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Applicant Information - Tourist - Individual

All information should be entered as per the applicant's passport
Surname/Family Name*		?Surname / Family NameEnter your last name (surname) as it appears on your passport. E.g. Mark Taylor - 'Taylor' would be the last name.
Other/Given Names*		?Other / Given NamesEnter your given name as it appears on your passport. E.g. Mark Taylor - 'Mark' would be the first name. If you also have a middle-name in your passport, you must enter this as well beside your given name. E.g. Mark Ross Taylor - 'Ross' would be the middle name.
Title *		?TitleFrom the list provided, select your preferred title based on your gender, marital status or professional designation. Mr.: Identifies a male person who may be single, married or widowed. Mrs.: Identifies a female person who may be married or widowed. Miss.: Identifies a female person who is not married. Ms.: Identifies a female person who may be married, single or widowed and prefers not to use Mrs. or Miss. Dr.: Identifies a male or female person who prefers to use their professional destination indicating their medical doctor or post-graduate (PhD.) title.
Date of Birth*		?Date of BirthSelect your date of birth as it appears in your passport in the calendar provided below.
Gender*		?GenderPlease select your gender: Male or Female.
Nationality*		?Country of NationalityYour country of nationality is the country in which you have or can obtain a passport.
Country of Birth*		?Country of Birth.Select the country where you were born.
Occupation		?OccupationPlease provide your current occupation.
Passport Number*		?Passport NumberPlease specify Applicant's Passport Number. Pay attention about following letters “0,1,O,I,L”.
Passport Issued Date*		?Passport Issued DatePlease specify the issued date of your current passport.
Passport Expiry Date *		?Passport Expiry DatePlease specify the Expiry date of your current passport.

Child information in parent's passport

Enable

Children under 16 years of age possessing separate passport(s) should submit individual application(s)

Surname/Family Name *

Other/Given Names *

Date of Birth *

Gender *

Relationship *

Surname

Other Names

Date of Birth

Gender

Relationship

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Travel Information In Sri Lanka.

Intended Arrival Date*

Purpose of Visit*

Port of Departure

Airline/Vessel

Flight/Vessel Number

Contact Details

Address Line 1*

Address Line 2

City*

State*

Zip/Postal Code

Country*

Address in Sri Lanka*

Characters Left

Email Address *

Telephone Number*

Mobile Number

Fax Number

Declaration

1 . Do you have a valid residence visa to Sri Lanka? *

Yes

2 . Are you currently in Sri Lanka with a valid ETA or obtained an extension of visa? *

Yes

3 . Do you have a multiple entry visa to Sri Lanka? *

Yes

Please consider information you entered before confirm

I would like to confirm the above information is correct. *

Visa for the Republic of the Union of Srilanka