Visa Request Form – Visa Request

Step 1

Step 2

Step 3

Step 4

Step 5

First name* Middle name(s) Surname* Surname at birth / previous surnames Date of birth* Place of birth* (e.g. Apatin, Serbia)* Country of birth* Current nationality* Nationality at birth (if different) Sex* Marital status*

Contact information:

Your email* Mobile number Street name and number* Postal code* Place of residence (e.g. New York)* Country*

Passport details:

Type of passport (e.g. standard, diplomatic)* Passport number* Date of issue* Date of expiry* Issuing authority*

Travel Details:

Purpose of visit (e.g. tourism)* Intended date of arrival* Intended date of departure* Accomodation details (hotel, friend/family address, etc.)

Additional information:

Do you have any criminal convictions? If so, please provide information Do you have any previous visa rejections? If so, please provide when and why Any relevant information you would like to provide I pledge that the information I have provided in this application is accurate, and I give consent for this information to be stored in Verdis' application database. Once you have submitted, it can take up to 14 days for a response on your visa application. If accepted, you will be charged the standard visa fee of 20 Euro's.