BELIZE NON-IMMIGRANT VISA APPLICATION FORM

BELIZE NON-IMMIGRANT VISA APPLICATION FORM
All applicants must complete Section A. In addition Business Travelers must complete Section B, Dependants must
complete Section C. See payment instructions in section D.
SECTION A
1.SURNAME OR FAMLY NAMES (AS IN PASSPORT):
2.FIRST & MIDDLE NAMES (AS IN PASSPORT):
3.OTHER NAMES: (MAIDEN/PROFESSIONAL/ALIASES):
4.DATE OF BIRTH (DATE/MONTH/YEAR):
5.PLACE OF BIRTH (CITY AND COUNTRY):
6.NATIONALITY (PRESENT):
7.PASSPORT NUMBER:
PLACE OF ISSUE:
DATE OF ISSUE:
(DAY/MONTH/YEAR)
8.SEX:
MALE
FEMALE
11.PRESENT HOME ADDRESS:
9.MARITIAL STATUS:
SINGLE
DIVORCED
EXPIRY DATE:
10. PRESENT OCCUPATION:
MARRIED
OTHER
12.PERMANENT HOME ADDRESS (IF DIFFERENT):
EMAIL ADDRESS:
TEL NO. HOME:
MOBILE PHONE:
13.NAMES & RELATIONSHIP OF PERSONS
ACCOMPANYING YOU (A SEPARATE APPLICATION
IS NEEDED FOR EACH APPLICANT):
TEL NO. HOME:
MOBILE PHONE:
14.PURPOSE OF
VISIT
VACATION
15. CONTACT PERSON/HOTEL WHILE IN
BELIZE (NAME AND ADDRESS):
16.PROPOSED ENTRY DATE TO BELIZE:
BUSINESS
18. DATES OF PREVIOUS VISITS TO BELIZE (LAST TWELVE MONTHS):
17. PROPOSED DEPTARTURE DATE:
18. TYPE OF VISA REQUESTED:
SINGLE ENTRY MULTIPLE ENTRIES
SECTION B (FOR BUSINESS TRAVELERS ONLY)
19.NAME & ADDRESS OF CURRENT
EMPLOYER:
20.NAME OF COMPANY &
CONTACT PERSON IN BELIZE:
21. NATURE OF BUSINESS:
TELEPHONE NO.:
SECTION C (FOR DEPENDENTS ONLY)
24.NAME AND PRESENT ADDRESS OF FATHER:
25.NAME & PRESENT ADDRESS OF MOTHER:
OCCUPATION:
TELEPHONE NO.:
OCCUPATION:
TELEPHONE NO.:
SECTION D PAYMENT (PLEASE CHECK ONE OF THE BOXES BELOW)
26. CASH 27. POSTAL OR BANK TRANSFER
In case of cash payment, please make sure that the UBS SA Geneva, 240-468507.00A - Account No.: 80-2-2
envelope is well sealed with scotch tape
Please provide copy of payment receipt
DECLARATION: I SOLEMNLY DECLARE THAT THE INFORMATION PROVIDED IN THIS APPLICATION
ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF.
DATE OF APPLICATION ______________________APPLICANT’S SIGNATURE_______________________
OFFICIAL USE ONLY:
DATE RECEIVED:______________________________VISA NUMBER ISSUED: ________________________
PAYMENT AMOUNT: __________________________PROCESSED BY: _______________________________
A STAMPED (CHF 5.-) SELF ADDRESSED ENVELOPE IS REQUIRED TO RETURN YOUR PASSPORT

GENERAL INFORMATION:
1. Belize welcomes all visitors. For this reason every effort is made to keep immigration formalities to a minimum.
Please read the following information provided and answer ALL pertinent questions on the application form.
2. ALL visitors MUST travel on a non-expired passport. The passport must be valid for no less that SIX MONTHS
after the intended period of a stay in Belize.
3. Citizens of the Caribbean Community (CARICOM), British Subjects, Commonwealths Citizens (with the
exception of: Bangladesh, Cameroon, Chad, India, Mozambique, Nauru, Pakistan and Zimbabwe),U.S. Citizens
and Citizens of the European Community do not require a visa to enter Belize. (If your country of nationality is not
mentioned, please contact our office for verification.)
4. Some visas require approval from the Ministry of Immigration in Belize. In these cases please allow THREE to
FIVE working days. Your passport must remain with the Consulate of Belize during this time.
5. Visitors are advised to have sufficient funds for the purpose and period of their stay. The sum of Seventy-Five US
dollars (USD 75.00) is considered sufficient for a daily minimum requirement per person. This figure would
include accommodation, transportation and means. ALL visitors must be in possession of a return ticket or proof
of onward journey. Evidence of travel arrangements MUST accompany the application for a visa.
6. A visa is ONLY valid for the purpose it was originally issued. Visitors are therefore advised to carry with them
documentation provided to obtain the visa and present such evidence to the Immigration Official should it be
required.
7. The visa validity period pertains only to the period during which it may be used for an application for admission
into Belize. The Immigration Official at the point of entry determines the actual period of stay. Extension to the
period of stay must be made by application to the nearest Immigration office IN BELIZE. Failure to extend the
visa is a criminal offence.
8. The holder of a Non-Immigrant Visa is prohibited from engaging in ANY kind of employment.
9. Once the visa is issued, there will be no changes allowed in date or type of visa, unless a new payment is made.
APPLICATION PROCESS (Visa charges listed below):
1. A separate application is required for each traveler regardless of age. Each application should be legibly
printed, signed and dated. A RECENT passport-sized photograph with the applicant’s printed name and
signature on the reverse side should be fastened to the application form in the space provided.
2. The VISA fees are as follows: CHF 100 for single entry, CHF 120 for multiple entries and Business
travelers. You must include a self addressed envelope (CHF 5). Payment MUST be made by cash or postal
order. Personal cheques are NOT accepted. Please note that the Consulate of Belize does not accept
responsibility for any financial documentary loss associated with the application for a visa.
3. Completed application forms, with ALL supporting documentation and relevant passports, should be delivered
in person or posted to the address below. However, in some cases, an interview may be requested by
appointment.
Consulate of Belize
Case Postale 1347
1211 – Geneva 1
Switzerland
Tel: +41 22 9068428
Fax: +41 22 9068429
DO NOT WRITE IN THIS SPACE
Affix
Photograph
Here