Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1698832753920.pdf (Saint Vincent and the Grenadines)
SAINT VINCENT AND THE GRENADINES ENTRY VISA APPLICATION ______________________________________________________________________________________________________________________________________ PLEASE TYPE OR PRINT YOUR ANSWERS IN THE SPACE PROVIDED BELOW EACH ITEM 1.

Surname: (As in Passport) 2.

First and Middle Names: (As in Passport) *Valid For A Single Journey 3.

Date of Birth: (dd-mm-yy) 4.

Nationality: 5.

Place of Birth: (City) 6.

Country: 7.

Passport Number: 8.

Issuing Country: 9.


Issuance Date: (dd-mm-yy) 10.

Expiration Date: (dd-mm-yy) 11.

Sex: □ Female 12.

Home Address: (Include Street, City) □ Male 13.

Home Telephone Number: Business Phone Number: ………………………………………………………………….

Fax Number: ……………………………………………………………………… Business Fax Number: 14.

Marital Status: □ Married □ Single (Never Married □ Widowed □ Divorced □ Separated 15.

Spouse’s Full Name: (Even if divorced or separated) 16.

Spouse’s DOB: (dd-mm-yy) 17.


Name and Address of Present Employer Name: Address: 18.

Present Occupation: 19.

When do you intend to arrive in St. Vincent and the Grenadines?

20.

At what address will you stay in St. Vincent and the Grenadines?

21.

Name and telephone numbers of persons in St. Vincent and the Grenadines with whom you will be staying.

Name: Home Phone Number: …………………………………………………………………… ……………………………………………………………………….. Business Place: Cell Phone Number: Affix Photo 22.
How long do you intend to stay in St. Vincent and the Grenadines?

23.

What is the purpose of the trip?

24.

Have you ever been in St. Vincent and the Grenadines?

□ Yes □ No 25.

Have you ever been issued an Entry Visa?

□ Yes □ No When?

…………………………………………….. Where?

…………………………………............. 26.

Have you ever been refused an Entry Visa?

□ Yes □ No When?

…………………………………………….. Where?

…………………………………............. 27.

Do you intend to work in St. Vincent and the Grenadines?

□ Yes □ No 28.
□ Yes □ No 28.

Names and relations of persons traveling with you (if any) 29.

Has your Entry Visa ever been canceled or revoked?

□ Yes □ No 30.

Have you ever been convicted of any criminal offence?

□ Yes □ No If so, give details.

31.

Are you affiliated to any organization?

□ Yes □ No If so, give details.

32.


I certify that I have read and understood all the questions set forth in this application and the answers I have furnished on this form are true an correct to the best of my knowledge and belief.

I understood that any false or misleading statement may result in the permanent refusal of a Visa or denial of entry.

………………………………………………………… ………………………………………………………….

APPLICANT’S SIGNATURE DATE: ( dd-mm-yy) Please attach two (2) passport pictures.

N.B.
N.B.

A non-refundable fee of EC$200.00 is applicable.

Tel: (784) 456-1703 or 456-1111 ext.

365/361; Fax (784) 457-2152; Email: office.natsec@mail.gov.vc or pmosvg@vincysurf.com