VISA SERVICES CANADA

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1 VISA SERVICES CANADA VISA APPLICATION & FEES FOR COTE d IVOIRE *** Visa fees and times are subject to change by embassies without notice *** - ENTRY VISA valid for days $75. - ENTRY VISA valid for 91+ days $ REGULAR SERVICE FEE (per person per visa) $75. Processing 15 days - URGENT SERVICE FEE (per person per visa) $150. Processing 2 days SPECIFIC VISA REQUIREMENTS FOR COTE d IVOIRE Business Visa - passport, valid for 6 months at least, plus photocopy of passport, - one (1) fully completed and signed visa application form, - one (1) recent passport-style photograph (50 mm x 70 mm), - Letter of invitation, - confirmed air ticket, - confirmation of hotel reservation, - proof of financial means to stay, up to Cdn$135. per day, - yellow fever international health certificate. Private Visit Visa - passport, valid for 6 months at least, plus photocopy of passport, - three (3) fully completed and signed visa application forms, - three (3) recent passport-style photographs, - confirmed air ticket, - confirmed hotel reservation or, - letter of invitation, - proof of financial means to stay, up to Cdn$135. per day, - yellow fever international health certificate. Tourist Visa - passport, valid for 6 months at least, plus photocopy of passport, - three (3) fully completed and signed visa application forms, - three (3) recent passport-style photographs, - confirmed air ticket, - confirmation of hotel reservation, - proof of financial means to stay, up to Cdn$135. per day, - yellow fever international health certificate. Ship all signed forms and documents to our office: Visa Services Canada, Inc Slater Street Ottawa ON K1P 5H9 ph. (613)

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3 VISA SERVICES CANADA SECURE PAYMENT OPTION FOR TOURIST & VISIT VISAS Visa Services Canada, Inc. is pleased to offer the most secure means of payment available in Canada for the processing of your tourist or your visit visa. INTERAC e-transfer Interac e-transfer is a funds transfer service between personal and business accounts at Canadian banks and other financial institutions. You do not have to provide any account details or even a credit card number to our company. Our staff never see any of your account details when you use an e-transfer method of payment. You deal only with your bank or financial institutions to make payment in a totally secure environment right from your home or office. HOW IT WORKS 1. Fill in the entire visa application form, including the VSC cover page above, and send it to our office by courier or as applicable. 2. Our professional staff review your application and determine the total payment (including taxes and shipping) to be made by you. 3. Our staff send you an detailing the full and final charges. This will contain all the instructions for making the e-transfer. It will include the and security codes, and step-by-step instructions for you. 4. You, or a friend or relative acting on your behalf, make the e-transfer to VSC for all the visa processing charges and fees. 5. It takes about 30 minutes for the bank to send the e-transfer notification to our office. We then receive the funds and can then pay the embassy on your behalf. Payment must be received before the embassy can be approached with your application. YOUR ADDRESS Applicants MUST provide at least one (1) working and monitored address on the VSC cover page so that our staff can contact you with details of the payment. Please provide two. An application form without a typed correct and monitored address cannot be processed. Applicants who respond immediately are assisted first. Applicants who do not respond within three days (72 hours) will have their applications cancelled and their passports prepared for return. Failure to respond promptly may result in you missing your journey.

4 MINISTERE DE L'INTERIEUR République de Côte d Ivoire Formulaire de demande de Visa/ Application for Visa Durée du séjour (Length of stay Duration) Transit (de 1 à 3 jours) Transit (from 1 to 3 days) Service qui établit le Visa (Visa's establisher) Ambassade (Embassy) RESERVE A L'ADMINISTRATION Date du dépôt de la demande Court séjour (un jour à trois mois) Short stay (from 1 to 3 months) DST (Côte d'ivoire) Dossier traité par: Long séjour (1 à 2 ans) Long stay (from 1 to 2 years) Pièces jointes : Nom (en majuscule) Surname(Capital letter) 1. Nom de jeune fille (Maiden name) Prénom(s): (Given name) Nom du conjoint : (Husband name) Date de naissance: (Date of birth) Lieu de naissance: (Place of birth) Situation matrimoniale (Marital's Status) J M A Sexe:(Gender) M F C M D V Nationalité d'origine (Origin Nationality) Photo Nationalité Actuelle : (Present Nationality) Résidenceactuelle : (Present residence) Profession (Occupation) : Passeport N (Passport N ) : Délivré le (issued on) : J M A Par : (by) Valable jusqu'au (valid until) J M A Type de passeport (Passport type) : Passeport ordinaire (Ordinary passport) Passeport diplomatique (Diplomatic passport) Passeport de service (Passport of Service) Tout autre document de voyage (Other travelling documents) Nature du visa sollicité (Type of visa applied for) Visa Ordinaire (Ordinary visa) Visa de courtoisie (Courtesy visa) Visa diplomatique (Diplomatic visa) Durée du visa sollicité (Validity period of visa) Transit (de 1 à 3 jours) (Transit : from 1 to 3 days) Court séjour (de 1 jours à trois mois) (Short stay : from 1 day to 3 months) Sortie retour (un an) (In an out : 1 year) Motifs du voyage : (Reasons of travelling) Affaires (Business) Mission (Mission) Vacances Loisirs (Holidays Leisure ) Etudes /Recherches (Study/Research) Date de départ (Departure date) Adresse en Côte d'ivoire (Address in Côted'Ivoire) Santé (Health ) J M A Nom (Name) Adresse (Address) Téléphone (Phone number) Repondant en Côte d'ivoire (Relative in Côte d'ivoire)

5 Indiquez avec précision les noms et adresses (rue et n ) des commerçants ou industriels que vous désirez rencontrer s il s agit d un voyage d affaires : (Indicate precisely names and addresses of merchants and industrialists you wish to meet on your business trip) RESERVE A L'ADMINISTRATION Nom (Name) Adresse (Address) Nom (Name) Adresse (Address) Nom (Name) Adresse (Address) Vous engagez vous à n accepter aucun emploi rémunéré ou au pair pendant votre séjour en Côte d Ivoire, à ne pas chercher à vous y installer définitivement et a quitter le territoire ivoirien a l expiration du visa qui vous sera éventuellement accordé? (Do you agree not to accept any employment, either at a salary or for room and board during your stay in Côte d Ivoire, not to remain in Côte d Ivoire permanently and leave the territory of the expiration of the ration of the visa which may be granted to you?) Ma signature engage ma responsabilité et m expose, en sus de poursuites prévues par la loi en cas de FAUSSE déclaration, à me voir REFUSER TOUT VISA A L AVENIR (My signature renders me responsible, and in case of any false statements, in addition to any penalties imposed by law, I understand that I may be refused any Côte d Ivoire visa in the future) Signature du requérant(applicant's signature) Signature du représentant de l'autorité (Authority's signature)

6 EMBASSY REGISTRATION VISA SERVICES CANADA For your personal safety and security we can register you with the embassy of Canada in the country or countries to which you will travel on your upcoming business or tourist journey. During times of national emergency such as natural disasters, war, or bombings, the government of Canada may seek out all Canadian nationals in a disaster or security zone. Canadians who are registered are the first ones found and can be the first evacuated in some cases. This is a fast and efficient way of ensuring the Canadian Government can find you in case of an emergency, and can give your family some security during your travels. - YES, please register my trip with the government ($20. fee per person) ABOUT ME Last name as in passport First name as in passport Date of birth: (DD/MM/YYYY) Gender as in passport: Canadian Passport number: ABOUT MY TRIP Destination country Region in country if known Additional information (address or hotel name) Arrival date at destination (DD/MM/YYYY) Departure date from country (DD/MM/YYYY) I do not know my departure date MY CONTACT DETAILS OUTSIDE CANADA You must provide at least one way of contacting you outside Canada address which you check regularly Telephone number with area code Mobile telephone number with area code Send me a text message with destination travel advice and advisories upon arrival 1/2

7 EMBASSY REGISTRATION continued MY EMERGENCY CONTACT IN CANADA IS You must provide at least one means of contacting this person. Emergency contact in Canada s full name Emergency contact in Canada s Emergency contact in Canada s telephone number with area code Emergency contact in Canada s mobile number with area code I AM GOING TO A SECOND COUNTRY Second Destination country Region in country if known Additional information (address or hotel name) Arrival date at destination (DD/MM/YYYY) Departure date from country (DD/MM/YYYY) I do not know my departure date I AM GOING TO A THIRD COUNTRY Third Destination country Region in country if known Additional information (address or hotel name) Arrival date at destination (DD/MM/YYYY) Departure date from country (DD/MM/YYYY) I do not know my departure date PRIVACY STATEMENT The information collected here will be shared with the Government of Canada in order to register you as a Canadian abroad. The data will not be shared with any other government or with any private company. By filling out this form you acknowledge that you understand how your data will be used and retained, and that Visa Services Canada is not liable for the data after it has been given to the Government of Canada. 2/2

8 VISA SERVICES CANADA Suite Slater St. Ottawa, ON, K1P 5H9, CANADA I,, authorize Visa Services Canada to act on my behalf in acquiring a visa for my passport. Visa Services Canada is authorized to drop-off and pick-up my passport and any other personal documents from the embassy, high commission, consulate, diplomatic mission of the country of while aiding me in acquiring a visa. Visa Services Canada is also authorized to receive information about my application from the visa office while acting on my behalf. Signed on this day of the month of in the year, in the city of in the province of, in Canada. Signature OFFICE COPY VISA SERVICES CANADA Suite Slater St. Ottawa, ON, K1P 5H9, CANADA toll-free I,, authorize Visa Services Canada to act on my behalf in acquiring a visa for my passport. Visa Services Canada is authorized to drop-off and pick-up my passport and any other personal documents from the embassy, high commission, consulate, diplomatic mission of the country of while aiding me in acquiring a visa. Visa Services Canada is also authorized to receive information about my application from the visa office while acting on my behalf. Signed on this day of the month of in the year, in the city of in the province of, in Canada. Signature EMBASSY COPY

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