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VisaHQ.com Inc. Embassy Row 2005 Massachusetts Ave. NW Washington, DC 20036 (800)345-6541
Burkina Faso 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:
Burkina Faso tourist visa checklist Filled out and signed Burkina Faso 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 Washington - $0
City: State:
Zip:
* Actual prices may vary based on location per FedEx.com.
VisaHQ.com Inc., Embassy Row 2005 Massachusetts Ave. NW , Washington, DC 20036 T: (202)558-2216
E:
[email protected]
Mail documents to:
Tel:
VisaHQ.com Inc. Embassy Row 2005 Massachusetts Ave. NW Washington, DC 20036 (800)345-6541
Proof of status. Copy of Green Card (both sides) or other proof of legal status in the US (such as copy of I-20, US visa, H1B approval notice, etc. VisaHQ cannot assist US B1/B2 visa holders at this time.) Yellow Fever Vaccination. A copy of the International Certificate of Vaccination (ICV) for yellow fever. To learn more about the yellow fever vaccination or to locate a vaccination clinic, please visit the CDC's yellow fever resource page.
VisaHQ.com Inc., Embassy Row 2005 Massachusetts Ave. NW , Washington, DC 20036 T: (202)558-2216
E:
[email protected]
Mail documents to:
Tel:
VisaHQ.com Inc. Embassy Row 2005 Massachusetts Ave. NW Washington, DC 20036 (800)345-6541
Burkina Faso tourist visa fees for citizens of Belgium living in Alabama Type of visa
Validity
Processing time
Embassy fee
Service fee
Total
Multiple entry
up to 180 days
3 business days
$175.00
$99.00
$274.00
Multiple entry
up to 180 days
Next business day
$225.00
$149.00
$374.00
Multiple entry
up to 365 days
3 business days
$220.00
$99.00
$319.00
Multiple entry
up to 365 days
Next business day
$270.00
$149.00
$419.00
This order is subject to Terms of Service, posted on VisaHQ website. All fees and requirements may change without notice.
VisaHQ.com Inc., Embassy Row 2005 Massachusetts Ave. NW , Washington, DC 20036 T: (202)558-2216
E:
[email protected]
Mail documents to:
VisaHQ.com Inc. Embassy Row 2005 Massachusetts Ave. NW Washington, DC 20036
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:
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Exp. date:
/
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Credit Card Billing Address:
Signature:
Comments:
Thank you! We accept all major credit cards.
VisaHQ.com Inc., Embassy Row 2005 Massachusetts Ave. NW , Washington, DC 20036 T: (202)558-2216
E:
[email protected]
AMBASSADE DU BURKINA FASO A WASHINGTON D.C. 2340 Massachusetts Ave, D.C 20008 Washington, D.C – USA tél: (202) 332-5577 – fax: (202) 667-1882
Photographie
DEMANDE DE VISA DE TRANSIT OU DE SEJOUR AU BURKINA FASO
N°______/AMBF/WASH Informations du demandeur
du……/……/……
Nom (en lettre capitale) : ………………………………………………………………................................................. Name
Née (Nom de jeune fille) : …………………………………………………………………………………………………… Maiden name
Prénoms : ……………………………………………………………………………………………………………………… Given names
Né(e) le : …. / …. / …….. (JJ/MM/AAAA) à …..………………………………………………….. Sexe : M
F
Sex
Date of birth (dd/mm/yyyy)
Nationalité d'origine : ………………………………………………………………………………………………………… Place of birth
Nationality of origin
Nationalité actuelle : …………………………………………………………………………………………………………. Nationality
Situation de famille : ……………………………………………… Nombre d'enfants : ………………………..……..….. Relationship status
Number of children
Adresse du demandeur : ………………………………………………………………………………….…………………. Address
Contact : ……………………………………………………………………………………………………………………….. Phone number
Profession : ……………………………………………………………………………………............................................ Occupation
Informations Visa Transit
à destination de : ……………………………… date d’arrivée : ……/……/………………………
Transit
Going to
Arrival date
Séjours
durée du séjour : …………………….
Nombre d’entrées :
Stay
Length of the stay
Une……
Multiples
Number of entrance
Motif du voyage : …………………………………………Type du visa:………………………………………………….. Purpose of travel
………………………………………………………………………………………….………………..……………………… Lieu(x) de destination : ……………………………………………………………………..………………………………… Destination
………………………………………………………………………………………............……………..…………………… Adresse au Burkina Faso : ……………………………………………………………..…………….....…………………… Address in Burkina
Contact : ……..…………………………………………………………………………..……………….…………………… Phone number
Informations Passeport N° du passeport : …………………..
Date d'expiration : …. / …. / …….. (JJ/MM/AAAA)
Passport number
Validity date (dd/mm/yyyy)
Délivré le : …. / …. / …….. (JJ/MM/AAAA)
par : ……………………………….……………………………………………
Issued date (dd/mm/yyyy)
Place of issue
Fait à……………………, Le …. / …. / …….. At
(JJ/MM/AAAA)
Signature du demandeur Signature