Pay Just $20.00 SGD each visa, Discounted until midnight Thursday, 16 Jul 2020

1) Type of Visa:

Stay UP TO 3 months per visit. Multiple re-entry permitted. * Conditions apply

NOTE: Australian Holiday, Tourist, Travel and Visitor visas are now all the SAME.


2) Country you are in now:

3) Contact Phone:
 
3a) Mobile / Cell Phone: Pls turn this phone ON
Please include mobile / cell number for urgent messages

4) Email:
4a) Confirm Email:
 

5) Applicants Passport Number:
5a) Confirm Passport Number:
 

6) Which country is the passport from ?
 
6a) National or Personal ID Number * IF applicable >> See more info below.
This ID number is in your passport.
    * IF applicable - this ID number will be shown in your passport.
  • Brunei = National IC number
  • Hong Kong = HKID number
  • Singapore = IC number
  • Malaysia = Nombor Pengenalan
  • Korea = Personal Number
  • Pls double check with applicant if you are applying for someone else.
  • AMERICANS: (NOT your SSN - social security number)
  • EUROPEANS: Your Personal ID number is listed in your passport. This number is either all numbers or numbers with a hyphen (eg: 123456-7890)
  • This personal ID Number will be listed in your passport. IF NOT shown in passport, please continue.

7) Applicants Date Of Birth:
DAY
MONTH
YEAR
 

8) Gender of Applicant:
 

9) Country Of Birth:
 

10) Passport Issue Date:
DAY
MONTH
YEAR
 

11) Passport Expiry Date:
DAY
MONTH
YEAR
 

12) Issuing Authority
Where was this passport issued from? Shown in passport.
* IF OTHER, enter here
 

13) APPLICANTS NAMES
  • NO TITLES / Do not put any titles
13a) SURNAME = LAST Name = FAMILY NAME
Answers MUST BE in English
    IMPORTANT, Please read.
  • NO ALIAS NAMES
  • NO NAMES IN BRACKETS
  • DO NOT REPEAT SURNAME IN GIVEN NAMES
  • NO TITLES (Do not put Ms, Miss, Mr, Mrs, Dr, Herr, Frau etc)
  • NO Middle TITLES such as Bin, Binte, Bte, S/O, D/O, Anak etc
  • NO POST TITLES (Do not put Jr, Snr, I, II, III, IV etc)
  • DOUBLE CHECK Dates, especially Americans
  • DOUBLE CHECK names are exactly as listed in passport, especially Americans
  • ** Most Muslims and Indians call the Surname their FATHERS NAME
13b) First / Given Name in Passport:
13c) ALL MIDDLE Names in Passport:
DO NOT REPEAT SURNAME IN GIVEN NAMES
 

14) RESIDENTIAL ADDRESS OF APPLICANT
PO Boxes are NOT accepted.
Residential Country:
Residential Address 1:
Answers MUST BE in English
Residential Address 2:
Answers MUST BE in English
[District / Suburb / City]: example {Bondi} or {Paddington} etc
Post Code: +State:

Residential address ONLY, Suburb and post code >> DO NOT repeat country

PO Boxes are NOT accepted.

 

15) CRIMINAL RECORD

Has the applicant ever been sentenced to 12 months or more in jail?

(regardless of whether they served any time in jail) Details are NOT required.

 

16) Name Changes: IMPORTANT - NEW NOV 2019

Has the applicant ever legally been known by another name? or Alias ?
This includes IF the applicant changed their names when married (Maiden Name) etc.

IF YES, please fill in the following details:

IF NO, please go to question 17

 
Surname at Birth // Maiden Name
Given Name(s) at Birth
Gender
Date of Name Change
DAY
MONTH
YEAR
Reason for Name Change?
 
 
! Important ! New questions 2020
Has the applicant been legally been known by a SECOND Name or Alias?
 
IF YES, please fill in the following details.
IF NO, please go to question 17
 
Surname / Last Name
ALL Given Names in Passport
Gender
Date of Name Change
DAY
MONTH
YEAR
Reason for Name Change?
 
 
! Important ! New questions 2020
Has the applicant been legally been known by a THIRD NAME?
 
IF YES, please fill in the following details.
IF NO, please go to question 17
Surname / Last Name
ALL Given Names in Passport
Gender
Date of Name Change
DAY
MONTH
YEAR
Reason for Name Change?
 

17) Other Citizenship?
Does the applicant hold Citizenship for ANY OTHER COUNTRIES ?

If YES

Does the applicant have a Passport for that country?
Citizenship 2 Surname / Last Name
Citizenship 2 ALL Given Names in Passport
Citizenship 2 Passport Number
Country of Passport
 
Citizenship 2 Passport Issued
DAY
MONTH
YEAR
Citizenship 2 Passport Expires
DAY
MONTH
YEAR
Citizenship 2 Date of Birth
DAY
MONTH
YEAR
 
Citizenship 2 Gender
 
 

18) MEDICAL RECORD

Has the applicant ever had any of the following?

Details are NOT required.

  • EBOLA
  • HIV / AIDS
  • HEPATITUS
 

19) I AGREE that I have double checked the above information.
 

 
 
 
     
   
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