G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDPURPOSE OF THE TRIP
;ao9tg4y' lxx ]k;G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
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DATE OF ARRIVAL IN THE LAO PDR
PORT OF ENTRY
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3m]tla[G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
FAMILY NAME (IN BLOCK LETTER)
PLACE OF BIRTH
OCCUPATION
PLACE OF ISSUE
EXPIRATION
TEL.
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vkp5 (AGE) DDDDDDDDDDDDDDDDDDDvkp5 (AGE) DDDDDDDDDDDDDDDDDDDvkp5 (AGE) DDDDDDDDDDDDDDDDDDD
-nj (NAME)G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD 3m]tla[ (TEL.)G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDmuj16C (ADDRESS)G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
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;aomuG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD ]kpg-aoG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDATE SIGNATURE
7egsao0v'lt4kom6f (OFFICIAL USE ONLY)
;y-kg]dmuG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD ]q';aomuG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
HOMEADDRESS
REFERENCE INTHE LAO PDR
rkstotdkogfuomk'G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDMEANS OF TRANSPORTATION
deoqf16C lxx ]k;G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD ;aoDURATION OF STAY IN THE LAO PDR DAYS
7eIhv'0=;y-kAPPLICATION FOR VISA
I6[PHOTOGRAPH
2" x 2"
Embassy of the Lao PDR2222 S Street, N.W.Washington, DC 20008Tel: (202) 667-0076Fax: (202) 332-4923
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lkmk]tot]af xt-kmyxtw8 xt-k-qo]k;
lao8yrk[ gvdt]kf xt-kmyxtw8 gvdtrk[ ;afmtok4k;voLao People's Democratic Republic
Peace Independence Democracy Unity Prosperity
-njG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDFIRST NAME (IN BLOCK LETTER)
;aoF gfnvoF xugdufG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDATE OF BIRTH
lao-kfG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDNATIONALITY
soa'lnzCkocfos,kpg]dG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDPASSPORT No.
vvd.sh;aomuG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDATE OF ISSUE
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]6d8yf8k,muj.-hsoa'lnzjkocfofP;daoGCHILDREN TRAVELING WITHTHE SAME PASSPORT
gsfzqo0v'dkogfuomk'G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDPURPOSE OF THE TRIP
;ao9tg4y' lxx ]k;G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
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z6hIa[xtdao16C lxx ]k;G
DATE OF ARRIVAL IN THE LAO PDR
PORT OF ENTRY
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vk-u[G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
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.-hwfhg4y'G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
3m]tla[G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
FAMILY NAME (IN BLOCK LETTER)
PLACE OF BIRTH
OCCUPATION
PLACE OF ISSUE
EXPIRATION
TEL.
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;aomuG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD ]kpg-aoG DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDATE SIGNATURE
7egsao0v'lt4kom6f (OFFICIAL USE ONLY)
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HOMEADDRESS
REFERENCE INTHE LAO PDR
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deoqf16C lxx ]k;G DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD ;aoDURATION OF STAY IN THE LAO PDR DAYS
Smart Traveler Enrollment Program
“Stay Informed, Stay Connected, Stay Safe!”
For a nominal fee Generations Visa Service will register you and your travel details with the
nearest U.S. Embassy or Consulate in the countries you are visiting. This registration allows
the US government to efficiently safeguard its citizens while overseas.
Benefits of Enrolling in Smart Traveler Enrollment Program:
Receive important information from the Embassy about up-to-the-minute safety conditions in your destination country, helping you make informed decisions about your travel plans.
Help the U.S. Embassy contact you in an emergency, whether natural disaster, civil unrest, or family emergency.
Help family and friends get in touch with you in the case of an emergency.
Personal Information
Traveler #1’s full name (LAST, First, Middle):
Date of Birth (MM/DD/YYYY): / /
Passport Number:
Date of Issue (MM/DD/YYYY): / /
Expiration Date (MM/DD/YYYY): / /
Email Address*:
Phone Number: *Email addresses will not be used for solicitation purposes
Traveler #2’s Full name (LAST, First, Middle):
Date of Birth (MM/DD/YYYY): / /
Passport Number:
Date of Issue (MM/DD/YYYY): / /
Expiration Date (MM/DD/YYYY): / /
Email Address*:
Phone Number:
Travel Information
Country #1:
Approx. Date of Entry (MM/DD/YYYY): / /
Approx. Date of Exit (MM/DD/YYYY): / /
Name and Address of the first hotel:
Contact in Country (phone or email):
Country #2 (if applicable):
Approx. Date of Entry (MM/DD/YYYY): / /
Approx. Date of Exit (MM/DD/YYYY): / /
Name and Address of the first hotel:
Contact in Country (phone or email):
Yes, please enroll me in Smart Traveler Program. I have added an additional $12.50 per person for this service.
No, I decline the optional Smart Traveler Program enrollment service.
Please note: If you receive an email confirmation from the Department of State titled “Smart Traveler
Enrollment Program Invitation,” GenVisa has enrolled you in the program with the information provided
and no further action is required on your part.