1625 K Street NW Suite 750 Washington DC 20006 Tel: 888 838 4867 Email: TOUR@PINNACLETDS.COM Visa requirements shown below are for U.S. CITIZENS ONLY. Nationals of all other countries please contact Pinnacle Travel Document Systems directly for specific requirement associated with your itinerary. Chimps & Gorillas Of Uganda Visa(s) # # Cost Req d Forms Photos 1 Persons - 2 Application Deadline Late Fee Per Person Uganda 2 2 $160.00 $290.00 30 days prior $60.00 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 within the continental U.S. (Please add $30.00 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 two (2) photographs and two (2) completed visa application forms for Uganda. Please also send a clear photocopy of the vital information page of your passport. Photographs should be recently shot passport-type color photos with a clear background approximately 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 for a minimum of six (6) months beyond the completion of your international travel and must have at least two (2) 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 30 days prior to your departure from your shipping address. Documents received after the deadline will be subject to the per person late fee shown above. (Due to limited validity of the visa please do not send your documents more than 90 days prior to departure.) 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 of 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 One (1) photocopy of the vital information page of your current passport Two (2) completed visa application forms per person for Uganda Two (2) passport-type photographs per person Credit or debit card authorization below PLEASE 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: Chimps & Gorillas of Uganda For the Date of Tour: / / 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: Billing Zip Code: Card #: CID# Expires: / Amount: US$ Mo Yr A&R UGANDA 2015(UGANDA55)75 FX 30 160/290 2PGS VAL 6 MTHS DL 30DAYS 60.00 TE 90 DAYS 2015 Pinnacle Travel Document Systems
IMPORTANT NOTICE REGARDING PASSPORT PAGES & VALIDITY: You must have at least two (2) blank unused pages available in your passport for visas and entry/exit stamps. In addition, your passport must be valid 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 TOUR@PINNACLETDS.COM or 888-838-4867 and we will send you an instruction kit.
THE REPUBLIC OF UGANDA VISA APPLICATION SERIAL NO :. ( Please do not write in this space, for official use only) DOE 1. Last Name (Family Name):... JONATHAN BONHAM 2. Other Given Names:... MAIDEN NAME FOR MARRIED FEMALES 3. Former Name(s) if applicable:. 1234 MAIN STREET 4. Permanent Address:... ANYWHERE CA 98765. a. Telephone No (s): Home: ( 987 )...Work: 654-3210 ( 987).... 654-0123 Cell phone (optional): ( N/A ). JDOE@ANYWHERE.COM b. E-mail address:.. USA ENGINEER 5a. Nationality: 5b. Current Occupation:.. 13 03 1961 NY USA 6. Date and Place of Birth / / Place of Birth 7. Marital Status: (check/tick one): Married Single Divorced 8. Other family members accompanying applicant: (N.B. Each traveling family member must have a separate application filled out for them) Name Date of Birth Passport number JOANNA PAGE DOE 16 JANUARY 1961 0987654321 Spouse. 1234567890 9. Passport No:. Date of Issue / /.. 09 05 2005Expiry date / /.. 08 05 2015 Type of Passport (check/tick one) Diplomatic Official Ordinary 10. Type of Visa required (check/tick one) Transit Single Entry Multiple Entry (Six Months) Multiple Entry (12 Months) 11. Category of Visa (check/tick one) Tourist Holiday visit Business Student Govt. Business Form J 6/01 Side one
12. Proposed Date of Arrival in PER YOUR ITIN Uganda: / / PER YOUR ITIN Planned duration of Stay in Uganda:. TOURISM 13. Reason for the Journey: IF YES - ANSWER TO THE BEST OF YOUR RECOLLECTION 14. Date(s) of any Previous Visit(s) to Uganda:.. 15. Any contact person in Uganda: PER YOUR ITIN a. Name:... First Last/Family Name b. Phone:.. c. email:. LAKE VICTORIA SERENA RESORT 16. Full address where you intend to stay while in Uganda:.. LWEZA-KIGO ROAD OFF ENTEBBE RD KAMPALA, UGANDA.. 17. If in Transit: NOT APPLICABLE a. Indicate your ultimate destination:. NOT APPLICABLE b. Have you obtained a visa for country of destination? DO NOT FORGET TO SIGN AND DATE YOUR APPLICATION Applicant s Signature:.. Date: /.../. Submit Application to: The Consular Officer Embassy of the Republic of Uganda 5911 16th Street NW Washington DC 20011
THE REPUBLIC OF UGANDA VISA APPLICATION SERIAL NO :. ( Please do not write in this space, for official use only) 1. Last Name (Family Name):... 2. Other Given Names:... 3. Former Name(s) if applicable:. 4. Permanent Address:.... a. Telephone No (s): Home: ( )...Work: ( ).... Cell phone (optional): ( ). b. E-mail address:.. 5a. Nationality: 5b. Current Occupation:.. 6. Date and Place of Birth / / Place of Birth 7. Marital Status: (check/tick one): Married Single Divorced 8. Other family members accompanying applicant: (N.B. Each traveling family member must have a separate application filled out for them) Name Date of Birth Passport number Spouse. 9. Passport No:. Date of Issue / /.. Expiry date / /.. Type of Passport (check/tick one) Diplomatic Official Ordinary 10. Type of Visa required (check/tick one) Transit Single Entry Multiple Entry (Six Months) Multiple Entry (12 Months) 11. Category of Visa (check/tick one) Tourist Holiday visit Business Student Govt. Business Form J 6/01 Side one
12. Proposed Date of Arrival in Uganda: / / Planned duration of Stay in Uganda:. TOURISM 13. Reason for the Journey: 14. Date(s) of any Previous Visit(s) to Uganda:.. 15. Any contact person in Uganda: a. Name:... First Last/Family Name b. Phone:.. c. email:. LAKE VICTORIA SERENA RESORT 16. Full address where you intend to stay while in Uganda:.. LWEZA-KIGO ROAD OFF ENTEBBE ROAD KAMPALA, UGANDA.. 17. If in Transit: a. Indicate your ultimate destination:. b. Have you obtained a visa for country of destination? Applicant s Signature:.. Date: /.../. Submit Application to: The Consular Officer Embassy of the Republic of Uganda 5911 16th Street NW Washington DC 20011 A&R
THE REPUBLIC OF UGANDA VISA APPLICATION SERIAL NO :. ( Please do not write in this space, for official use only) 1. Last Name (Family Name):... 2. Other Given Names:... 3. Former Name(s) if applicable:. 4. Permanent Address:.... a. Telephone No (s): Home: ( )...Work: ( ).... Cell phone (optional): ( ). b. E-mail address:.. 5a. Nationality: 5b. Current Occupation:.. 6. Date and Place of Birth / / Place of Birth 7. Marital Status: (check/tick one): Married Single Divorced 8. Other family members accompanying applicant: (N.B. Each traveling family member must have a separate application filled out for them) Name Date of Birth Passport number Spouse. 9. Passport No:. Date of Issue / /.. Expiry date / /.. Type of Passport (check/tick one) Diplomatic Official Ordinary 10. Type of Visa required (check/tick one) Transit Single Entry Multiple Entry (Six Months) Multiple Entry (12 Months) 11. Category of Visa (check/tick one) Tourist Holiday visit Business Student Govt. Business Form J 6/01 Side one
12. Proposed Date of Arrival in Uganda: / / Planned duration of Stay in Uganda:. TOURISM 13. Reason for the Journey: 14. Date(s) of any Previous Visit(s) to Uganda:.. 15. Any contact person in Uganda: a. Name:... First Last/Family Name b. Phone:.. c. email:. LAKE VICTORIA SERENA RESORT 16. Full address where you intend to stay while in Uganda:.. LWEZA-KIGO ROAD OFF ENTEBBE ROAD KAMPALA, UGANDA.. 17. If in Transit: a. Indicate your ultimate destination:. b. Have you obtained a visa for country of destination? Applicant s Signature:.. Date: /.../. Submit Application to: The Consular Officer Embassy of the Republic of Uganda 5911 16th Street NW Washington DC 20011 A&R