VisaHQ.com Inc., Embassy Row
2005 Massachusetts Ave. NW, Washington, DC 20036 T: (202)558-2216 E: [email protected]
Benin Tourist visa Application
Please enter your contact information
Name: Email:
Tel: Mobile:
The latest date you need your passport returned in time for your travel:
Benin tourist visa checklist
Filled out and signed Benin tourist visa application form. The form is enclosed.
Original passport. Passport must have at least 6 months remaining validity and have at least 1 visa page. 1 Photographs. Standard passport photographs 2x2 inches on a white background.
Payment. Credit Card Authorization form, Certified Check, or Money Order payable to VisaHQ.com. Return mailer. Prepaid self-addressed return label or payment for FedEx.
If you wish to prepay return shipping, please add the shipping fee to the total and provide return address: FedEx 2nd day delivery - add $15
FedEx Standard Overnight - add $20 FedEx Priority Overnight - add $25 FedEx Saturday delivery - add $45 FedEx First Overnight - add $75 Prepaid self addressed mailer - $0 Local pick up in Washington - $0
Name: Company: Address:
City:
Proof of status. Copy of Green Card (both sides) or other proof of legal status in the US (such as copy of I-20, US visa, H1B approval notice, etc. VisaHQ cannot assist US B1/B2 visa holders at this time.)
Mail documents to: VisaHQ.com Inc.
Embassy Row
2005 Massachusetts Ave. NW
Washington, DC 20036
Tel: (800)345-6541
VisaHQ.com Inc., Embassy Row
2005 Massachusetts Ave. NW, Washington, DC 20036 T: (202)558-2216 E: [email protected] Itinerary. Copy of round trip tickets or confirmed itinerary.
VisaHQ.com Inc., Embassy Row
2005 Massachusetts Ave. NW, Washington, DC 20036 T: (202)558-2216 E: [email protected]
Benin tourist visa fees for citizens of US Virgin Islands
Type of visa
Validity
Processing time
Embassy fee
Service fee
Total
Single entry up to 1095 days 3 business days $140.00 $79.00 $219.00 Single entry up to 1095 days Next business day $240.00 $129.00 $369.00 Multiple entry up to 1095 days 3 business days $140.00 $79.00 $219.00 Multiple entry up to 1095 days Next business day $240.00 $129.00 $369.00
This order is subject to Terms of Service, posted on VisaHQ website. All fees and requirements may change without notice.
Mail documents to: VisaHQ.com Inc.
Embassy Row
2005 Massachusetts Ave. NW
Washington, DC 20036
Tel: (800)345-6541
VisaHQ.com Inc., Embassy Row
2005 Massachusetts Ave. NW, Washington, DC 20036 T: (202)558-2216 E: [email protected]
Credit Card Authorization Form
By signing this form i accept VisaHQ.com Terms of Service and authorize to charge my credit card for the amount of $
Name on the Credit Card:
Credit Card number: - -
-Exp. date: /
Credit Card Billing Address:
Signature:
Comments:
Thank you!
Nom(en capitales)________________________________________________ Surname (in capitals)
Née :___________________________________________________________ (Nom de jeune fille – Maden Name)
Prénoms :_______________________________________________________ First names (in small letters)
Né le_______________________________à___________________________
Born on at
D’origine :______________________________
Nationalité at birth
Nationality actuelle :________________________________
present
Situation de famille :_______Enfants : Nombre_____Ages__________ ______
Married or single Number of children Ages
Passport N°___________________________________ Résidence (adresses exacte)___________________________ ______________
Present address in full Délivrée le ____________________________________
issued on
Téléphone_______________________________________________________ Par :________________________________________ _
Phone By
Profession:________________________________________ ____________ _ Valable jusqu’au_______________________ _______
Occupation Valid until
Situation militaire :________________________________________________ Military service status
Transit à destination de :________________ Transit en route to
Avec arrêt de : ________________________jours With a stay of
Nature et durée du visa sollicité :
(Le cadre ci-contre doit être rempli par le: SEJOUR DE :_______________jours
demandeur qui rayera les mentions inutiles) STAY OF days
Type and validity of visa requested :
(The space opposite should be filled in) ________________mois
months ( ) unique
( ) multiple
Motifs du voyage :______________________________________________________________________________________________________ Reason for journey
______________________________________________________________________________________________________________________
Avez-vous déjà résidé en République du Bénin pendant plus de trois mois sans interruption ?____________________________________________ Have you already resided in the Republic of Benin for more than three months continuously?
Précisez à quelle date:_____________________________________________________________________________________________________ When (give exact date) :
Attaches familiales en République du Bénin (adresses exactes ) rue et n°______________________________________________________________ Have you any relations in the Republic of Benin (give full addresses, including street and street number
______________________________________________________________________________________________________________________ PHOTOGRAPH
2
Références dans le pays de résidence (adresse) :______________________________________________________________________________ Reference in the country of residence (give full address)
_______________________________________________________________________________________________________________________
Indication précise du lieu d’entrée en République du Bénin :___________________________________________________________________ State exact point of entry into the Republic of Benin
_______________________________________________________________________________________________________________________
Indication de vos addresses exactes en République du Bénin pendant que vous y séjournerez________________________________________ State your full address, during your stay in the Republic of Benin
______________________________________________________________________________________________________________________
Comptez-vous installer en République du Bénin un Commerce ou une Industrie ?_________________________________________________ Do you intend to establish a business or a factory in the Republic of Benin?
Où comptez-vous vous rendre en sortant de la République du Bénin ?__________________________________________________________ Where do you intend to go upon your departure from the Republic of Benin?
Je déclare avoir donné des réponses exactes et complètes à toutes les questions de la présente demande. I declare that I have answered all required questions in this application fully and truthfully.
_____________________________ _____ _________________________________
Signature du requérant Date
