The Ancient Silk Road - TravelDocs...do not possess these items than you must write a brief letter of explanation addressed to the consulate of China.) Photographs should be recently

1625 K Street NW Suite 750 Washington DC 20006 Tel: 888 838 4867 ♦ Email: [email protected]

Visa requirements shown below are for CITIZENS OF THE U.S. ONLY. Nationals of all other countries please contact Pinnacle Travel Document Systems directly for specific requirements associated with your itinerary.

China-Double 1 1 Kazakhstan 1 1 Uzbekistan 1 1

Please enclose your actual passport along with three (3) photographs, and one (1) completed visa application form each for China, Kazakhstan, and Uzbekistan. Please note that Uzbekistan and China visa applications must be completed online at the links shown herein. Please also include two (2) clear photocopies of the vital information page of your passport, a copy of your paid flight itinerary showing entry into China, and a color photocopy of your driver’s license. (If you reside in any of the following states: TX, OK, AR, LA, MS, AL, GA or FL and are traveling to China for the first time you must complete a China Visitation Letter. If you have traveled to China at any time in the past you must submit a photocopy of your last visa to China as well as the entry stamp placed in your passport, if you do not possess these items than you must write a brief letter of explanation addressed to the consulate of China.) Photographs should be recently shot passport-type photos with a clear background approximately 2” x 2” in dimension. (Note that machine or home photographs are not acceptable and photographs must be different than those in your current passport.) Your passport must be valid until April 1, 2015 or for a minimum of six (6) months beyond the completion of your international travel and must have at least six (6) blank unused pages available not including those reserved for amendments and endorsements at the back of your passport. Contact PTDS directly for assistance with renewal of or to add pages to your U.S. passport, as this can easily be done at the same time you apply for your visas.

Fees shown above include all necessary consular and service fees as well as the cost to return your passport(s) via FedEx from our offices within the continental U.S. (Please add $29.00 to cover extra shipping costs for addresses in Alaska, Hawaii, or Canada.) We strongly suggest that you send your documents to us via FedEx or some other form of traceable overnight courier service.

Visa(s) # # Cost Req’d Forms Photos 1 – Persons - 2

Application Expedite Fee Deadline Per Person

July 7, 2014 (or 65 days prior $120.00 to your departure)

The Ancient Silk Road September 12 – October 1, 2014

TRAVCOA ASR 0912-14

Applications should be received in our offices by July 7, 2014 OR 65 days prior to your departure from your shipping address whichever is sooner. Documents received after the deadline will be subject to the per person expediting fee shown above. If you have interim international travel scheduled in the 60 days prior to the tour departure you will need to obtain a second passport. Special requests for passports to be expedited due to other travel plans prior to your tour departure may also require expediting fees. Please contact PTDS directly regarding any special processing needs or before submitting documents you expect may be received substantially after the deadline as there may be special requirements and/or additional fees to process your request. It may not be possible to cancel processing of your applications once they have been submitted.

Please note that consular fees, shipping fees and application requirements are subject to change without notice. Check or credit card payment accepted. Credit card payment subject to 3.5% surcharge.

$817.00 $1605.00

Please use the enclosed sample information verbatim and substitute your personal information.

PLEASE BE CERTAIN TO RETURN THE FOLLOWING TO: Pinnacle Travel Document Systems 1625 K Street NW Suite 750

Washington DC 20006 ♦ Your actual passport (Please keep a photocopy for your records.) ♦ This completed form ♦ Two (2) photocopies of the vital information page of passport ♦ One (1) visa application form per person completed online for China ♦ One (1) completed visa application form per person for Kazakhstan ♦ One (1) visa application form per person completed online for Uzbekistan ♦ One (1) copy of your paid flight itinerary showing entry to China ♦ One (1) completed China Visitation Form (TX, OK, AR, LA, MS, AL, GA or FL residents only)

♦ Photocopy of past visa and entry stamp (TX, OK, AR, LA, MS, AL, GA or FL residents only) ♦ One (1) color photocopy of your driver’s license ♦ Three (3) passport-type photographs per person (Leave loose, PTDS will affix.)

♦ Credit or debit card authorization below

PLEASE TYPE OR PRINT CLEARLY

Full Name (1):_____________________________ Full Name (2): _____________________________

Passport #:____________________ Exp:___/___ Passport #:____________________ Exp:___/___ Mo Y r Mo Y r

Home ________________________________ Home Tel: ________________________________

Mailing ________________________________ Work Tel: ________________________________

Address: ________________________________ Email: ____________________________________

________________________________ Date of Departure from Home: ____/____/_____ (FedEx cannot deliver to PO boxes) Mo nt h Da y Ye a r

Address ________________________________ Tour Name: The Ancient Silk Road

For the ________________________________ Date of Tour Departure: 09 / 12 / 2014 Mo nt h Da y Ye a r Return of ________________________________ Special Instructions: ______________________

Passport: ________________________________ _________________________________________

Tel: ________________________________ _________________________________________

Please indicate below if there are known periods prior to your tour during which you will need your passport for another international tr ip or when you will not be available to sign for the return of your passport. I wil l need my passport(s) for other international travel from _____/____/_____ to _____/____/_____ Mo nt h Da y Yea r Mo nt h Da y Yea r

I wil l not be at my home and/or return shipping address from _____/____/_____ to _____/____/_____ Mo nt h Da y Yea r Mo nt h Da y Yea r

CREDIT CARD AUTHORIZATION: AMEX / V ISA / MC (please circle one)

Cardholder Name:____________________________________ Signature: ______________________________

Card #: __________________________CID#_____________ Expires: ____/____ Amount: US$ ____________ Mo Y r TRAVCOA ASR 0912-14 (China-DBL145)70(UzbekistanX245/KazakhstanX165)75 817/1605 FX 27 6PGS (UZBEK APP FEE)10 (CHINA APP FEE)10 VAL 04/01/15 DL 07/07/14 120.00 3.5% ENTER KAZAKHSTAN 22 SEPT 2014 EXIT KAZAKHSTAN 24 SEPT 2014 ENTER UZBEKISTAN 24 SEPT 2014 EXIT UZBEKISTAN 01 OCT 2014

2014 Pinnacle Travel Document Systems

IMPORTANT NOTICE REGARDING PASSPORT PAGES & VALIDITY:

You must have at least six (6) blank unused pages available in your passport for visas and entry/exit stamps. In addition, your passport must be valid until April 1, 2015 or for at least six (6) months beyond completion of your international travel. If you are a U.S. citizen, and need to renew or add pages to your passport Pinnacle Travel Document Systems can easily assist you with this at the same time your visas are being processed. The total additional fees for these services (including U.S. government expediting fees) are $222.00 for passport pages and $250.00 for passport renewals and second passports. We can also assist you with expediting first time passport applications.

You will need to complete an application form and a letter of authorization for PTDS and must send your actual passport to us. Specific requirements and the necessary forms are available for download from our Internet site:

Passport Pages Passport Renewals

First Time Passports Second Passports

WWW.Traveldocs.com/PTDSPassports

You may also contact us via email or phone at

[email protected] or 888-838-4867 and we will send you an instruction kit.

Online Visa Application Form for China

All application forms must be completed online at the following web page:

http://www.traveldocs.com/uploads/forms/chinavisa.pdf

Please click on or carefully type the link exactly as shown above directly into your web browser address window and NOT into your search engine, e.g. Google or Yahoo otherwise you will not reach the application.

All dates on the form are in YEAR/MONTH/DAY format.

All fields must be typed and fully completed. No handwritten forms will be accepted. All questions that cannot be

answered must say N/A or none. No handwritten marks can be made on form other than your signature.

Please print the online form and include it with

your documents. All forms must bear your original signature.

TIPS FOR COMPLETING CHINESE VISA APPLICATION

Pinnacle Travel Document Systems strongly recommends printing this tip sheet and using it as a guide while you are completing the Chinese application. Below is an explanation on how to avoid the most common errors that applicants make while filling out the application. Failure to follow instructions will cause your application to be rejected by the Chinese Embassy/Consulate and result in delays in issuing your visa.

Question 1.1 Name MUST match the name in your passport.

Question 1.2 Former Chinese citizens must write their name in ethnic script.

Question 1.3 Maiden name, Former married names, ETC.

Question 1.9 Driver’s License number or Social Security Number.

Question 1.10 If you have a blue US passport the correct answer is “Ordinary”.

Question 1.15 If retired please state retired and from what position. Residents of AL, AK, FL, GA, LA, MS, OK, TX and PR do not need to state what profession they retired from.

Question 1.17 If you are a retired worker please include your previous employers contact information. Students must include school contact information. Residents of AL, AK, FL, GA, LA, MS, OK, TX and PR who are retired should type N/A in each field.

Question 1.18 Physical addresses only. No P.O. box numbers allowed.

Question 1.23 Must list major family members, Father/Mother, Husband/Wife and children.

Question 2.6 Fill in the dates of stay in each location. Fill in names, addresses and phone numbers for all hotels or other residences you will stay in.

Question 2.8 Fill in the details of your hotel, tour operator or private host in China.

Question 3.8 USA citizens must answer N/A to all nine fields.

Presented By: TRAVEL DOCUMENT SYSTEMS, INC.All fields below must be typed and fully completed. All Questions that cannotbe answered must say N/A or None. No handwritten marks can be made onthe form other than your signature.

DOE

BONHAM

JOHNATHAN

N/A MAIDEN NAME

✔ 1961-03-13

USA USA

LOS ANGELES, CA USA

DRIVER'S LICENSE #

✔

9876543210 2010-09-08

US DEPT OF STATE 2020-09-07

✔

✔

ABC INTERNATIONAL 987-654-3210

1234 MAIN STREET ANYWHERE, USA 98765

ENGINEER

4321 MAIN STREET ANYWHERE, USA 98765

987-456-3210 [email protected]

✔

JOANNA DOE USA RETIRED WIFE

DAVID DOE USA TEACHER SON

MARY JANE DOE USA DOCTOR DAUGHTER

ROBERT DOE USA ENGINEER SON

JOANNA DOE 987-654-9876

WIFE

USA

✔

✔

✔

PER YOUR PERSONAL ITINERARY

PER YOUR PERSONAL ITINERARY

PER YOUR ITINERARYST REGIS HOTEL 21 JIANGUOMENWAI DAJIE BEIJING, BEIJING PRC 100020 86 1064606688

2014-09-14SHANGRI LA HOTEL 388 KEJI ROAD XIAN, SHAANXI PRC 710075 86 29 8875 8888

MAKE NO MENTION OF TRAVEL TO OTHER CHINA CITIES ON ITINERARY

PREPAID TOUR

CITS

BUILDING ROOM 801 1# DONGAN BEIDAJIE DONGCHENG DISTRICT BEIJING PRC

86 10 8522 8888

INVITER

YES 2012-03-16 WASHINGTON DC

BRAZIL MEXICO

✔

✔

✔

✔

✔

N/A

PLEASE DO NOT FORGET TO SIGN AND DATE YOUR APPLICATION

N/A

N/A N/A N/A

N/A N/A N/A

N/A N/A N/A

Consulate of China Visa Section I, JOHNATHAN DOE_____, hereby state that I was issued a visa for the country of China on ___FEBRUARY 2005____. I entered China on ___MARCH 4, 2005___. My visa and entry stamp were issued in a passport that has expired and which I no longer have in my possession.

Thank you for your consideration.

Signature Print Name JOHNATHAN DOE

PLEASE FILL OUT THIS FORM TO THE BEST OF YOUR KNOWLEDGE. IT IS ACCEPTABLE TO ESTIMATE YOUR DATES. China Explanation Letter

Date

Consulate of China Visa Section I, JOHNATHAN DOE___, hereby state that I have not visited China during any of my previous travels. This will be my first trip to China.

Thank you for your consideration.

Signature Print Name JOHNATHAN DOE

China Visitation Letter

Date TODAY’S DATE

Consulate of China Visa Section I, ____________________, hereby state that I was issued a visa for the country of China on_______________. I entered China on _________________. My visa and entry stamp were issued in a passport that has expired and which I no longer have in my possession.

Thank you for your consideration.

Signature Print Name

China Explanation Letter

Date

Consulate of China Visa Section I, , hereby state that I have not visited China during any of my previous travels. This will be my first trip to China.

Thank you for your consideration.

Signature Print Name

China Visitation Letter

Date

Online Visa Application Form for Uzbekistan

All application forms must be completed online at the following web page:

http://evisa.mfa.uz/evisa_en/

Applications not filled in correctly may result in a delayed processing.

Please be careful to type the link exactly as shown above directly into your web browser address window and NOT into your search engine, e.g.

Google or Yahoo otherwise you will not reach the application.

Refer to the data input sample included for information regarding dates and

sponsoring organizations in Uzbekistan. Please use sample information verbatim and substitute your personal information.

All dates on the form are in DAY/MONTH/YEAR format.

Please note that this online format is the only acceptable application.

No handwritten applications will be accepted.

Please print the online form and include it with your documents.

All forms must bear your original signature and be in English.

Please be aware that the above link is maintained by a Uzbekistan

government sub-contractor and can sometimes be unavailable or not functioning properly. Please be patient and try again if you experience

difficulties with this process.

Visas are issued for exact dates on application. Please be careful when filling out forms.

Uzbekistan Visa Application – Sample Data Input

PLEASE USE SAMPLE INFORMATION VERBATIM AND SUPBSTITUTE YOUR PERSONAL INFORMATION.

Section 1 - Personal Information Surname: Doe Previous surname: Married Females Only First Name: Johnathan Other Name: Bonham Sex: Male Date of Birth: 13 March 1961 Place of Birth: Los Angeles Country of Birth: USA

Citizenship: USA

Previous Citizenship: USA Passport Type: Ordinary

Passport Number: 9876543210 Date of Issue: 09 September 2010 Issued By: US Department of State (Same for all US passports) Expiration Date: 08 September 2020 Marital Status: Married Spouses Name: Doe Joanna Bach

Section 2 – Travel Information

Period of Visit (DDMMYYYY): From: 24 September 2014 TO: 01 October 2014 (Please contact PTDS if deviating from these tour dates) Number of Entries: One Duration of Stay: 9 Days Duration of Visa Procedure: Urgent (All applicants must choose this) Place of Visa Issuance: Washington DC (This is the only correct answer) Purpose of visit: Tourism Inviting Party: Sitara Tours 8678 Greenall Ave Ste. 206 Burnaby BC V5J 3M6 Canada

Section 3 – Additional Information

Address in Uzbekistan: Zargaron Hotel 3 Haqiqat St Bukhara, Uzbekistan Previous visits to Uzbekistan: None Accompanied Persons: Not Applicable

Occupation: If Retired Please put “Retired” Place of Work: If Retired Please Put Last Employer Info Here

Work Address: If Retired Please Put Last Employer Info Here

Home Address and Phone: 1234 Main Street, Anywhere CA 98765 987-654-3210

Select “Continue (print forms)” at bottom of page.

PLEASE PRINT AND SIGN APPLICATION AND SEND ALONG WITH ALL OTHER DOCUMENTS TO PTDS.

Ministry of Foreign Affairs of the Republic of Uzbekistan Visa Application

Registration date: 22.03.2012 Ex12iration date: 20.06.2012

Surname Previous Surname

DOE

First Name Previous First Name

JOHNATHAN

Photo place

other Names Previous other Names

THOMAS

Date of Birth Place of Birth Country of Birth Citizenship Previous Citizenship

13.03.1961 LOS ANGELES, USA USA USA

CALIFORNIA

Passport Type Passport Number Date of Issue Issued By Expiration Date

Ordinary 0987654321 09.09.2010 DEPT OF STATE 08.09.2020

Sex Marital Status Spouse's Surname, First and other Planned Period of Visit (from-to) Names

Male Married DOE JOANNA BACH 24.09.2014 - 02.10.2014

Number of Entries Duration of Stay Duration of Visa Procedure Place of Visa Issuance

One 9 Days Urgent Washington

Purpose of Visit

TOURISM- PREPAID TOUR

Inviting Party

SITARA TOURS 8678 GREENALL AVENUE STE. 206 BURNABY BC V5J 3M6 CANADA

Occupation

ENGINEER

Place of Work (Study) and Position

ABC INTERNATIONAL VICE PRESIDENT OF OPERATIONS

Work (Study) Address and Phone

4321 Main Street Anywhere CA 98765 987 654 3210

Home Address and Phone

1234 Main Street Anywhere CA 98765

Address in Uzbekistan ZAGARON HOTEL 3 HAQIQAT ST BUKHARA UZBEKISTAN

Previous Visits to Uzbekistan

NONE

Accompanied Persons

NOT APPLICABLE

AJ2J2Iicant's signature Please sign here Date (dd.mm.yyyy): Please date here

Comment: Please answer all the questions, visa request will not be processed if Application is incomplete. Providing false information may cause the denial of visa. For official use only --------r--------r--------r--------

Qayd NQ I Blank NQ I Tasdiq NQ I Viza !uri

I I I

B-erilga-n sa-

na----+I M-ud

-da-ti -----+I T-ush

-um------+I Xa

-qiq-

iy-xa-raja-t --

- Ill II II I II II IIII I I II

I I I 12806462

!

. .

Attention! Application form should be filled in fully and accurately, in block letters. Wrong filling of application form can become a cause of refuse in issue of entry visa.

1. /Surname(s):_____________________________________________________________________ 2. /First names: ____________________________________________________________________

3. /Other names and surnames: _________________________________________

4. /Sex: / ale /Female

5. /Date of birth:

/day /month /year

6. ( )/Place of birth (city and country): _______________________________________________________ 7. /Nationality: ___________________________________________________________________________________

/Nationality by birth: _________________________________________________________________ 8. /Marital status:

/single ( )/married

/divorced ( )/widow(er)

9. ( ) ( ) - /If you are married, please, inform your spouse’s full name and nationality: ____________________________________________________ __________________________________________________________________________________________________________ 10. - /Your permanent home address: __________________________________________________ ________________________________________________________ /tel. ____________________________________________ 11. /Occupation (educational background and position): ____________________________________ __________________________________________________________________________________________________________ 12. /Place of work:________________________________________________________________________________ - /address:______________________________________________________ /tel.____________________________

13. /Type of passport:

/diplomatic /service

/ordinary /other type of document /Number: ___________________________ /date of issue: __________________ /issued by:

___________________________________________________ /valid till:________________________________ 14. : ?/For person who lives outside

of the country of origin: have you got a permission to return to the country of living?: /No /Yes

, /If yes, please indicate the number of this document and its validity:______________________________________________________________________________________ 15. ?/Have you visited the Republic of Kazakhstan before?: /No /Yes

, /If yes, indicate the date and purpose of the visit(s): _______________________________________________________________________________________________

__________________________________________________________________________________________________________ 16. ?/Have you ever been refused

entry to the Republic of Kazakhstan?: /No /Yes. , ( )/If yes, please give details below (when and by whom):___________________________________

__________________________________________________________________________________________________________ 17. /Purpose of travel: _______________________________________________________________________ 18. ( - , .)/Inviting organization (address, tel.):_______________________________________ __________________________________________________________________________________________________________

( - , - , .)/or person, arranging your visit to Kazakhstan (full name, address, tel.):__________________________________________________________________________________________ __________________________________________________________________________________________________________

c

photo

The Republic of Kazakhstan

VISA APPLICATION FORM

DOEJonathan Bonham

MAIDEN NAME FOR MARRIED FEMALES

1 3 0 3 1 9 6 1

Los Angeles CA USA

LEAVE PHOTOLOOSE PTDSWILL AFFIX

USA

USA

Johanna Sebastian Doe USA

1234 Main Street Anywhere CA 98765

987-654-3210

Executive - B.A. Engineering - Vice President Operations

ABC International, Inc4321 Main Street Anywhere CA 98765 987-654-0123

0123456789 10 MAY 2010

US Dept of State 09 MAY 2020

LEAVE BLANK - NOT APPLICABLE

IF YES ANSWER TO THE BEST OF YOUR RECOLLECTION

IF YES CONTACT PTDS DIRECTLY FOR ADVICETOURISM

MAHMOOD M. POONJA

SITARA TOURS 8678 Greenall Avenue, Ste. 206 Burnaby, B.C. V5J 3M6 Canada

LEAVE BLANK - NOT APPLICABLE

TRAVCOA ASR 0912-14

✔

✔

✔

✔

✔

✔

19. /Places of destination in the Republic of Kazakhstan:__________________ __________________________________________________________________________________________________________ 20. /The first place of entry into the Republic of Kazakhstan:_________ __________________________________________________________________________________________________________ 21. - /Temporary address in Kazakhstan:__________________________________ __________________________________________________________________________________________________________ 22. ?/Who is paying for your cost of travelling and for your costs of living during your stay in Kazakhstan?:________________________________ __________________________________________________________________________________________________________

23. ?/Have you got an insurance for the period of your stay in

Kazakhstan?: /No /Yes. , /If yes, please indicate its validity and the name of insurance

company:__________________________________________________________________________________________________

24. , ?/In case of transit through Kazakhstan, have you got an entry visa or residence permit for your destination?:

/No /Yes. , /if yes, indicate the country of destination:______________________________________ /border point through which entry is planned:_________________________________________________________________ /route of transit:_____________________________________________________________________________________________________ 25. /Period of requested visa: from________________ to _____________ 26. /Number of entries requested: 1 2 3 /multiple

27. ( )/Children (please

indicate whether they are traveling with you and are entered in your passport):

, / Surname, First names

/ Date and plase of birth

/Nationality

. .

. 2001 12 «

» 209-II ( ) 514- ;

.

I undertake that the above mentioned personal data are full and correct. I am aware, that wrong data can cause refuse and canceling of already issued visa. I am obliged to leave the territory of the Republic of Kazakhstan before visa expiration.

I am told, that in accordance with the article 514 of the Tax Code of the Republic of Kazakhstan 209-II of the 12 of June 2001 the sum of money paid as consular fee is not subject for return; the issued visa does not fully guarantee entry into Kazakhstan and will not serve as basis for compensation in case the authorized bodies of the Republic of Kazakhstan refuse entry for the owner of visa into territory of Kazakhstan.

/

Place and date: _______________________________________

/Signature: ______________________________________

For official use only

ALMATY

ALMATY

HOTEL INTERCONTINENTAL ALMATY

PREPAID TOUR WITH TRAVCOA

TRAVEL GUARD GROUP INSURANCE

LEAVE BLANK - NOT APPLICABLE

LEAVE BLANK - NOT APPLICABLE

LEAVE BLANK - NOT APPLICABLE22 SEPT 2014 24 SEPT 2014

DOES NOT APPLY TO US PASSPORT HOLDERS

TRAVCOA ASR 0912-14

✔

✔

PLEASE DO NOT FORGET TO DATE AND SIGN YOUR APPLICATION

!

. .

Attention! Application form should be filled in fully and accurately, in block letters. Wrong filling of application form can become a cause of refuse in issue of entry visa.

1. /Surname(s):_____________________________________________________________________ 2. /First names: ____________________________________________________________________

3. /Other names and surnames: _________________________________________

4. /Sex: / ale /Female

5. /Date of birth:

/day /month /year

6. ( )/Place of birth (city and country): _______________________________________________________ 7. /Nationality: ___________________________________________________________________________________

/Nationality by birth: _________________________________________________________________ 8. /Marital status:

/single ( )/married

/divorced ( )/widow(er)

9. ( ) ( ) - /If you are married, please, inform your spouse’s full name and nationality: ____________________________________________________ __________________________________________________________________________________________________________ 10. - /Your permanent home address: __________________________________________________ ________________________________________________________ /tel. ____________________________________________ 11. /Occupation (educational background and position): ____________________________________ __________________________________________________________________________________________________________ 12. /Place of work:________________________________________________________________________________ - /address:______________________________________________________ /tel.____________________________

13. /Type of passport:

/diplomatic /service

/ordinary /other type of document /Number: ___________________________ /date of issue: __________________ /issued by:

___________________________________________________ /valid till:________________________________ 14. : ?/For person who lives outside

of the country of origin: have you got a permission to return to the country of living?: /No /Yes

, /If yes, please indicate the number of this document and its validity:______________________________________________________________________________________ 15. ?/Have you visited the Republic of Kazakhstan before?: /No /Yes

, /If yes, indicate the date and purpose of the visit(s): _______________________________________________________________________________________________

__________________________________________________________________________________________________________ 16. ?/Have you ever been refused

entry to the Republic of Kazakhstan?: /No /Yes. , ( )/If yes, please give details below (when and by whom):___________________________________

__________________________________________________________________________________________________________ 17. /Purpose of travel: _______________________________________________________________________ 18. ( - , .)/Inviting organization (address, tel.):_______________________________________ __________________________________________________________________________________________________________

( - , - , .)/or person, arranging your visit to Kazakhstan (full name, address, tel.):__________________________________________________________________________________________ __________________________________________________________________________________________________________

c

photo

The Republic of Kazakhstan

VISA APPLICATION FORM

TOURISM

MAHMOOD M. POONJA

SITARA TOURS 8678 Greenall Avenue, Ste. 206 Burnaby, B.C. V5J 3M6 Canada

TRAVCOA ASR 0912-14

✔

19. /Places of destination in the Republic of Kazakhstan:__________________ __________________________________________________________________________________________________________ 20. /The first place of entry into the Republic of Kazakhstan:_________ __________________________________________________________________________________________________________ 21. - /Temporary address in Kazakhstan:__________________________________ __________________________________________________________________________________________________________ 22. ?/Who is paying for your cost of travelling and for your costs of living during your stay in Kazakhstan?:________________________________ __________________________________________________________________________________________________________

23. ?/Have you got an insurance for the period of your stay in

Kazakhstan?: /No /Yes. , /If yes, please indicate its validity and the name of insurance

company:__________________________________________________________________________________________________

24. , ?/In case of transit through Kazakhstan, have you got an entry visa or residence permit for your destination?:

/No /Yes. , /if yes, indicate the country of destination:______________________________________ /border point through which entry is planned:_________________________________________________________________ /route of transit:_____________________________________________________________________________________________________ 25. /Period of requested visa: from________________ to _____________ 26. /Number of entries requested: 1 2 3 /multiple

27. ( )/Children (please

indicate whether they are traveling with you and are entered in your passport):

, / Surname, First names

/ Date and plase of birth

/Nationality

. .

. 2001 12 «

» 209-II ( ) 514- ;

.

I undertake that the above mentioned personal data are full and correct. I am aware, that wrong data can cause refuse and canceling of already issued visa. I am obliged to leave the territory of the Republic of Kazakhstan before visa expiration.

I am told, that in accordance with the article 514 of the Tax Code of the Republic of Kazakhstan 209-II of the 12 of June 2001 the sum of money paid as consular fee is not subject for return; the issued visa does not fully guarantee entry into Kazakhstan and will not serve as basis for compensation in case the authorized bodies of the Republic of Kazakhstan refuse entry for the owner of visa into territory of Kazakhstan.

/

Place and date: _______________________________________

/Signature: ______________________________________

For official use only

ALMATY

ALMATY

HOTEL INTERCONTINENTAL ALMATY

PREPAID TOUR WITH TRAVCOA

TRAVEL GUARD GROUP INSURANCE

22 SEPT 2014 24 SEPT 2014

TRAVCOA ASR 0912-14

✔

✔