Sao Tome & Principe

  République Démocratique de Saô Tomé et Principe     République Démocratica de S. Tomé e Principe
                      Consulat Honoraire à Beyrouth                                                            Consulat Honoraire em Béyrouth
                 Unité – Discipline – Travail                                                              Unidade – Disciplina – Trabalho

Rue Verdun,Verdun 732, 8’ème étage, Beyrouth Liban Tél: 00961 1788508   Fax: 00961 1788538

 MAIL :consulat_saotome_lb@yahoo.fr : consulat_saotome_lb@yahoo.fr

PEDIDO DE VISTO DE ENTRADA

DEMANDE DE VISA D’ENTREE N°._________/________

1)_______________________________________________________
   Nome e apelido/ Prénom et nom/Name and surname /

2) ________________________________________________________________________
   Lugar e data do nascimento/ Lieu et date de naissance/Place and of birth/

3)__________________________________________________________________________________________________
   Nacionalidade actual/Nationalé actuelle/Present nationaliy/

4)__________________________________________________________________________________________________
  Profissào. Estado civil/Profession, état civil/Profession, marital status/

5)__________________________________________________________________________________________________
  Morada/ Adresse / Addres/ – Telefone : Domicile et Bureau Fax.

6)__________________________________________________________________________________________________
  Numero do passaporte, autoridade que o emitiu e data da emissão/ Numéro du passeport / autorité qui l’a délivré et date
  D’émission/ Passeport number, Issued by, date of issue/

7)__________________________________________________________________________________________________
  Termo de validade de passaporte/ le passeport est valable jusqu’au /Passport valid until /

8)__________________________________________________________________________________________________
  Duração da estadia/Durée de Séjour/Length of stay/

9)__________________________________________________________________________________________________
  Referências em Sào Tomé/Références à S.Tomé/References in S. Tomé/Ville/Adresse/Tel :

10)_________________________________________________________________________________________________
  Actividade por conta propria e meios que dispoe/activité professionnelle Indépendante et moyens
  disponibles/Selfemployed and financial means/

11)_________________________________________________________________________________________________
  Entidade patronal/Employeur/Employer/

12)_________________________________________________________________________________________________
  Entidade ou entidades donde provêm os documentos anexos ao impresso/Provenance de la documentation annexe/
  Documents attached to this form issued by/

13)_________________________________________________________________________________________________
  Transito/Turismo/Negocios/Missao Oficial/Transit/Tourisme/ Affaire/Mission Officielle

NORMAL________________RECIBO N°_________/_________                                                   BEIRUT LE__________/________/______

URGENTE_______________C.R.N°.____________/__________               ______________________________________
                                                                                                                         

ASSINATURA/SIGNATURE/