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Fill and Sign the Uniform Residential Loan Application

Fill and Sign the Uniform Residential Loan Application

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Visa is valid for 3-months from the date of issue Copy No.1 EMBASSY OF THE REPUBLIC OF THE UNION OF MYANMAR, WASHINGTON D.C. APPLICATION FOR ENTRY VISA (Business) 1. Name in Full ( Fill in Block Letters) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ /_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ /_ _ _ _ _ _ _ _ _ _ _ _ _ ( First Name ) (Middle Name ) ( Last Name) 2. Date of Birth(dd/mm/yyyy): _ _ / _ _ / _ _ _ _ 4. Place of Birth (City /State /Country): _ _ _ _ _ _ _ / _ _ _ _ _ _ _ / _ _ _ _ _ _ _ _  B.E.V.(MULTIPLE) Father's Full Name: _ _ _ _ _ _ _ _ _ _ _ / _ _ _ _ _ _ _ _ _ _ _ _ _ / _ _ _ _ _ _ _ _ _ _ _ _ _ 3. Official use only  B.E.V.(SINGLE) PHOTO (Official Name : Country is Myanmar , City is Yangon ) 5. Nationality:  US /  Others:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Sex  (F) /  (M) 6. Present Occupation: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Recently taken color photo with full face, front view, no hat and against a plain light background (If retired write " retired", if student write "student", If self employ : mention specifically ) 7. Marital Status:  Married  Separated  Divorced  Widowed  Single (Never Married) 8. Spouse's Full Name: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Passport 9. (a) Number _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (b) Date of Issue (dd/mm/yyyy) _ _ / _ _ / _ _ _ _ (c) Place of issue : (d) Issuing Authority:  United States, _ _ _ _ _ _ _ _ _ _ _ _  Other: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  United States, Department of State /  National Passport Centre /  Other: _ _ _ _ _ _ _ _ _ _ (e) Date of expiration (dd/mm/yyyy) _ _ / _ _ / _ _ _ _ 10. Present Address in U.S. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (Include apartment number, street, city, state or province & postal zone) 11. Contact Phn. No. (Res.) ( _ _ _ ) _ _ _ _ _ _ _ (Work) ( _ _ _ ) _ _ _ _ _ _ _ e-mail:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 12. Address in Myanmar:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 13. Have you ever been to Myanmar:  Yes  No. (If Yes) Date of Last Visit to Myanmar (dd/mm/yyyy): _ _ / _ _ / _ _ _ 14. Have you ever been refused to enter Myanmar:  Yes  No. _ (If Yes) When: (dd/mm/yyyy): _ _ / _ _ / _ _ _ _ Why: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 15. Expected dt. of Arrival:_ _ / _ _ / _ _ _ _ (dd/mm/yyyy) & Departure: _ _ / _ _ / _ _ _ _ (dd/mm/yyyy) 16. Name and Address of Guarantor during stay in Myanmar_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 17. Attention for Applicant: (a) (b) Apart from the professions mentioned this visa application form applicants are not to engage in any sort of work, with or without charges. Applicant shall abide by the Laws 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. ----------------------Signature of Applicant Date (dd/mm/yyyy) : _ _ / _ _ / _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (FOR OFFICE USE ONLY)_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Visa No. ___________________ Date: Visa Authority: MOFA Lt. No. 46 11 11 (66) Dated : 26 January 1993 - (If ohter) MOFA Lt. No. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Dated: _ _ /_ _ / _ _ _ _ Signature of Officer in-Charge Embassy of the Republic of the Union of Myanmar WashingtonD.C., U.S.A Contact : Tel. (202) 332 4352, (202) 238 9332 Fax.(202) 332 4351. http://mewashingtondc.com , e-mail: mewdcusa@yahoo.com) Up Dated : May, 2014 Visa is valid for 3-months from the date of issue Copy No.2 EMBASSY OF THE REPUBLIC OF THE UNION OF MYANMAR, WASHINGTON D.C. APPLICATION FOR ENTRY VISA (Business) 1. Name in Full ( Fill in Block Letters) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ /_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ /_ _ _ _ _ _ _ _ _ _ _ _ _ ( First Name ) (Middle Name ) ( Last Name) 2. Date of Birth(dd/mm/yyyy): _ _ / _ _ / _ _ _ _ 4. Place of Birth (City /State /Country): _ _ _ _ _ _ _ / _ _ _ _ _ _ _ / _ _ _ _ _ _ _ _  B.E.V.(MULTIPLE) Father's Full Name: _ _ _ _ _ _ _ _ _ _ _ / _ _ _ _ _ _ _ _ _ _ _ _ _ / _ _ _ _ _ _ _ _ _ _ _ _ _ 3. Official use only  B.E.V.(SINGLE) PHOTO (Official Name : Country is Myanmar , City is Yangon ) 5. Nationality:  US /  Others:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Sex  (F) /  (M) 6. Present Occupation: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Recently taken color photo with full face, front view, no hat and against a plain light background (If retired write " retired", if student write "student", If self employ : mention specifically ) 7. Marital Status:  Married  Separated  Divorced  Widowed  Single (Never Married) 8. Spouse's Full Name: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Passport 9. (a) Number _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (b) Date of Issue (dd/mm/yyyy) _ _ / _ _ / _ _ _ _ (c) Place of issue : (d) Issuing Authority:  United States, _ _ _ _ _ _ _ _ _ _ _ _  Other: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  United States, Department of State /  National Passport Centre /  Other: _ _ _ _ _ _ _ _ _ _ (e) Date of expiration (dd/mm/yyyy) _ _ / _ _ / _ _ _ _ 10. Present Address in U.S. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (Include apartment number, street, city, state or province & postal zone) 11. Contact Phn. No. (Res.) ( _ _ _ ) _ _ _ _ _ _ _ (Work) ( _ _ _ ) _ _ _ _ _ _ _ e-mail:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 12. Address in Myanmar:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 13. Have you ever been to Myanmar:  Yes  No. (If Yes) Date of Last Visit to Myanmar (dd/mm/yyyy): _ _ / _ _ / _ _ _ 14. Have you ever been refused to enter Myanmar:  Yes  No. _ (If Yes) When: (dd/mm/yyyy): _ _ / _ _ / _ _ _ _ Why: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 15. Expected dt. of Arrival:_ _ / _ _ / _ _ _ _ (dd/mm/yyyy) & Departure: _ _ / _ _ / _ _ _ _ (dd/mm/yyyy) 16. Name and Address of Guarantor during stay in Myanmar_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 17. Attention for Applicant: (a) (b) Apart from the professions mentioned this visa application form applicants are not to engage in any sort of work, with or without charges. Applicant shall abide by the Laws 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. ----------------------Signature of Applicant Date (dd/mm/yyyy) : _ _ / _ _ / _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (FOR OFFICE USE ONLY)_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Visa No. ___________________ Date: Visa Authority: MOFA Lt. No. 46 11 11 (66) Dated : 26 January 1993 - (If ohter) MOFA Lt. No. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Dated: _ _ /_ _ / _ _ _ _ Signature of Officer in-Charge Embassy of the Republic of the Union of Myanmar WashingtonD.C., U.S.A Contact : Tel. (202) 332 4352, (202) 238 9332 Fax.(202) 332 4351. http://mewashingtondc.com , e-mail: mewdcusa@yahoo.com) Up Dated : May, 2014 Embassy of the Republic of the Union of Myanmar Washington D.C. Work History for Visa Applicant 1. Name in Full (Fill in block letters):___________________________________________ Surname (As in Passport):_________________________________________________ First Name & Middle Name:________________________________________________ 2. Date of birth (dd/mm/yyyy) _ _ / _ _ /_ _ _ _ 3. Place of birth: U.S., ______________________  (Other): _____________________ 4. Permanent Home Address:_________________________________________________ ______________________________________________________________________ 5. Tel. (Res.) ( ) _____________ (Work Place) ( ) ____________ e-mail: ___________________________________________________ 6. Work Description (Current) (a) Job Title :__________________________________________________________ From(dd/mm/yyyy):____/___/______-To (dd/mm/yyyy) _ _ / _ _ /_ _ _ _ (b) Office __________________________________________________________ Department ________________________________________________________ Describe your Duties: _____________________________________________ _______________________________________________________________ 7. Work Description (Previous) (a) Job Title:____________________________________________ From (dd/mm/yyyy) _ _ / _ _ /_ _ _ _ To (dd/mm/yyyy) _ _ / _ _ /_ _ _ _ (b) Office __________________________________________________________ Department ________________________________________________________ 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/yyyy) _ _ / _ _ /_ _ _ _ Up Dated : May, 2014 Ma y

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