For outside Vietnam Foreigners personally applying for E-visa

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Fulfill foreigner’s information

Foreigner's images
Portrait photography*

Passport data page image*

Personal Information(PNR)
Surname*
(Use international character as in ICAO line)
Given name *
Date of birth
(DD/MM/YYYY) *
Place of birth
Sex *
Current nationality *
Religion *
ID Card number
Email *
Re-enter email *
Have you ever used any other passports to enter into Viet Nam?
Do you have multiple nationalities?
Violation of the Vietnamese laws/regulations (if any)
Requested information
e-Visa request information
Grant Evisa valid from
(DD/MM/YYYY) *
To
(DD/MM/YYYY) *
PASSPORT INRORMATION
Type *
Passport number *
Issuing Authority/Place of issue
Date of issue *
Expiry date
(DD/MM/YYYY) *
Do you hold any other valid passports?
CONTACT INFORMATION
Permanent residential address
Contact address
Emergency contact
Full name
Current residential address
Telephone number
Relationship
OCCUPATION
Occupation
Occupation information
Name of Company/Agency/School
Position/Course of study:
Address
Telephone number
INFORMATION ABOUT THE TRIP
Purpose of entry *
Agency/Organization/Individual that the applicant plans to contact when enter into Viet Nam
Name of hosting organisation
Address
Telephone number
Purpose
Information about the trip
Intended length of stay in Viet Nam (number of days) *
Intended date of entry
(DD/MM/YYYY) *
Allowed to entry through checkpoint *
Exit through checkpoint *
Intended temporary residential address in Viet Nam *
City/Province *
Phone number (in Vietnam)
Have you been to Viet Nam in the last 01 year?
Do you have relatives who currently reside in Viet Nam?
Under 14 years old accompanying child(ren) included in your passport (if any)
Full name (First name Middle name Last name) Sex Date of birth
(DD/MM/YYYY)		 Portrait photography Delete
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TRIP’S EXPENSES, INSURANCE
Intended expenses (in USD)
Who will cover the trip’s expenses of the applicant
Does the applicant have health insurance arranged for their stay in Viet Nam?
I assure that I have truthfully declared all relevant details.
Text to Identify
Captcha*