ࡱ> [ RUbjbjΐΐ 8!$E7999999$h]Q@]77pf}j#0x]] :  1 2 4 5 6 7 8a 8b 9 11 13 (a) (b) (c) 14 15 16 17 18 19 20 21 22 23   REPUBLIC OF FIJI APPLICATION FOR A VISITOR VISA FOR FIJI Attach 3 passport-size photographsEach person is required to pay a visa fee on application The visa fee is not refundable.FULL NAME:SURNAME/FAMILY NAME FIRST Mr/Mrs/Miss DATE OF BIRTH 3.PLACE OF BIRTH NATIONALITY MARITAL STATUS(Single/Married/divorced) HOME ADDRESS TEL NO. OCCUPATION EMPLOYER ADDRESS TEL NO. PASSPORT NUMBER 10. DATE OF ISSUE PLACE OF ISSUE 12. EXPIRY DATE DETAILS OF CHILDREN WHOSE NAMES ARE IN YOUR PASSPORT WHO ARE INCLUDED IN THIS APPLICATION NAMESEXDATE OF BIRTH PLACE OF BIRTHFULL ADDRESS IN FIJI REASON FOR VISIT TO FIJI PROPOSED DATE OF ARRIVAL IN FIJI PROPOSED DURATION OF STAY SOURCE OF FINANCIAL SUPPORT IN FIJI ARRIVAL FROM NEXT COUNTRY OF VISIT DETAILS OF ONWARD/RESURN TICKETS HAVE YOU EVER APPLIED FOR A WORK RESIDENCE OR STUDENT PERMIT BEFOREif Yes please give details) HAVE YOU OR ANYONE INCLUDED IN THIS APPLICATION EVER APPLIED FOR A FIJI VISA BEFORE? (if Yes, give details of each application as follows:) DATE AND PLACE OF APPLICATION RESULT OF APPLICATION(GRANTED OF REFUSED) VISA NUMBER (IF GRANTED  24 25 (a) (b) (c) (d) 28DO YOU HAVE ANY CONTACTOR IMMEDIATE FAMILY IN FIJI?if Yes please give details)NAMERELATIONSHIPRESIDENTIAL ADDRESSHAVE YOU OR ANYONE INCLUDED IN THIS APPLICATION:(if you answer YES to any of these questions, give details ) Afflicted with contagious or infectious disease or mental disorder Used or been addicted to or trafficked on narcotics Been convicted of or have any charges outstanding on a criminal offence in any country Been reported or excluded from any country DECLARATION: I DECLARE THAT; (i) The information given in this application is true and correct to the best of my knowledge and belief. (ii) I have access to sufficient funds to support myself and anyone else included in this application. (iii) I have the necessary visa(where applicable) to the next country of visit after Fiji and will leave at or before the end of the authorized period of stay. (iv) Will not apply for a permit of work, reside or study while in Fiji. (v) I understand that false or misleading information give in relation to this application could result in the cancellation of the visa and liability for prosecution and deportation. Signature Date FOR OFFICIAL USE ONLY FEE   ;<[\]^bct5 7 8 \ g ҿymmbh#h#6]o(h#h#CJaJo(h#h#CJaJo(h#h#CJaJ o(-h#hZ~5CJOJPJQJ\^JaJo(-h#h#5CJOJPJQJ\^JaJo(%h#h#5OJPJQJ\^Jo(-jh#hcJ CJKHOJQJU^JaJh#jh#U hMho( h#o(      !"$'*+/$If/378;<?BEHKNQTUVYZ[]^_`ab $$1$Ifa$gd# d$Ifgd#$Ifbt 6 a[[[$Ifskd$$If40dT%`S'0C)44 layt# $$Ifa$gd#s$IfWD`sgd,T$IfWD`gd#6 7 8 \ 0  j ?  } vv$IfUD]gd#$Ifskd$$If40dT% S'0C)44 layt# g 0 <   B I i j ? 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