GOVERNMENT OF THE REPUBLIC OF THE UNION OF MYANMAR MINISTRY OF IMMIGRATION AND POPULATION DIRECTORATE OF IMMIGRATION AND NATIONAL REGISTRATION PHOTO IMMIGRATION DEPARTMENT APPLICATION FOR ENTRY TOURIST VISA 1. Name in full (in Block letters) Father's Name in full... 3. Nationality... 4, Sex... 5. Date of birth .. + 6. Place of birth cnn 7. Occupation .. 8. Personal description (a) Colour of hair (b) Height... (©) Colour of eyes (@ Complexion 9. Passport . (b) Date of issue (a) Number... (©) Place of issue .. (e) Date of expiry . 10. Permanent address 11, Address in Myanmar... 12, Purpose of entry into Myanmar 13. Attention for Tourist A (a) Applicant shall abide by the Laws of the Republic of the Union of Myanmar aid shall not interfere in the internal affairs of the Republic of the Union of Myanmar. (b) 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. ) Date... Signature of applicant (FOR OFFICE USE ONLY) Visa No. ... .. Date... Visa authority... PASSPORT COLLECTED _ Signature of officer in-char; Embassy of the Republic io SIGN. of the Union of Myanmar ‘ws. TEL Bangkok pasWORK HISTORY FOR VISA APPLICATICANT 1, Permanent Home Address (No. Street Name, Apt No , City , Town ) Telephone Number:Home.. Work 2. Address in Thailand (No. Street Name, Apt No , City , Town ) Telephone Number:Home.......- Work .. 3. Work Decription . Current (a) Job Title (b) From :(dd-mm-yy)...... seve 1 (Ud-mM-YY) ... (c) Office / Section / Division .. (d) Describe your Duties: 4, Work Decription . Previous : (a) Job Title : (b) From :(dd-mm-yy)... .» to (dd-mm-yy) .. (c) Office / Section / Division .. (d) Describe your Duties: 5. How long do you plan to stay in Myanmar : From :(dd-mm-yy). .. to (dd-mm-yy) .. I hereby declare that the particulars given above are true and correct and that I will not engage in any activities to the purpose of my entry. ( Signature of Applicant )