Mail documents to:

Tel:

VisaHQ.com Inc. 3130 Wilshire Blvd Suite 406 Los Angeles, CA 90010 (800)345-6541

Bangladesh Tourist visa Application Please enter your contact information Name: Email: Tel:

Mobile:

The latest date you need your passport returned in time for your travel:

Citizens of United States of America can obtain a visa on arrival at Shahjalal International Airport, Shah Amanat International Airport and Osmani International Airport. The maximum stay is 30 days.

Bangladesh tourist visa checklist Filled out and signed Bangladesh tourist visa application form. The form is enclosed. Original Passport. Passport must have at least 6 months remaining validity and have at least 1 visa page. 2 Photographs. Standard passport photographs 2x2 inches on a white background. Payment. Credit Card Authorization form, Certified Check, or Money Order payable to VisaHQ.com. Return mailer. Prepaid self-addressed return label or payment for FedEx.

If you wish to prepay return shipping, please add the shipping fee to the total and provide return address: FedEx 2nd day delivery - From $16

Name:

FedEx Standard Overnight - From $22

Company:

FedEx Priority Overnight - From $26

Address:

FedEx First Overnight - From $55 FedEx Saturday delivery - From $60 Prepaid self addressed mailer - $0 Local pick up in Los Angeles - $0

City: State:

Zip:

* Actual prices may vary based on location per FedEx.com.

VisaHQ.com Inc., 3130 Wilshire Blvd Suite 406, Los Angeles, CA 90010

T: (323)776-3078

E: [email protected]

Mail documents to:

Tel:

VisaHQ.com Inc. 3130 Wilshire Blvd Suite 406 Los Angeles, CA 90010 (800)345-6541

Itinerary. A confirmed or reservation of the flight itinerary under the traveler's name. Must show flights entering and exiting Bangladesh.

VisaHQ.com Inc., 3130 Wilshire Blvd Suite 406, Los Angeles, CA 90010

T: (323)776-3078

E: [email protected]

Mail documents to:

Tel:

VisaHQ.com Inc. 3130 Wilshire Blvd Suite 406 Los Angeles, CA 90010 (800)345-6541

Bangladesh tourist visa fees for citizens of United States of America living in Arizona Type of visa

Validity

Multiple entry

up to 365 days

Processing time Embassy fee Service fee 4 business days

$160.00

Money order Fee

Total

$5.00

$264.00

$99.00

This order is subject to Terms of Service, posted on VisaHQ website. All fees and requirements may change without notice.

VisaHQ.com Inc., 3130 Wilshire Blvd Suite 406, Los Angeles, CA 90010

T: (323)776-3078

E: [email protected]

Mail documents to:

VisaHQ.com Inc. 3130 Wilshire Blvd Suite 406 Los Angeles, CA 90010

Tel:

(800)345-6541

Credit card authorization form By signing this form i accept VisaHQ.com Terms of Service and authorize to charge my credit card for the amount of $ Name on the Credit Card: Credit card number:

-

Exp. date:

/

-

-

Credit Card Billing Address:

Signature:

Comments:

Thank you! We accept all major credit cards.

VisaHQ.com Inc., 3130 Wilshire Blvd Suite 406, Los Angeles, CA 90010

T: (323)776-3078

E: [email protected]

CONSULATE GENERAL OF BANGLADESH 4201 Wilshire Blvd, Suite # 605, Los Angeles, CA 90010 Tel: (323) 932-0100, Fax: (323) 932-9703 E-mail: [email protected], Web: www.bangladeshconsulatela.com

37mm X 37mm photograph (1 copy)

APPLICATION FOR BANGLADESH VISA PLEASE FILL IN OR TYPE IN BLOCK LETTERS.

1. Name 2. Date of Birth

3. Place of Birth

4. Nationality

6. Place of Issue

7. Date of Expiry

[e. g. 26-Mar-1971]

5. Passport #

[e. g. 26-Mar-1971]

8. Sex

Male

9. Marital Status

Single

Female Married

Widow/Widower

Divorced

10. Name of Spouse

10.a. Nationality

11. Name of Father

11.a. Nationality

12. Name of Mother

12.a. Nationality

13 a. Profession

13 b. Name of the Employer

14.a. Work address and contact details

14. b. Home address and contact details

Street

Street

House/Apt #

House/Apt #

City

City

State

State

Zip code

Zip code

Phone

Phone

Fax

Fax

Email

Email

15. Type of Visa

Single

Double

Multiple

Transit

16. Purpose of Visit Business / Investment

Cultural / Scientific Programme

Employment in UN/International Organization

Expert(s)/Worker(s)/Teachers/Representatives of Industrial/Educational/Training Organizations/Sport/Artistic Activities Government Contractual Employment Official

Study / Research

Journalist / Media

Missionary Works

Seminar / Conference / Government Delegates

Tourism(including Tablig/Visiting Relatives) Others (Please Specify) Please visit http://www.bangladeshconsulatela.com to download a copy of the form.

NGO Works

APPLICATION FOR BANGLADESH VISA (PAGE 2 OF 2) 17. Contact details in Bangladesh: 17.b. Address where you will stay in Bangladesh

17.a. Address of the institution(s) where you can be contacted

Phone

Phone

Fax

Fax

Email

Email

18. Expected date of arrival in Bangladesh

19. Port of Entry [e. g. 26-Mar-1971]

21. Have you ever been to Bangladesh?

20. Intended duration of stay (days) 22. a. If so, indicate the date and length of stay : 22.b. Date (appx) - from

to

Yes

No

22.c. Length of stay

[e. g. 26-Mar-1971]

23. DECLARATION I declare that I have examined the information on this form. To the best of my knowledge and belief the information on this form are true, correct and complete. Date Signature of the applicant

[e. g. 26-Mar-1971]

24. a. Money order #

24.b.. Issued by

24..c. Amount in US $

FOR OFFICIAL USE ONLY. Receipt #

Date

Amount in US$ [e. g. 26-Mar-1971]

Mode of Service

Mail-In

Walk-In

Received by

Processed by

Signature of the issuing authority

Date [. g. 26-Mar-1971] Please visit http://www.bangladeshconsulatela.com to download a copy of the form.