Personal Information

Surname *

Given name *

Date of Birth *

Place of birth *

Sex *

Male

Female

Current Nationality

Email *

Re Enter Email *

Religion *

Have you ever used any other passports to enter into Vietnam?

Yes

No	Passport No	Full name	Date of birth	Nationality	Delete
1
2
3

Do you have multiple nationalities?

Yes

Violation of the Vietnamese laws/regulations (if any)

Yes

No	Act of violation	Time of violation	Form of sanction	Authority imposed sanction	Delete
1
2
3

Requested Information

e-Visa request information

Single Entry Multiple Entry

Grant Evisa valid from *

Grant Evisa valid to *

Passport Information

Type *

Passport Number *

Date of issue *

Expiry date *

Do you hold any other valid passports?

Yes

Type

Passport Number

Date of issue*

Expiry date*

Contact Information

Permanent Residential Address *

Current Address *

Mobile number *

Emergency Contact

Full name *

Current residential address*

Mobile number *

Relationship *

Information About The Trip

Purpose of Entry *

Are you an part of Agency/Organization/Individual plans to contact when in Vietnam?

Yes

Information about the trip

Intended length of stay in Vietnam (number of days) *

Allowed to entry through checkpoint *

Exit through checkpoint *

Intended temporary residential address in Vietnam *

City/Province *

Have you been to Vietnam in the last one year?

Yes

No	From	to	Purpose	Delete
1
2
3

Do you have relatives who currently reside in Vietnam?

Yes

No	Full name	Date of birth	Nationality	Relationship	Residential address	Delete
1	Full name	Date of birth	Nationality	Relationship	Residential address	Add Relative
2	Full name	Date of birth	Nationality	Relationship	Residential address	Add Relative
3	Full name	Date of birth	Nationality	Relationship	Residential address	Add Relative

Do you have Children on your passport [Under 14]?

Yes

Under 14 years old accompanying child(ren) included in your passport (if any)

Name

Sex

Male

Female

Date of Birth

Upload Photo JPEG,GIF

Name

Sex

Male

Female

Date of Birth

Upload Photo JPEG,GIF

Main Applicant Images

Portrait Photography *

JPEG, PNG or gif, 5MB max

The photo must be unaltered by effects or filters original, not a screenshot or photocopy, with a plain light background no objects or people behind you, with no shadows or glare on your face or behind you , without glasses, your head, shoulders and upper body must be visible , in colour, recently taken (no more than 3 months old) vertical (portrait), with a neutral facial expression.

Example

Passport Data Page Image*

JPEG, PNG or gif, 5MB max

The photo must be unaltered by effects or filters original, not a screenshot or photocopy, in colour, horizontal (landscape), all 4 corners of the personal details page must be visible , clear and in focus, without glare or reflections.

Example

I assure that I have truthfully declared all relevant details.

Terms Of Service

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Application for a Vietnam E-visa

Vietnam e-Visa Application

Personal Information

Requested Information

Passport Information

Contact Information

Emergency Contact

Information About The Trip

Agency/Organization/Individual that the applicant plans to contact when enter into Vietnam

Information about the trip

Under 14 years old accompanying child(ren) included in your passport (if any)

Main Applicant Images

Terms Of Service

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