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Get BD BDCGNY-VISA-02 2006

Purpose of visit District Cell Tourism Phone Visit relatives Other Please specify 19. In case of transfer of NVR seal from a previous passport to a new passport please provide the following information a. Previous NVR issued by Bangladesh Consulate General New York b. Previous Passport c.NVR seal 20. DECLARATION I declare that I have examined the information on this form. To the best of my knowledge and belief the information on this form are true correct and complete. CONSULATE GENERAL OF BANGLADESH Print 211 EAST 43RD STREET SUITE 502 NEW YORK NY - 10017 USA TEL - 212 599 6767 212 599 6850 212 599 1874 FAX - 212 682 9211 E-MAIL contact bdcgny. org WEB - www. bdcgny. org APPLICATION FOR ENDORSEMENT OF NO VISA REQUIRED FOR TRAVEL TO BANGLADESH One 1 copy of 30mm X 30mm Photograph PLEASE FILL IN OR TYPE IN BLOCK LETTERS* 1. Name 2. Date of birth e. g. 26-Mar-1971 4. Nationality at birth 3. Place of birth 5. Present nationality 7. Passport 8. Place of issue 6. Profession 9. Date of issue 10. Date of expiry 11. Sex Male 12. Marital status Female Single Married Widow/Widower 13. a* Name of spouse 13. b. Nationality 14. a* Name of father 15. a* Name of mother Divorced 16. Present address and contact details 17. Home address and contact details in Bangladesh Street Vill/Street House/Apt PO City PS State Zip code Home phone 18. Purpose of visit District Cell Tourism Phone Visit relatives Other Please specify 19. In case of transfer of NVR seal from a previous passport to a new passport please provide the following information a* Previous NVR issued by Bangladesh Consulate General New York b. Previous Passport c*NVR seal 20. DECLARATION I declare that I have examined the information on this form* To the best of my knowledge and belief the information on this form are true correct and complete. 21. a*Money Order Signature of the applicant in case of a minor child parents may also sign on their behalf 21. b. Issued by 21. c* Amount in US FOR OFFICIAL USE ONLY Do not write below this line Receipt Date Amount US Mode of service Mail-In Walk-In Received by Processed by Issue Comments BDCGNY-VISA-02 06-2006 E This form can be filled electronically. CONSULATE GENERAL OF BANGLADESH Print 211 EAST 43RD STREET SUITE 502 NEW YORK NY - 10017 USA TEL - 212 599 6767 212 599 6850 212 599 1874 FAX - 212 682 9211 E-MAIL contact bdcgny. org WEB - www. bdcgny. org APPLICATION FOR ENDORSEMENT OF NO VISA REQUIRED FOR TRAVEL TO BANGLADESH One 1 copy of 30mm X 30mm Photograph PLEASE FILL IN OR TYPE IN BLOCK LETTERS* 1. org WEB - www. bdcgny. org APPLICATION FOR ENDORSEMENT OF NO VISA REQUIRED FOR TRAVEL TO BANGLADESH One 1 copy of 30mm X 30mm Photograph PLEASE FILL IN OR TYPE IN BLOCK LETTERS* 1. Name 2. Date of birth e. g. 26-Mar-1971 4. Nationality at birth 3. Place of birth 5. Present nationality 7. Name 2. Date of birth e. g. 26-Mar-1971 4. Nationality at birth 3. Place of birth 5. Present nationality 7. Passport 8. Place of issue 6. Profession 9. Date of issue 10. Date of expiry 11. Sex Male 12. Marital status Female Single Married Widow/Widower 13. .

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