Myanmar January 25 February 7, PDF Free Download

1625 K Street NW Suite 750 Washington DC 20006 Tel: 888 838 4867 Email: AHI@TravelDocs.com Visa requirements shown below are for U.S. PASSPORT HOLDERS ONLY. Nationals of all other countries please contact Pinnacle Travel Document Systems directly for specific requirements for your itinerary. Myanmar January 25 February 7, 2014 Visa(s) # # Cost Req d Forms Photos 1 Persons - 2 Application Deadline Late Fee Per Person Myanmar 4 3 $139.00 $249.00 December 15, 2013 (or 40 days prior $30.00 to your departure) Please use enclosed sample information verbatim and substitute your personal information. Fees shown above include all necessary consular and service fees as well as the cost to return your passport(s) via FedEx from our offices within the continental U.S. (Please add $29.00 to cover extra shipping costs for addresses in Alaska, Hawaii, or Canada.) We strongly suggest that you send your documents to us via FedEx or some other form of traceable overnight courier service. Please enclose your actual passport along with three (3) photographs, two (2) completed visa application forms, one (1) completed Work History form and one (1) completed Report of Arrival form for Myanmar. (Residents of NY, CT and NJ must complete application form A. Residents of all other states must complete application form B. Please refer to your specific application sample when completing your documents.) Please also enclose two (2) clear photocopies of the vital information page of your passport and a copy of your flight itinerary showing entry and exit for Myanmar. Photographs should be recently shot passport-type photos with a clear background precisely 2 x 2 in dimension. (Note that machine or home photographs are not acceptable and photographs must be different than those in your current passport.) Your passport must be valid until August 7, 2014 or for a minimum of six (6) months beyond the completion of your international travel and must have at least three (3) blank unused pages available not including those reserved for amendments and endorsements at the back of your passport. Contact PTDS directly for assistance with renewal of or to add pages to your U.S. passport, as this can easily be done at the same time you apply for your visas. Applications must be received in our offices no fewer than 40 days prior to your departure from your shipping address or by December 15, 2013 whichever is sooner. Documents received after the deadline will be subject to the per person late fee shown above. (Please do not send your documents more than 90 days prior to the departure of your tour due to limited validity of the visa for Myanmar.) Special requests for passports to be expedited due to other travel plans prior to your tour departure may also require expediting fees. Please contact PTDS directly regarding any special processing needs or before submitting documents you expect may be received substantially after the deadline as there may be special requirements and/or additional fees to process your request. It may not be possible to cancel processing of your applications once they have been submitted. Please note that consular fees, shipping fees and application requirements quoted are subject to change without notice. Check or credit card payment accepted. Credit card payment subject to 3.5% surcharge.

PLEASE BE CERTAIN TO RETURN THE FOLLOWING TO: Pinnacle Travel Document Systems 1625 K Street NW Suite 750 Washington DC 20006 Your actual passport (Please keep a photocopy for your records.) This completed form Two (2) photocopies of the vital information page of passport Two (2) completed visa application forms per person for Myanmar One (1) completed Work History form per person for Myanmar One (1) completed Report of Arrival form per person for Myanmar One (1) copy of your flight itinerary showing entry and exit for Myanmar Three (3) passport-type photographs per person (Leave loose, PTDS will affix.) Credit or debit card authorization below PLEASE TYPE OR PRINT CLEARLY Full Name (1): Full Name (2): Passport #: Exp: / Passport #: Exp: / Mo Yr Mo Yr Home Home Tel: Mailing Work Tel: Address: (FedEx cannot deliver to PO boxes) Email: Date of Departure from Home: / / Month Day Year Address Tour Name: Myanmar For Date of Tour Departure: 01 / 25 / 14 Month Day Year Return of Special Instructions: Passport: Tel: Please indicate below if there are known periods prior to your tour during which you will need your passport for another international trip or when you will not be available to sign for the return of your passport. I will need my passport(s) for other international travel from / / to / / Month Day Year Month Day Year I will not be at my home and/or return shipping address from / / to / / Month Day Year Month Day Year CREDIT CARD AUTHORIZATION: AMEX / VISA / MC (please circle one) Cardholder Name: Signature: Card #: CID# Expires: / Amount: US$ Mo Yr AHI MYANMAR 0125-14(MYANMAR25)75 FX29 139/249 (APP FEE)10 3.5% 3 PGS VAL 08/07/14 DL 12/15/13 30.00 TE MYANMAR 27 OCTOBER 2013 ENT MYANMAR 27 JANUARY 2014 2014 Pinnacle Travel Document Systems

IMPORTANT NOTICE REGARDING PASSPORT PAGES & VALIDITY: You must have at least three (3) blank unused pages available in your passport for visas and entry/exit stamps. In addition, your passport must be valid until August 7, 2014 or for six (6) months beyond the completion of your international travel. If you are a U.S. citizen, and need to renew or add pages to your passport Pinnacle Travel Document Systems can easily assist you with this at the same time your visas are being processed. The total additional fees for these services (including U.S. government expediting fees) are $222.00 for passport pages and $250.00 for passport renewals. We can also assist you with expediting first time passport applications. You will need to complete an application form and a letter of authorization for PTDS and must send your actual passport to us. Specific requirements and the necessary forms are available for download from our Internet site: Passport Pages Passport Renewals First Time Passports Second Passports WWW.Traveldocs.com/PTDSPassports You may also contact us via email or phone at AHI@TravelDocs.com or 888-838-4867 and we will send you an instruction kit.

FORM A DIRECTORATE OF IMMIGRATION AND NATIONAL REGISTRATION IMMIGRATION DEPARTMENT APPLICATION FOR TOURIST ENTRY VISA (To be handed over to the immigration officer at the airport.) 1. Name... JOHNATHAN DOE PHOTO 2. Father s Name in Full... JOHAN SEBASTIAN DOE 3. Nationality... USA 4. Sex... MALE 5. Date of Birth... MARCH 13, 1961 6. Place of Birth... NEW YORK 7. Occupation... ENGINEER 8. Personal description (a) Colour of Hair... BROWN (b) Height... 6"3 (c) Colour of eyes... BROWN (d) Complexion... CAUCASION 9. Passport (a) Number... 98765543421 (b) Date of Issue... MAY 5, 2010 (c) Place of Issue USA... (d) Issuing Authority... US DEPT OF STATE (e) Date of Expiry... MAY 4, 2020 1234 MAIN STREET, ANYWHERE USA 10. Permanent Address... CHATRIUM ROYAL LAKE HOTEL 40 NATMAUK RD. TAMWE TOWNSHIP YANGON MYANMAR 11. Address in Myanmar... 12. Purpose of entry into Myanmar... TOURISM DESTINATION ASIA 13. Name and address of guarantor during stay in Myanmar... ROOM 1 2ND FLOOR PEARL CONDO BLDG A KABA AYE PAGODA RD YANGON MYANMAR... 14. Financial resources in Myanmar... PRE PAID TOUR (a) Cash (Kyats and Foreign Currency)... (b) Bank deposit... (c) Name of Bank... (d) Amount... 15. Attention for Applicants (a) Apart from the professions mentioned in this visa application are not to engage in any sort of work with or without changes. (b) Applicant shall abide by the laws of the Union of Myanmar and shall not interfere in the internal affairs of the Union of Myanmar. (c) Legal action will be taken against those who violate or contravene any provision of the existing laws, rules and regulations of the Union of Myanmar. I hereby declare that I fully understand the above mentioned conditions that the particulars given above are true and correct and that I will not engage in any activities irrelevant to the purpose of entry stated herein. 16. Daytime phone no.... PLEASE DO NOT FORGET TO SIGN AND DATE YOUR APPLICATIONS... Date... Signature of applicant... (FOR OFFICIAL USE ONLY) Visa No.... Date... Visa Authority... Date... Signature of Office-in-charge Place... Consulate General of the Union of Myanmar New York 2

EMBASSY OF THE REPUBLIC OF THE UNION OF MYANMAR, WASHINGTON D.C. APPLICATION FOR ENTRY VISA (TOURIST) Official use only 1. Name in Full (Fill in Blocks) E.V.T (F.I.T) _ JONATHAN / _ BONHAM / _ DOE (First Name) (Middle Name) (Last Name) 2. Father s Name _ JOHAN _ / _ SEBASTIAN _ / _ DOE _ (First Name) (Middle Name) (Last Name) 3. Date of Birth (dd/mm/yy): 13 / _ 03 / 1961 PHOTO 4. Place of Birth (City / State / Country): _ NEW YORK _ / _ NEW _ YORK / USA 5. Nationality: U.S. / (other): 4. Sex (F) / (M) 6. Present Occupation : _ ENGINEER (If retired write retired, if student write student ) 7. Marital Status : Married / Separated / Divorced / Widowed / Single (Never Married) 8. Spouse s Full Name : _ JOANNA BACH DOE Personal Description 9. (a) Color of Hair _ BROWN (b) Height : m _cm _ / ft. _ 6 in. 3 _ (c) Color of Eyes _ BROWN (d) Complexion _ CAUCASION Passport 10. (a) Number 0987654321 Date of Issue (dd/mm/yy): 10 / _ 03 / _ 2010 _ (c) Date of Expiration (dd/mm/yy): 09 / _ 03 / 2020 (d) Place of Issue : (e) Issuing Authority : E.V.T (Package Tour) Recently taken 35 mm X 45 mm color photo With full face, front view, no hat and against a plain light background United States, United States, Department of State Other : National Passport Center/ Other : 11. Present Address in U.S. _ 1234 _ Main Street _ Anywhere, CA. 98765 _ (Include apartment number, street, city, state or province & postal zone) 12. Contact Phn. No. (Res.) ( 987 _ ) _ 654-3210 (Work) ( 987 _ ) 654-1234 _ email: _ DOE@ANYWHERE.COM 13. Address in Myanmar _ CHATRIUM _ ROYAL LAKE _ 40_ NATMAUK RD_ TAMWE TOWNSHIP YANGON _ MYANMAR 14. Have you ever been to Myanmar : Yes No (If Yes) Date of Last Visit : (dd/mm/yy): _ / _ / _ 15. Have you ever been refused to enter Myanmar : Yes No (If Yes) When : (dd/mm/yy): _ / _ / Why: 16. Purpose of Visit : Tourism / _ PRE _ PAID TOUR (Expected date of Arrival : _ 27 _ / _ 01 _ / _ 2014 Flight No. _ PYI _ & Departure : _ 07 _ / _ 02 _ / _ 2014, Flight No. _ ) dd mm yy dd mm yy 17. Attention for Tourists (a) Apart from the professions mentioned in this visa application form applicants are not to engage in any sort of work with or without charges. (b) Applicants shall abide by the Law of the Republic of the Union of Myanmar and shall not interfere in the Internal Affairs of the Republic of the Union of Myanmar. (c) Legal action will be taken against those who violate or contravene any provision of the existing laws, rules and regulations of the Republic of the Union of Myanmar. I hereby declare that I fully understand the above mentioned conditions, that the particulars given above are true and correct and that I will not engage in any activities irrelevant to the purpose of entry stated herein. PLEASE DO NOT FORGET TO SIGN AND DATE YOUR APPLICATION Date (dd/mm/yy): _ / _ / _ Signature of Applicant _ (FOR OFFICIAL USE ONLY) _ Visa No. Date : Visa Authority : MOFA Lt. No. 46 11 11 (76) Dated : 11 March 1994 (If other) : : MOFA Lt. No. _, Dated : _ Signature of Officer in-charge Embassy of the Republic of the Union of Myanmar (Washington D.C) Contact : Tel. (202) 332 4352, (202) 238 9332 Fax. (202) 332 4351, http://www.mewashingtondc.com, e-mail : info@mewashingtondc.com Updated : August 2012

Embassy of the Republic of the Union of Myanmar Washington D.C. Work History for Visa Applicant JOHNATHAN BONHAM DOE 1. Name in Full (Full in block letter) : DOE Surname (As in Passport) : JOHNATHAN BONHAM First Name & Middle Name : 13 03 1961 2. Date of birth (dd/mm/yy): / _ / NEW YORK, NY 1234 MAIN STREET, ANYWHERE, CA. 98765 3. Place of Birth : U.S. (other): 4. Permanent Home Address : 5. Tel. (Res.) ( 987) 654-3210 (Work Place) 987-654-1234 Email : DOE@ANYWHERE.COM 7. Work Discription (Current) (a) Job Title : ENGINEER From (dd/mm/yy) : 09 / 10 / 2000 - To (dd/mm/yy) : 02 / 10 / 2013 ENGINEERING ENGINEERING ENGINEERING ANSWER TO THE EXTENT SPACE ALLOWS (b) Office Section Division Describe your Duties 8. Work Description (Previous) (a) Job Title : OPERATIONS MANAGER From (dd/mm/yy) : 01 / 02 / 1995 - To (dd/mm/yy) : 09 / 09 / 2000 OPERATIONS OPERATIONS OPERATIONS ANSWER TO THE EXTENT SPACE ALLOWS (b) Office Section Division Describe your Duties I hereby declare that the particulars given above are true and correct and that I will not engage in any activities irrelevant to the purpose of my entry. PLEASE DO NOT FORGET TO DATE AND SIGN YOUR APPLICATION Signature of Applicant Date : (dd/mm/yy) : / / Updated : August 2012

GOVERNMENT OF THE UNION OF MYANMAR Immigration Department REPORT OF ARRIVAL NAME JONATHAN DOE is directed to deliver this report to the Immigration Authorities on arrival in Myanmar. Passport No. 9876543210 Place and Date of Issue NATIONAL PASSPORT AGENCY MAY 10, 2010 Visa No. and Date Authority, if any NOT APPLICABLE NOT APPLICABLE Full Address in Myanmar CHATRIUM ROYAL LAKE HOTEL 40 NATMAUK RD TAMWE TOWNSHIP YANGON Name and Address of Reference or Guarantor in Myanmar: DESTINATION ASIA ROOM 1 2ND FLOOR PEARL CONDO BLDG A KABA AYE PAGODA RD YANGON, MYANMAR DO NOT FORGET TO SIGN YOUR APPLICATION PHOTO Signature of Passport Holder Date of Departure from U.S.A. - Date of Arrival in Myanmar - Date of Expiry of Stay in Myanmar - Visa Issuing Officer Date of Issue JANUARY 25, 2014 JANUARY 27, 2014 FEBRUARY 7, 2014

FORM A DIRECTORATE OF IMMIGRATION AND NATIONAL REGISTRATION IMMIGRATION DEPARTMENT APPLICATION FOR TOURIST ENTRY VISA (To be handed over to the immigration officer at the airport.) 1. Name... PHOTO 2. Father s Name in Full... 3. Nationality... 4. Sex... 5. Date of Birth... 6. Place of Birth... 7. Occupation... 8. Personal description (a) Colour of Hair... (b) Height... (c) Colour of eyes... (d) Complexion... 9. Passport (a) Number... (b) Date of Issue... (c) Place of Issue... (d) Issuing Authority... (e) Date of Expiry... 10. Permanent Address... CHATRIUM ROYAL LAKE HOTEL 40 NATMAUK RD TAMWE TOWNSHIP YANGON 11. Address in Myanmar... 12. Purpose of entry into Myanmar... TOURISM 13. DESTINATION ASIA Name and address of guarantor during stay in Myanmar... ROOM 1 2ND FLOOR PEARL CONDO BLDG 1 KABA AYE PAGODA RD YANGON MYANMAR... 14. Financial resources in Myanmar... PRE PAID TOUR (a) Cash (Kyats and Foreign Currency)... (b) Bank deposit... (c) Name of Bank... (d) Amount... 15. Attention for Applicants (a) Apart from the professions mentioned in this visa application are not to engage in any sort of work with or without changes. (b) Applicant shall abide by the laws of the Union of Myanmar and shall not interfere in the internal affairs of the Union of Myanmar. (c) Legal action will be taken against those who violate or contravene any provision of the existing laws, rules and regulations of the Union of Myanmar. I hereby declare that I fully understand the above mentioned conditions that the particulars given above are true and correct and that I will not engage in any activities irrelevant to the purpose of entry stated herein. 16. Daytime phone no....... Date... Signature of applicant... (FOR OFFICIAL USE ONLY) Visa No.... Date... Visa Authority... Date... Signature of Office-in-charge Place... Consulate General of the Union of Myanmar New York 2 AHI

FORM A DIRECTORATE OF IMMIGRATION AND NATIONAL REGISTRATION IMMIGRATION DEPARTMENT APPLICATION FOR TOURIST ENTRY VISA (To be handed over to the immigration officer at the airport.) 1. Name... PHOTO 2. Father s Name in Full... 3. Nationality... 4. Sex... 5. Date of Birth... 6. Place of Birth... 7. Occupation... 8. Personal description (a) Colour of Hair... (b) Height... (c) Colour of eyes... (d) Complexion... 9. Passport (a) Number... (b) Date of Issue... (c) Place of Issue... (d) Issuing Authority... (e) Date of Expiry... 10. Permanent Address... 11. CHATRIUM ROYAL LAKE HOTEL 40 NATMAUK RD TAMWE TOWNSHIP YANGON Address in Myanmar... 12. Purpose of entry into Myanmar... TOURISM 13. Name and address of guarantor during stay in Myanmar... DESTINATION ASIA ROOM 1 2ND FLOOR PEARL CONDO BLDG A KABA AYE PAGODA RD YANGON MYANMAR... 14. Financial resources in Myanmar... PRE PAID TOUR (a) Cash (Kyats and Foreign Currency)... (b) Bank deposit... (c) Name of Bank... (d) Amount... 15. Attention for Applicants (a) Apart from the professions mentioned in this visa application are not to engage in any sort of work with or without changes. (b) Applicant shall abide by the laws of the Union of Myanmar and shall not interfere in the internal affairs of the Union of Myanmar. (c) Legal action will be taken against those who violate or contravene any provision of the existing laws, rules and regulations of the Union of Myanmar. I hereby declare that I fully understand the above mentioned conditions that the particulars given above are true and correct and that I will not engage in any activities irrelevant to the purpose of entry stated herein. 17. Daytime phone no....... Date... Signature of applicant... (FOR OFFICIAL USE ONLY) Visa No.... Date... Visa Authority... Date... Signature of Office-in-charge Place... Consulate General of the Union of Myanmar New York AHI 3

EMBASSY OF THE REPUBLIC OF THE UNION OF MYANMAR, WASHINGTON D.C. APPLICATION FOR ENTRY VISA (TOURIST) 1. Name in Full (Fill in Blocks) _ / _ / _ (First Name) (Middle Name) (Last Name) 2. Father s Name / / (First Name) (Middle Name) (Last Name) 3. Date of Birth (dd/mm/yy): / _ / 4. Place of Birth (City / State / Country): / / 5. Nationality: U.S. / (other): 4. Sex (F) / (M) 6. Present Occupation : _ (If retired write retired, if student write student ) 7. Marital Status : Married / Separated / Divorced / Widowed / Single (Never Married) 8. Spouse s Full Name : _ Official use only E.V.T (F.I.T) E.V.T (Package Tour) PHOTO Recently taken 35 mm X 45 mm color photo With full face, front view, no hat and against a plain light background Personal Description 9. (a) Color of Hair _ (b) Height : m _cm _ / ft. _ in. _ (c) Color of Eyes _ (d) Complexion _ Passport 10. (a) Number Date of Issue (dd/mm/yy): / _ / (c) Date of Expiration (dd/mm/yy): / _ / (d) Place of Issue : (e) Issuing Authority : United States, United States, Department of State Other : National Passport Center/ Other : 11. Present Address in U.S. (Include apartment number, street, city, state or province & postal zone) 12. Contact Phn. No. (Res.) ( _ ) _ (Work) ( _ ) _ email: _ CHATRIUM ROYAL LAKE HOTEL 40 NATMAUK RD TAMWE TOWNSHIP YANGON MYANMAR 13. Address in Myanmar 14. Have you ever been to Myanmar : Yes No (If Yes) Date of Last Visit : (dd/mm/yy): _ / _ / _ 15. Have you ever been refused to enter Myanmar : Yes No (If Yes) When : (dd/mm/yy): _ / _ / Why: 16. Purpose of Visit : Tourism / (Expected date of Arrival : _ 27_ / _ 01_ / 2014 _ Flight No. & Departure : 07 / 02 / 2014 _, Flight No. _ ) dd mm yy dd mm yy 17. Attention for Tourists (a) Apart from the professions mentioned in this visa application form applicants are not to engage in any sort of work with or without charges. (b) Applicants shall abide by the Law of the Republic of the Union of Myanmar and shall not interfere in the Internal Affairs of the Republic of the Union of Myanmar. (c) Legal action will be taken against those who violate or contravene any provision of the existing laws, rules and regulations of the Republic of the Union of Myanmar. I hereby declare that I fully understand the above mentioned conditions, that the particulars given above are true and correct and that I will not engage in any activities irrelevant to the purpose of entry stated herein. Date (dd/mm/yy): _ / _ / _ Signature of Applicant _ (FOR OFFICIAL USE ONLY) _ Visa No. Date : Visa Authority : MOFA Lt. No. 46 11 11 (76) Dated : 11 March 1994 (If other) : : MOFA Lt. No. _, Dated : _ Updated : August 2012 Signature of Officer in-charge Embassy of the Republic of the Union of Myanmar (Washington D.C) Contact : Tel. (202) 332 4352, (202) 238 9332 Fax. (202) 332 4351, http://www.mewashingtondc.com, e-mail : info@mewashingtondc.com AHI

Embassy of the Republic of the Union of Myanmar Washington D.C. Work History for Visa Applicant 1. Name in Full (Full in block letter) : Surname (As in Passport) : First Name & Middle Name : 2. Date of birth (dd/mm/yy): / _ / 3. Place of Birth : U.S. (other): 4. Permanent Home Address : 5. Tel. (Res.) ( ) (Work Place) Email : 7. Work Discription (Current) (a) Job Title : From (dd/mm/yy) : / / - To (dd/mm/yy) : / / (b) Office Section Division Describe your Duties 8. Work Description (Previous) (a) Job Title : From (dd/mm/yy) : / / - To (dd/mm/yy) : / / (b) Office Section Division Describe your Duties I hereby declare that the particulars given above are true and correct and that I will not engage in any activities irrelevant to the purpose of my entry. Signature of Applicant Date : (dd/mm/yy) : / / Updated : August 2012 AHI

GOVERNMENT OF THE UNION OF MYANMAR Immigration Department REPORT OF ARRIVAL NAME is directed to deliver this report to the Immigration Authorities on arrival in Myanmar. Passport No. Place and Date of Issue Visa No. and Date Authority, if any Full Address in Myanmar CHATRIUM ROYAL LAKE HOTEL 40 NATMAUK RD TAMWE TOWNSHIP YANGON Name and Address of Reference or Guarantor in Myanmar: DESTINATION ASIA ROOM 1 2ND FLOOR PEARL CONDO BLDG A KABA AYE PAGODA RD YANGON, MYANMAR PHOTO Signature of Passport Holder Date of Departure from U.S.A. - Date of Arrival in Myanmar - Date of Expiry of Stay in Myanmar - Visa Issuing Officer Date of Issue JANUARY 25, 2014 JANUARY 27, 2014 FEBRUARY 7, 2014