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-------------------------------------------T-----------------------¬
¦Фамилия, имя ¦ ¦
+------------------------------------------+-----------------------+
¦Место работы, должность ¦ ¦
+------------------------------------------+-----------------------+
¦Гражданство ¦ ¦
+------------------------------------------+-----------------------+
¦Дата рождения ¦ ¦
+------------------------------------------+-----------------------+
¦Номер документа для выезда за границу ¦ ¦
+------------------------------------------+-----------------------+
¦Основание (приглашающая сторона) ¦ ¦
+------------------------------------------+-----------------------+
¦Цель поездки ¦ ¦
+------------------------------------------+-----------------------+
¦Дата въезда ¦ ¦
+------------------------------------------+-----------------------+
¦Время пребывания ¦ ¦
+------------------------------------------+-----------------------+
¦Маршрут следования ¦ ¦
L------------------------------------------+------------------------
_____________________________________ _______________________
(должность консульского сотрудника) (инициалы, фамилия)
-----------------------------------------------------------
Приложение 11
к Инструкции
о порядке выдачи виз
Республики Беларусь
иностранным гражданам
и лицам без гражданства
---------------------¬
ВIЗАВАЯ АНКЕТА ДЛЯ ЎЕЗДУ Ў РЭСПУБЛIКУ БЕЛАРУСЬ ¦Фотаздымак / Photo ¦
APPLICATION FOR ENTRANCE TO THE REPUBLIC OF BELARUS ¦ ¦
---------------------------------------------------------T-----------------------------+ ¦
¦1. Прозвiшча / Family name ¦4. Пол / Sex ¦ ¦
¦ ¦ ¦ ¦
+--------------------------------------------------------+ --¬ ¦ ¦
¦2. Iмя / First name ¦ ¦ ¦мужчынскi / male ¦ ¦
¦ ¦ L-- ¦ ¦
+--------------------------------------------------------+ --¬ ¦ ¦
¦3. Iншыя iмёны, прозвiшчы, у тым лiку дзявочае / Other ¦ ¦ ¦жаночы / female ¦ ¦
¦names or maiden name ¦ L-- ¦ ¦
+---------------------------------T----------------------+-----------------------------+--------------------+
¦5. Дата нараджэння / Date of ¦6. Месца нараджэння / Place of birth ¦For official use / ¦
¦birth ¦краiна / country.................. горад / ¦Службовыя адзнакi ¦
+---T---T--T--T---T-----T---T-----+city................................................¦ ¦
¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦раён (вобласць) / region............................¦ ¦
+---+---+--+--+---+-----+---+-----+ ¦ ¦
¦ (day / month / year) ¦ ¦ ¦
+---------------------T-----------+------------------------------------T---------------+ ¦
¦7. Цяперашняе ¦Калi Вы мянялi грамадзянства(ы), калi ласка, ¦ ¦Дата звароту ¦
¦грамадзянства(ы) / ¦назавiце грамадзянства(ы), якiя былi ў Вас ¦ ¦....................¦
¦Current ¦раней / If you changed your citizenship(s), ¦ ¦ ¦
¦citizenship(s) ¦please specify citizenship(s) you held ¦ ¦Падставы: ¦
¦.....................¦previously ¦ ¦ --¬ ¦
¦ +------------------------------------------------+---------------+ ¦ ¦сапраўдны ¦
¦ ¦Дата(ы) змены грамадзянства(аў) / Dates of ¦ ¦ ¦ ¦пашпарт ¦
¦ ¦acquiring a new citizenship(s) ¦ ¦ L-- ¦
¦ ¦ ¦ ¦ --¬ ¦
+---------------------+-------T---------------------T------------------+---------------+ ¦ ¦вiзавая ¦
¦8. Тып пашпарта / Type of ¦9. Нумар пашпарта / ¦10. Дата выдачы / Date of issue ¦ ¦ ¦падтрымка ¦
¦passport ¦ +--T---T---T---T-----T-----T---T---+ L-- ¦
¦ ¦Passport number ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ --¬ ¦
¦ ----¬ ¦ +--+---+---+---+-----+-----+---+---+ ¦ ¦фiнансавыя ¦
¦ ¦ ¦звычайны / ordinary ¦ ¦(day / month / year) ¦ ¦ ¦сродкi ¦
¦ L---- ¦ ¦ ¦ L-- ¦
¦ ----¬ +---------------------+ ¦ --¬ ¦
¦ ¦ ¦дыпламатычны / ¦11. Кiм выдадзены / ¦ ¦ ¦ ¦страхоўка ¦
¦ L---- ¦ +----------------------------------+ L-- ¦
¦ diplomatic ¦Issuing authority ¦12. Тэрмiн дзеяння / Valid until ¦ ¦
¦ ----¬ ¦ +--T---T---T---T-----T-----T---T---+ --¬ ¦
¦ ¦ ¦службовы / оfficial ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦iнтэрв'ю ¦
¦ L---- +---------------------+--+---+---+---+-----+-----+---+---+ L-- ¦
¦ ¦13. Дзе выдадзены / ¦(day / month / year) ¦Рашэнне па звароту: ¦
¦ ----¬ ¦ ¦ ¦ --¬ ¦
¦ ¦ ¦iншы дакумент / other ¦Place of issue ¦ ¦ ¦ ¦станоўчае ¦
¦ L---- ¦ ¦ ¦ L-- ¦
¦ document ¦ ¦ ¦ --¬ ¦
¦ ...........................¦ ¦ ¦ ¦ ¦адмоўнае ¦
¦ ¦ ¦ ¦ L-- ¦
¦ ¦ ¦ ¦Тып вiзы: ¦
+---------------------T-------+---------------------+----------------------------------+ --¬ ¦
¦14. Месца працы / ¦Займаемая пасада / Position.....................................¦ ¦ ¦B ¦
¦Place of work ¦работадаўца / employer..........................................¦ L-- ¦
¦ ¦ ¦ --¬ ¦
¦ ¦ ¦ ¦ ¦C ¦
+---------------------+----------------------------------------------------------------+ L-- ¦
¦15. Службовы адрас / ¦дом / house.................... вулiца / street.................¦ ¦
¦ ¦ ¦ --¬ ¦
¦Work address ¦горад (населены пункт) / city (town)............................¦ ¦ ¦D ¦
¦ ¦ ¦ L-- ¦
¦ ¦раён (вобласць) / region............. краiна / country..........¦ ¦
¦ ¦тэлефон / phone.................. e-mail........................¦Кратнасць вiзы: ¦
¦ ¦ ¦ --¬ ¦
¦ ¦ ¦ ¦ ¦1 ¦
+---------------------+-------------------------T----------T---------------------------+ L-- ¦
¦16. Тып вiзы / ¦ --¬транзiтная / ¦17. Вiза ¦ ¦ ¦
¦ ¦ ¦ ¦transit ¦/ ¦ ¦ ¦
¦ ¦ L-- ¦ ¦ ----¬ ¦ --¬ ¦
¦Type of visa ¦ ¦Visa ¦ ¦ ¦групавая / group ¦ ¦ ¦2 ¦
¦requested ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
¦ ¦ --¬ ¦ ¦ L---- ¦ L-- ¦
¦ ¦ ¦ ¦кароткачасовая / ¦ ¦ ¦ ¦
¦ ¦ L-- ¦ ¦ ----¬ ¦ --¬ ¦
¦ ¦ short-term ¦ ¦ ¦ ¦iндывiдуальная / ¦ ¦ ¦шм ¦
¦ ¦ --¬ ¦ ¦ L---- ¦ L-- ¦
¦ ¦ ¦ ¦доўгатэрмiновая / ¦ ¦ individual ¦Мэта вiзiту ¦
¦ ¦ L-- ¦ ¦ ¦ --¬ ¦
¦ ¦ long-term ¦ ¦ ¦ ¦ ¦без права ¦
+---------------------+-------------------------+----------+---------------------------+ L-- ¦
¦18. Колькасць уездаў ¦ --¬аднаразовая / ¦19. Тэрмiн знаходжання / Period ¦ працы па ¦
¦/ Number of entries ¦ ¦ ¦single ¦of stay requested.....................¦ найме ¦
¦requested ¦ L-- ¦сутак / days ¦ ¦
¦ ¦ --¬ ¦ ¦ ¦
¦ ¦ ¦ ¦двухразовая / ¦ ¦ ¦
¦ ¦ ¦ ¦double ¦ ¦ ¦
¦ ¦ L-- ¦ ¦ --¬ ¦
¦ ¦ ¦ ¦ ¦ ¦гуманiтарная ¦
¦ ¦ --¬ ¦ ¦ L-- ¦
¦ ¦ ¦ ¦шматразовая / ¦ ¦ ¦
¦ ¦ L-- ¦ ¦ --¬ ¦
¦ ¦ multiple ¦ ¦ ¦ ¦дыпламатычная ¦
+---------------------+-----T---T---T-T-T-T-T---+---T----T-T---T---T-----T---T---T---T-+ L-- ¦
¦20. Тэрмiн дзеяння ¦з / ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦па /¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
¦ ¦ +---+---+-+-+-+-+---+---+ +-+---+---+-----+---+---+---+-+ --¬ ¦
¦вiзы / Visa ¦from ¦(day / month / year) ¦till¦(day / month / year) ¦ ¦ ¦з правам ¦
¦requested ¦ ¦ ¦ ¦ ¦ ¦ ¦працы па ¦
¦ ¦ ¦ ¦ ¦ ¦ L-- ¦
¦ ¦ ¦ ¦ ¦ ¦ найме ¦
+---------------------+-----+---------------------T-+----+-----------------------------+ --¬ ¦
¦21. Назва запрашаючай арганiзацыi або iмя ¦ ¦ ¦ ¦наведванне ¦
¦запрашаючай асобы / Name of inviting ¦ ¦ ¦ ¦месцаў ¦
¦organisation or person ¦ ¦ L-- ¦
¦ ¦ ¦ пахавання ¦
¦ ¦ ¦ ¦
¦ ¦ ¦ --¬ ¦
¦ ¦ ¦ ¦ ¦на сталае ¦
¦ ¦ ¦ ¦ ¦жыхарства ¦
¦ ¦ ¦ L-- ¦
¦ ¦ ¦ ¦
+---------------------T---------------------------+------------------------------------+ --¬ ¦
¦22. Адрас ¦дом (кватэра) / house (apartment)............ вулiца / ¦ ¦ ¦прыватная ¦
¦запрашаючай ¦street..........................................................¦ L-- ¦
¦арганiзацыi або ¦ ¦ ¦
¦асобы / Address of ¦горад (населены пункт) / city (town)............................¦ --¬ ¦
¦inviting organisation¦ ¦ ¦ ¦рэлiгiйная ¦
¦or person ¦раён (вобласць)/ region.........................................¦ ¦ ¦дзейнасць ¦
¦ ¦ ¦ L-- ¦
¦ ¦тэлефон / phone..................... e-mail.....................¦ --¬ ¦
¦ ¦ ¦ ¦ ¦службовая ¦
+---------------------+----------------------------------------------------------------+ L-- ¦
¦23. Адрас ¦дом (кватэра) / house (apartment)............ вулiца / ¦ ¦
¦знаходжання ў ¦street..........................................................¦ ¦
¦Беларусi / Address ¦ ¦ --¬ ¦
¦of stay in Belarus ¦горад (населены пункт) / city (town)............................¦ ¦ ¦транзiт ¦
¦ ¦ ¦ L-- ¦
¦ ¦раён (вобласць) / region........................................¦ ¦
¦ ¦ ¦ --¬ ¦
¦ ¦гасцiнiца / hotel...............................................¦ ¦ ¦турызм ¦
¦ ¦ ¦ L-- ¦
+---------------------+----------------------------------------------------------------+ --¬ ¦
¦24. Мэта вiзiту ¦ ¦ ¦ ¦у мэтах ¦
¦ ¦ ¦ ¦ ¦вучобы ¦
¦ ¦ ¦ L-- ¦
¦(падрабязна) ¦ ¦ ¦
¦ ¦ ¦ --¬ ¦
¦Purpose of visit ¦ ¦ ¦ ¦удзел у ¦
¦ ¦ ¦ ¦ ¦спартыўных / ¦
¦(in details) ¦ ¦ L-- ¦
¦ ¦ ¦ культурных ¦
¦ ¦ ¦ ¦
¦ ¦ ¦ мерапрыемствах¦
¦ ¦ ¦ ¦
+---------------------+----------------------------------------------------------------+ ¦
¦25. Дамашнi адрас/ ¦дом (кватэра) / house (apartment).............. вулiца / ¦ ¦
¦ ¦street..........................................................¦ ¦
¦Home address ¦горад (населены пункт) / city (town)............................¦Сапраўдная ¦
¦ ¦раён (вобласць) / region..................... краiна / ¦з .............. ¦
¦ ¦country.........................................................¦па .......... ¦
¦ ¦тэлефон / phone...................... e-mail....................¦Вiза N BLR ¦
¦ ¦ ¦.................. ¦
+---------------------+-------------------------------T--------------------------------+--------------------+
¦26. Цi былi Вы раней у Рэспублiцы Беларусь / Have ¦калi / when..........................................¦
¦you ever been to the Republic of Belarus ¦дзе / where..........................................¦
¦ --¬ ----¬ ¦ ¦
¦ ¦ ¦так / yes ¦ ¦не / no ¦ ¦
¦ L-- L---- ¦ ¦
¦Калi так, вызначце тэрмiн, месцы i мэту апошняга ¦з якой мэтай / purpose of visit......................¦
¦вiзiту / If yes, please specify dates, places and ¦ ¦
¦purpose of your previous visit ¦ ¦
+-----------------------------------------------------+-----------------------------------------------------+
¦27. Папярэднiя вiзiты ў Рэспублiку Беларусь (на працягу бягучага году) / Previous visits to the Republic ¦
¦of Belarus (within a current year) ¦
¦ ¦
+-----------------------------------------------------------------------------------------------------------+
¦28. Цi было Вам калi-небудзь адмоўлена ў беларускай вiзе альбо вiза была анулявана / Have you ever been ¦
¦refused a Belarusian visa or your visa was cancelled ¦
¦ --¬ ----¬ ¦
¦ ¦ ¦не / ¦ ¦так / yes калi / when .............................................................¦
¦ ¦ ¦no ¦ ¦ ¦
¦ L-- L---- ¦
+-----------------------------------------------------------------------------------------------------------+
¦29. Цi падпадалi Вы падчас ранейшага знаходжання на тэрыторыi Рэспублiкi Беларусь пад адказнасць за ¦
¦парушэнне беларускага заканадаўства / Have you ever been charged with violating the Belarusian law while ¦
¦in Belarus? ¦
¦ --¬ ----¬ ¦
¦ ¦ ¦не / ¦ ¦так / yes калi / when..............................................................¦
¦ ¦ ¦no ¦ ¦ дзе / where..............................................................¦
¦ L-- L---- ¦
¦Станоўчы адказ на пытанне не вядзе да абавязковай адмовы ў выдачы вiзы, аднак у гэтым выпадку пажадана ¦
¦Ваша асабiстая прысутнасць з мэтай правядзення iнтэрв'ю з консульскiм работнiкам / Positive answer will ¦
¦not necessarily lead to the rejection of a visa request, but in this case your presence is required for an ¦
¦interview with a consular officer ¦
+-----------------------------------------------------T-----------------------------------------------------+
¦30. Цi былi Вы калi-небудзь дэпартаваны з якой- ¦ ¦
¦небудзь краiны / Have you ever been deported from ¦калi / when..........................................¦
¦any country ¦з якой краiны / which country........................¦
¦ --¬ ----¬ ¦ ¦
¦ ¦ ¦не / ¦ ¦так / yes ¦ ¦
¦ ¦ ¦no ¦ ¦ ¦ ¦
¦ L-- L---- ¦ ¦
+-----------------------------------------------------+--------------------------T--------------------------+
¦31. Транспартны сродак, якi прадугледжаны для ўезду ў Рэспублiку Беларусь / ¦32. Mаршрут руху / ¦
¦Means of transport available for your travel to the Republic of Belarus ¦Itinerary ¦
+-----------------------------------------------------T--------------------------+--------------------------+
¦33. Сродкi да iснавання падчас знаходжання ў ¦34. Медыцынская страхавая арганiзацыя / Medical ¦
¦Рэспублiцы Беларусь / Means available for stay in ¦insurance organisation ¦
¦the Republic of Belarus ¦.....................................................¦
¦ ¦нумар страхавога полiса / insurance policy ¦
¦ ----¬ ----¬ ¦number...............................................¦
¦ ¦ ¦наяўныя сродкi / ¦ ¦крэдытныя карткi / ¦ ¦
¦ L---- L---- ¦тэрмiн дзеяння страхавога полiса / ¦
¦ cash credit cards ¦insurance certificate valid until....................¦
¦ ----¬ ----¬ ¦ ¦
¦ ¦ ¦дарожныя чэкi / ¦ ¦бiлеты / tickets ¦ ¦
¦ L---- L---- ¦ ¦
¦ travel cheques ¦ ¦
¦ ----¬ ¦ ¦
¦ ¦ ¦пражыванне / ¦ ¦
¦ L---- ¦ ¦
¦ accommodation ¦ ¦
+---------------------------T---T---T-----------------+----------------T---T--------------------------------+
¦35. Сямейнае ¦ ¦ ¦знаходжуся ў шлюбе / married ¦ ¦разведзены(а) / divorced ¦
¦становiшча / Marital ¦ L---- L---- ¦
¦status ¦ ----¬ ----¬ ¦
¦ ¦ ¦ ¦не знаходжуся ў шлюбе / single ¦ ¦удавец (удава) / widow(er) ¦
¦ ¦ L---- L---- ¦
+---------------------------+-------------------------T-----------------------------------------------------+
¦36. Прозвiшча мужа (жонкi) / Spouse's family name ¦37. Папярэднiя прозвiшчы мужа (жонкi) / Spouse's ¦
¦ ¦previous name ¦
+---------------------------T-------------------------+--------------------------T--------------------------+
¦38. Iмя (iмёны) мужа ¦39. Грамадзянства мужа ¦40. Дата нараджэння мужа ¦41. Месца нараджэння мужа ¦
¦(жонкi) / Spouse's first ¦(жонкi) / Spouse's ¦(жонкi) / Spouse's date ¦(жонкi) / Spouse's place ¦
¦and other names ¦citizenship ¦of birth ¦of birth ¦
¦ ¦ +--T-T-T---T---T---T---T---+ ¦
¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
¦ ¦ +--+-+-+---+---+---+---+---+ ¦
¦ ¦ ¦(day / month / year) ¦ ¦
+---------------------------+-------------------------+--------------------------+--------------------------+
¦42. Калi Вас суправаджаюць дзецi i яны ўнесены ў Ваш пашпарт, запоўнiце таблiцу / If you are accompanied ¦
¦by children and they are included in your passport fill in the table below ¦
+---------------------------T----------------------------------------------------T--------------------------+
¦Прозвiшча / Family name ¦Iмя / Name ¦Дата i месца нараджэння / ¦
¦ ¦ ¦Date and place of birth ¦
+---------------------------+----------------------------------------------------+--------------------------+
¦ ¦ ¦ ¦
+---------------------------+----------------------------------------------------+--------------------------+
¦ ¦ ¦ ¦
+---------------------------+----------------------------------------------------+--------------------------+
¦ ¦ ¦ ¦
+---------------------------+----------------------------------------------------+--------------------------+
¦43. Дэкларацыя: я заяўляю, што iнфармацыя, якая змешчана ў гэтай анкеце, з'яўляецца дакладнай i ¦
¦праўдзiвай. Я ведаю, што паведамленне непраўдзiвых звестак альбо адмаўленне ад прадстаўлення неабходных ¦
¦дакументаў можа служыць падставай для адмовы ва ўездзе ў Рэспублiку Беларусь. Я таксама папярэджаны, што, ¦
¦калi гэтая iнфармацыя будзе прызнана недакладнай, вiза можа быць анулявана ў любы момант. Я абавязуюся па ¦
¦прыбыццi ў Рэспублiку Беларусь ва ўстаноўленым парадку аформiць рэгiстрацыю i пакiнуць яе тэрыторыю да ¦
¦заканчэння тэрмiну дзеяння вiзы. ¦
¦Declaration: I declare that information in this application is true and correct. I am aware that any false ¦
¦statements or refusal to submit the necessary documents may lead to rejection in entrance to the Republic ¦
¦of Belarus. I am also warned that if this information is found to be incorrect, the visa may be cancelled ¦
¦at any time. Upon arrival to the Republic of Belarus I will register according to the established ¦
¦procedure and leave the territory of the Republic of Belarus before my visa expires. ¦
+-----------------------------------------------------T-----------------------------------------------------+
¦44. Асабiсты подпiс / Signature ¦45. Дата запаўнення / Date ¦
¦ ¦ ¦
L-----------------------------------------------------+------------------------------------------------------
Приложение 12
к Инструкции
о порядке выдачи виз
Республики Беларусь
иностранным гражданам
и лицам без гражданства
APPLICATION FOR ENTRANCE TO THE REPUBLIC OF BELARUS
(ATTACHMENT)
-----------------------------------------------------------------------------------¬
¦Family name.......................................................................¦
¦First name........................................................................¦
¦Other names (if any)..............................................................¦
+-----------------T----------------------------------------------------------------+
¦ ¦ --¬ --¬ --¬ ¦
¦Education ¦elementary¦ ¦ high¦ ¦ higher¦ ¦ ¦
¦ ¦ L-- L-- L-- ¦
¦ ¦Academic institution............................................¦
¦ ¦Academic degree and specialization..............................¦
+-----------------+----------------------------------------------------------------+
¦Date you took up your current employment..........................................¦
¦Previous occupation...............................................................¦
¦Date when you left your previous employment.......................................¦
¦Annual primary income in the last 3 years.........................................¦
+-----------------T----------------------------------------------------------------+
¦ ¦Citizenship.....................................................¦
¦Information about¦Occupation......................................................¦
¦spouse ¦Position........................................................¦
¦ ¦Employer........................................................¦
¦ +----------------------------------------------------------------+
¦ ¦Business address of spouse ¦
¦ +------------------------------------------T---------------------+
¦ ¦house (apartment).........................¦Business phone ¦
¦ ¦street....................................¦No. ¦
¦ ¦city / town...............................¦ ¦
¦ ¦region....................................¦ ¦
¦ ¦country...................................¦ ¦
+-----------------+---------------T----------T---------------+---------------------+
¦Children ¦Family name ¦First name¦Date and place ¦Citizenship ¦
¦ ¦ ¦ ¦of birth ¦ ¦
¦ +---------------+----------+---------------+---------------------+
¦ ¦ ¦ ¦ ¦ ¦
+-----------------+---------------+----------+---------------+---------------------+
¦Have you ever done military service? ¦ ¦
¦ ---¬ -----¬ ¦ ¦
¦yes ¦ ¦no ¦ ¦ ¦ ¦
¦ L--- L----- ¦ ¦
¦if yes, please specify country, arm, ¦ ¦
¦military rank and position, speciality and ¦ ¦
¦dates of your military service ¦ ¦
+--------------------------------------------+-------------------------------------+
¦Have you ever taken part in a military ¦ ¦
¦conflict? ¦ ¦
¦Have you ever been a victim of a military ¦ ¦
¦conflict? ¦ ¦
¦ ---¬ -----¬ ¦ ¦
¦yes ¦ ¦no ¦ ¦ ¦ ¦
¦ L--- L----- ¦ ¦
¦if yes, please clarify in details ¦ ¦
+--------------------------------------------+-------------------------------------+
¦Do you have real estate (house, apartment, ¦ ¦
¦other property) abroad? ¦ ¦
¦ ---¬ -----¬ ¦ ¦
¦yes ¦ ¦no ¦ ¦ ¦ ¦
¦ L--- L----- ¦ ¦
¦if yes, please clarify in details ¦ ¦
+--------------------------------------------+-------------------------------------+
¦Do you have real estate (house, apartment, ¦ ¦
¦other property) in the Republic of Belarus? ¦ ¦
¦Are you a founder of any firm or enterprise ¦ ¦
¦officially registered in the Republic of ¦ ¦
¦Belarus? ¦ ¦
¦ ---¬ -----¬ ¦ ¦
¦yes ¦ ¦no ¦ ¦ ¦ ¦
¦ L--- L----- ¦ ¦
¦if yes, please clarify in details ¦ ¦
+--------------------------------------------+-------------------------------------+
¦Do you have relatives living in the Republic¦ ¦
¦of Belarus? ¦ ¦
¦ ---¬ -----¬ ¦ ¦
¦yes ¦ ¦no ¦ ¦ ¦ ¦
¦ L--- L----- ¦ ¦
¦if yes, please clarify in details ¦ ¦
+--------------------------------------------+-------------------------------------+
¦Have you ever applied for the CIS countries ¦ ¦
¦residence permit? ¦ ¦
¦ ---¬ -----¬ ¦ ¦
¦yes ¦ ¦no ¦ ¦ ¦ ¦
¦ L--- L----- ¦ ¦
¦if yes, please clarify in details ¦ ¦
+--------------------------------------------+-------------------------------------+
¦Do you have any infectious diseases? ¦ ¦
¦ ---¬ -----¬ ¦ ¦
¦yes ¦ ¦no ¦ ¦ ¦ ¦
¦ L--- L----- ¦ ¦
¦if yes, please clarify in details ¦ ¦
+--------------------------------------------+-------------------------------------+
¦Do you have relatives living in European ¦ ¦
¦countries? ¦ ¦
¦ ---¬ -----¬ ¦ ¦
¦yes ¦ ¦no ¦ ¦ ¦ ¦
¦ L--- L----- ¦ ¦
¦if yes, please clarify in details ¦ ¦
+--------------------------------------------+-------------------------------------+
¦Your journey's itinerary, places you are ¦ ¦
¦going to visit ¦ ¦
+--------------------------------------------+-------------------------------------+
¦How are you planning to leave the Republic ¦ ¦
¦of Belarus? ¦ ¦
¦Do you have transport or travel tickets to ¦ ¦
¦the country of your nationality, permanent ¦ ¦
¦residence or the third country? ¦ ¦
+---------------------------------T----------+-------------------------------------+
¦Who will pay for your travel and ¦myself --¬inviting --¬ ¦
¦stay in the Republic of Belarus? ¦ ¦ ¦side ¦ ¦ ¦
¦ ¦ L-- L-- ¦
¦ ¦ --¬ ¦
¦ ¦other persons, ¦ ¦.......................¦
¦ ¦organisations ¦ ¦ ¦
¦ ¦ L-- ¦
+------------T-----T---T----------+------------------------------------------------+
¦What ¦cash ¦ ¦...........................................................¦
¦financial ¦ L---- ¦
¦means do you¦traveller's cheques, credit cards etc. ..............................¦
¦have to ¦ ---¬ ¦
¦sustain you ¦travel vouchers ¦ ¦.................................................¦
¦while in ¦ L--- ¦
¦Belarus? ¦letter of guarantee of an inviting organisation to cover the costs ¦
¦ ¦of your stay in the Republic of Belarus ---¬ ¦
¦ ¦ ¦ ¦.........................¦
¦ ¦ L--- ¦
+------------+---------------------------------------------------------------------+
¦If you apply for business visa, please answer also the following questions: ¦
+--------------------------------------------T-------------------------------------+
¦What particular arrangements have you ¦ ¦
¦already fulfilled with inviting side ¦ ¦
¦(Belarusian enterprises, companies, ¦ ¦
¦organisations)? ¦ ¦
+--------------------------------------------+-------------------------------------+
¦What purposes do you have in mind during ¦ ¦
¦your travel to fulfill agreements made with ¦ ¦
¦Belarusian organisations, enterprises? ¦ ¦
+--------------------------------------------+-------------------------------------+
¦Declaration: I hereby declare that information mentioned in this application is ¦
¦true and correct. I am also warned that if information is found to be incorrect, ¦
¦the visa may be cancelled at any time. Upon arrival to the Republic of Belarus I ¦
¦will register according to the established procedure and leave the territory of ¦
¦the Republic of Belarus before my visa expires. ¦
+---------------------T----------------------T------T------T-----T----T-----T------+
¦Signature ¦Date of application ¦ ¦ ¦ ¦ ¦ ¦ ¦
+---------------------+----------------------+------+------+-----+----+-----+------+
¦Foreigners and stateless persons visiting Belarus should submit their passports ¦
¦within a period of 3 working days (excepting holidays) to the competent ¦
¦authorities specially authorized to implement registration procedure. ¦
L-----------------------------------------------------------------------------------
-----------------------------------------------------------
Приложение 13 - в редакции постановления Министерства
иностранных дел Республики Беларусь от 1 октября 2007 г.
№ 110 (зарегистрировано в Национальном реестре - № 8/17198
от 09.10.2007 г.) - для служебного пользования
Приложение 13
к Инструкции
о порядке выдачи виз
Республики Беларусь
иностранным гражданам
и лицам без гражданства
Наименование загранучреждения Республики Беларусь
Министерство иностранных дел
Республики Беларусь
Консульское управление
ВИЗА
Об отказе в выдаче визы/
О заявке на визу
В __________________________________ поступила заявка на выдачу
(название загранучреждения)
________________ на въезд в Республику Беларусь в период с _________
(тип визы)
по _______________ следующего иностранного гражданина, приглашенного
____________________________________________________________________
(указывается приглашающая сторона)
____________________________________________________________________
(фамилия, имя), год рождения, номер документа для выезда за границу,
гражданство)
В списке значится:
____________________________________________________________________
(фамилия, имя, год рождения, номер документа для выезда за границу,
гражданство)
В визе отказано/Просим согласовать возможность выдачи визы
упомянутому гражданину.
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