APPLICATION FOR MEXICAN VISA
APPLICATION FOR MEXICAN VISA
APPLICATION FOR MEXICAN VISA
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<strong>APPLICATION</strong> <strong>FOR</strong> <strong>MEXICAN</strong> <strong>VISA</strong><br />
Number:<br />
PHOTO<br />
(if required)<br />
CONSULATE GENERAL OF MEXICO IN CHICAGO, ILLINOIS.<br />
* A separate application is required for each traveler.<br />
Please print or type this application.<br />
I. PERSONAL DATA<br />
1.- LAST NAME OR FAMILY NAME (exactly as it appears in passport):<br />
2.- NAME (s) (exactly as it appears in passport):<br />
<strong>FOR</strong> OFFICIAL USE ONLY<br />
F.M.<br />
No.<br />
No. de visa<br />
No. de etiqueta<br />
No. de autorización SEGOB:<br />
3.- PASSPORT NUMBER : Acreditó solvencia económica con:<br />
Propiedades inmobiliarias:<br />
Place of issue: SI NO<br />
Date of issue:<br />
Tarjeta(s) internacional(es) de crédito<br />
SI<br />
NO<br />
Expiration date:<br />
Cuenta(s) bancaria(s)<br />
4.- CURRENT ADDRESS: SI NO<br />
Phone:<br />
OBSERVACIONES:<br />
5.- CURRENT CITIZENSHIP:<br />
6.- PLACE AND DATE OF BIRTH:<br />
7.- SEX: FEMALE MALE<br />
8.- MARITAL STATUS: SINGLE ( ) MARRIED ( ) WIDOWED ( ) DIVORCED ( )<br />
II. OCCUPATION<br />
9.- CURRENT OCCUPATION:<br />
10.- COMPANY'S NAME:<br />
11.- COMPANY'S ADDRESS:<br />
PHONE:
12.- MONTHLY INCOME: 13.-YEARS EMPLOYED:<br />
14.- OTHER INCOME (source and amount):<br />
III. IN<strong>FOR</strong>MATION ABOUT YOUR TRIP<br />
15.- CITY AND DAY OF ENTRY INTO MEXICO:<br />
16.- PURPOSE OF YOUR TRIP TO MEXICO: TOURISM ( ) BUSINESS ( ) STUDIES ( )<br />
RETIREMENT ( ) TRANSIT ( ) OTHER ( ) (please specify)<br />
17.- MAIN DESTINATION AND LENGHT OF STAY IN MEXICO:<br />
18.- IF YOU ARE VISITING MEXICO'S NORTHERN BORDER, PLEASE INDICATE THE CITIES:<br />
PURPOSE OF YOUR VISIT:<br />
19.- IF YOU ARE VISITING MEXICO'S SOUTHERN BORDER, PLEASE INDICATE THE CITIES:<br />
PURPOSE OF YOUR VISIT:<br />
20.- HAVE YOU EVER APPLIED <strong>FOR</strong> A <strong>MEXICAN</strong> <strong>VISA</strong> BE<strong>FOR</strong>E? YES ( ) NO ( )<br />
IF "YES", PLEASE PROVIDE PLACE AND DATE OF ISSUE:<br />
PLACE OF ISSUE: DATE:<br />
21.- DO YOU HAVE ANY VALID <strong>VISA</strong> <strong>FOR</strong> OTHER COUNTRIES? YES ( ) NO ( )<br />
IF "YES", PLEASE PROVIDE COUNTRY, TYPE AND EXPIRATION DATE:<br />
I declare that all information herein is true. I authorize the Mexican Government to verify it.<br />
I am aware that the final admission into Mexico must be approved by sanitary and immigration authorities<br />
at the port of entry, and that the issuance of a visa by a Mexican Consulate does not guarantee the<br />
admission. I undestand that sanitary and immigration officials have the right to verify my compliance with<br />
all legal requiremets.<br />
Applicant's signature Date (day / month / year )
FECHA DE RECEPCION: __________________<br />
<strong>FOR</strong> OFFICIAL USE ONLY<br />
RECIBIO (nombre y firma)<br />
AUTORIZO (nombre y firma)