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VISA ORDER FORM

The form should be filled out for every traveling person.
Please carefully fill in the fields of the form.
* marked fileds are obligatory.

Where you will be applying for visa*	at the airport on arrival at the Belarusian embassy
Country of residence*
Sex*	Male Female
First Name*
Last Name*
Date of birth*
Passport number*
Passport Expiration Date*
Citizenship*
Place of work (name of a company)*
Position*
Arrival date*
Departure Date*
E-mail*
Instant messenger	MSN ICQ Yahoo Skype Google talk
Number Instant messenger
Phone
Fax
Comments Please leave here important details of your travel that you would like to advice us. It can be number of people traveling with you, approximate time of check in to hotel, arrival flight/train information, etc.
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