ISSUED FREE Department of Immigration & Emigration FORM A/ IM 35 (Regulations 6) APPLICATION FOR THE ISSUE/ EXTENSION OF A RESIDENCE VISA FOR SRI LANKA To be completed in Block Letters For office use only BOI Ex-SL Relig.Work Application No SL Parents NGO RGS CIT (5/2) Official Spouse Affix a photograph Visa Number Clergy Private.Sec State.Sec DPL Reg IND Student Date of Arrival/Expiry Dual Int: Gov SSRV Other : Period granted s s Date of Issue : 1. Details of Passport i) Number ii) Place of Issue iii) Date of Issue iv) Date of Expiry 2. Details of previous Passport held, if any i) Number ii) Place of Issue iii) Date of Issue iv) Date of Expiry 3. Name in Full as shown in Passport: 4. Nationality: 5. If naturalized, i) Date ii) Place of naturalization iii) Former Nationality 6. Gender * i) Male ii) Female 7. Date of Birth 8 Country & Place of birth i. Place ii. Country 9. Civil Status * i. Single ii. Married iii. Widowed iv. Divorced 10. If Married i) Full name of Spouse: ii)nationality: iv) Postal Address: iii) Passport No iv) Date of expiry 11. Applicants Height in centimetres 12. Any identification Marks of Peculiarities: 13. Address: i) In the country of domicile
ii) During staying in Sri Lanka: 14. Occupation/ Profession which Residence Visa is Appling for 15. Contact Numbers Tel Mobile Fax 16 Category of applying for Residence Visa* E-Mail (a). i) Board of Investment (BOI) ii) Public Sector iii) Private Sector iv) Student v) Ex- Sri lankan vi) Spouse vii) Religious viii) Registered Indian ix) Diplomatic Missions x) Non Government Organization (NGO) xi) Inter-Governmental organizations xii) Other, Specify (b). i) Investor* ii) Expatriate iii) Dependant 17 Salary/ income per mensem SLRs / US$ 18 If an employee, name and address of employer i) Name ii) Address iii)contact Numbers i) Telephone ii) Mobile No iii) Fax No iv) E-mail 19 If in business and/ or owning landed property in Sri Lanka full particulars of same Name and address of business/ Land, property Shares owned Business registration No./ Dead No/ date 20 Reasons for applying for a Residence Visa 21 Residence visa applying for* i) First Issuance ii) Extension 22 Date of arrival for Residence Visa 23 Particulars of the prior approval Have you obtained prior approval* Yes No If Yes, i) Date of Entry visa issued ii) Place of issuance of Entry Visa iii) date of landing endorsement granted 24 Period for which a Residence visa is required s/s 25 Was a Residence visa issued previously, If so, state i) Visa Number
ii) Date of issue iii) Purpose of which it was issued iv) Period for which it was issued s s v) Particulars of the Passport on which the permit was issued i) Passport No ii) Date of issue iii) Date of expiry iv Place of issue 26 i) Number of present residence Visa of spouse or parent, if any ii) Date of issue visa 27 Particulars of applicant's own children (only for whom application is also made Children under 16 should be included) Name Date of Birth Gender Place of Birth 28 (Particulars of responsible persons, relations or friends in Sri Lanka to whom reference can be made regarding applicant or who are likely to undertake responsibility, if required, for applicant's maintenance and repatriation from Sri Lanka Full Name Nationality Address Contact No. Relationship 29 Any other reason to urge in support of application 30 Finger mark of the applicant I solemnly declare that the information furnished by me in this application is true and that I have not wilfully suppressed any information that is required, that in the event of issue of visa I shall comply with the terms and conditions subject to which the visa is granted, and that I shal not engage myself in any employment, paid or unpaid, or in any business or trade other than the purpose of visa is granted, and that I shall notify the Controller of Immigration and Emigration of any change in my addresses during my stay in Sri Lanka. Date:. Signature of applicant Instructions 1 Any person whose admission has been authorized would be prevented from landing or may be required to leave Sri Lanka if, it is found that he has given false or misleading information or suppressed any information that he is required to give on to give on his application. 2 An application for Residence Visa should be made at least one month before (a) the date of intended travel. (b) in the case of first issue of the date of expiry of the Residence Visa in the case of extension 3 Applicant is required to submit two copies of his photograph ( 3.5cm x 4.5cm ) for issuance of visa
4 Fee and tax for the grant or issue of a Residence Visa is Rs. 20,000.00 for each period of 12 months or part thereof reckoned from the date of grant or issue. Holders of Diplomatic or Official passport is exempt visa requirement, if the purpose of the visit is official or Diplomatic. a. If the purpose of the visit is not official visa, fee and tax should be paid by the Applicant. b. If an MOU has been signed with the Government of Sri Lanka to exempt visa tax, the amount of Rs.10,000.00 will not be charged. But visa fee of Rs. 10,000.00 should be paid. c. Ex-Sri Lankans and Registered Indians under the Indo-Ceylon Agreement should pay Rs.10,000.00 for visa & tax. d. Foreign spouses of Sri Lankans will be granted Residence Visa free of charge. However, an application processing fee is charged e. Applicants under 16 years of age will be given Residence visa free of charge 5 An application for a Residence Visa in respect of a child under sixteen years may be completed and must be signed by the child's either parents or by the duly authorized guardian 6 * To be marked (x) relevant cage 7 There should be forwarded with application any documentary evidence available to prove the facts set out therein particularly the statement in columns (14),(15), (16), (17), (18),(19) and (20) 8 Copy of data page of applicant's passport is required. 9 If married to a Sri Lankan, a copy of marriage certificate with original are necessary 10 The applicant may be required to submit further information and proof as may be deemed necessary. Special Note Office Use Only Affix an applicants photograph here Finger Mark Visa Endorsement Tax Endorsement Received Passport Date Signature of Applicant
Department of Immigration & Emigration-Sri Lanka PHOTO CAPTURING PAPER (Please provide the following details correctly) Affix your photograph here Size 35mm X 45mm Colour Application Number Passport Number For Office Use only 1. Name in Full: 2. Passport No: 3. Nationality: 4. Gender: 5. Category of Residence Visa applied for: I hereby certify that the above details provided are true and correct. --------------------------------- ----------------------------------- Signature of applicant Date N.B: This Photo Capturing Paper should be submitted with the all types of duly completed Residence visa application(s)