Fill and Sign the Transcript Request Form Susquehanna University Susqu

PHOTO http://www.mfa.gov.tr/mfa TÜRKİYE CUMHURİYETİ DIŞİŞLERİ BAKANLIĞI REPUBLIC OF TURKEY, MINISTRY OF FOREIGN AFFAIRS VISA APPLICATION FORM 1. Family name (as in passport) 2. Maiden name 3. First name(s) (as in passport) 4. Date of birth (year-month-day) 5. ID-number (optional) 7. Place of birth City :……………….………….. 6. Sex F Male F Female 8. Marital status: F Single F Married F Separated F Divorced F Widowed F Other FOR OFFICIAL USE ONLY Country………………………… 9. Current citizenship 10. Citizenship at birth Date of application: 11. Father’s full name 12. Mother’s full name 13. Type of passport F Ordinary Passport F Diplomatic Passport F Service Passport F F F F Travel Document (1951 Convention) Alien’s passport Seaman’s Passport Other (please specify)…………………………………………………. 14. Passport number 15. Issue and expiry date 16. Place of issue 17. If you are resident in a country other than your country of origin, have you permission to return to that country? F No F Yes, (number and validity) ………………………………………………………………………….. 18. Present occupation and profession 19. Present work address 20. Applicant’s home address 23. Duration of stay- F Long stay Valid passport Financial means Invitation Means of transport Other: Telephone/ Fax Number Visa: E-mail address F Refused F Granted Telephone number E-mail address 21. Type of Visa: F Transit F Short stay Supporting documents: 22. Number of entries requested F Single Entry F Multiple entry Visa is requested for: .................... days 24. Have you ever been refused a visa for Turkey? F No F Yes - When…………………………………………….. Where…………………………………………… 25. Have you ever been deported from or required to leave Turkey ? F No F Yes - When…………………………………………….. Where………………………………………………… 26. In the case of transit, have you an entry permit for the final country of destination? F No F Yes, valid until: …………………………….. Issuing authority:……..................………………. 27. Purpose of trip F Official F Tourism F Business F Cultural/Sports F Private visit (family or friends) F Medical reasons F Other (please specify) .................................................................................. 28. Date of arrival 29. Date of departure 30. Port of first entry or transit route Type of Visa: F Single Entry F Multiple Entry F Transit F Double Transit F Tourist F Business F Work F Education F Other 31. Means of transport ……………………….. 32. Who is paying for your trip and costs of living during your stay in Turkey? F Myself F Host person(s) F Host company (State who and how and please submit corresponding documentation) Valid ........................................................................................................................... from:................ ........................................................................................................................... 33. Name of host or company in Turkey and contact person in host company. If not applicable, give name of hotel or temporary address in Turkey. Address Telephone/ Fax Number To:.................... E-mail address 34. Means of support during your stay F Cash F Traveller’s Cheque F Credit cards F Accomodation F Other:.............................................. F Travel and/or health insurance. (optional) Valid until:............................................ 35. Spouse’s Family name Nationality Maiden name Date of birth First name Place of birth 36. Children (Application must be submitted seperately for each passport) Family Name: First name: Date of birth: 1. 2. 3. 37. I certify that I have read and understood all the questions set forth in this application form and the answers I have furnished on this form are true and correct to the best of my knowledge and belief. I understand that possession of a visa does not automatically entitle me to enter the Republic of Turkey upon arrival at a port of entry. If I fail to comply with the relevant provisions of the Turkish Passport Law No: 5682 and Law on the Residence and Travel of Aliens in Turkey No: 5683, my entry will be refused and in case of refusal, I will not claim any compensation. 38. Place and date 39. Signature (for minors, signature of custodian /guardian) 2