Please answer the following questions:

• 1. Have you ever used a different passport to enter Vietnam?

  Yes No
  Used Passport Number

  Used Name

  Used Passport Nationality
• 2. Do you have multiple nationalities?

  Yes No
  List other nationalities:
• 3. Have you ever violated Vietnamese laws/regulations?

  Yes No
  Act of violation

  Time of violation

  Form of sanction

  Authority imposed sanction
• 4. Agency/Organization/Individual that the applicant plans to contact when enter into Viet Nam?

  Yes No
  Name

  Contact number

  Address

  Purpose of this visit
• 5. Have you been to Viet Nam in the last one year?

  Yes No
  Visit from date

  End date

  Purpose of trip
• 6. Do you have relatives who currently reside in Viet Nam?

  Yes No
  Relatives name

  Date of birth

  Nationality

  Relationship

  Residential address in Viet Nam

Please review your information carefully. Click "Edit" to make changes directly here. You must confirm each section before proceeding.