BELIZE NON-IMMIGRANT VISA APPLICATION FORM

BELIZE NON-IMMIGRANT VISA APPLICATION FORMAll applicants must complete Section A. In addition Business Travelers must complete Section B, Students mustcomplete section C, Dependants must complete Section D.SECTION A1.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:MALEFEMALE11.PRESENT HOME ADDRESS:9.MARITIAL STATUS:SINGLEDIVORCEDEXPIRY DATE:10. PRESENT OCCUPATION:MARRIEDOTHER12.PERMANENT HOME ADDRESS (IF DIFFERENT):TEL NO. HOME:WORK:13.NAMES & RELATIONSHIP OF PERSONSACCOMPANYING YOU (A SEPARATE APPLICATIONIS NEEDED FOR EACH APPLICANT):14.PURPOSE OFVISITTEL NO. HOME:WORK:VACATION15. CONTACT PERSON/HOTEL WHILE IN BELIZE(NAME AND ADDRESS):16.PROPOSED ENTRY DATE TOBELIZE:BUSINESS17.DATES OF PREVIOUS VISITS TOBELIZE (LAST TWELVE MONTHS):18. FINANCIAL MEANS FOR PROPOSED VISIT:DURATION OF STAY:SECTION B (FOR BUSINESS TRAVELERS ONLY)19.NAME & ADDRESS OF CURRENT 20.NAME OF COMPANY &EMPLOYER:CONTACT PERSON IN BELIZE:TELEPHONE NO.:SECTION C (FOR STUDENTS ONLY)22.NAME AND ADDRESS OF SCHOOL (EVIDENCE OF CURRENT EMPLOYMENTMUST BE PRESENTED):21. NATURE OF BUSINESS:23.DATE OF COMPLETION OF CURRENTCOURSE:SECTION D (FOR DEPENDENTS ONLY)24.NAME AND PRESENT ADDRESS OF FATHER:25.NAME & PRESENT ADDRESS OF MOTHER:OCCUPATION:TELEPHONE NO.:OCCUPATION:TELEPHONE NO.:PAYMENT/VERSEMENT POSTAL/POST EINZAHLUNG/VERSAMENTO POSTALEBY CASH BY CHEQUE Please provide copy of Payment ReceiptTO: UBS SA Geneva, 240-468507.00A - Account No.: 10-31508DECLARATION: I SOLEMNLY DECLARE THAT THE INFORMATION PROVIDED IN THIS APPLICATIONARE 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 MONTHSafter the intended period of a stay in Belize.3. Citizens of the Caribbean Community (CARICOM), British Subjects, Commonwealths Citizens (with theexception of: Bangladesh, Cameroon, Chad, India, Mozambique, Nauru, Pakistan and Zimbabwe),U.S. Citizensand Citizens of the European Community do not require a visa to enter Belize. (If your country of nationality is notmentioned, please contact our office for verification.)4. Some visas require approval from the Ministry of Immigration in Belize. In these cases please allow THREE toFIVE 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 USdollars (USD 75.00) is considered sufficient for a daily minimum requirement per person. This figure wouldinclude accommodation, transportation and means. ALL visitors must be in possession of a return ticket or proofof 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. A visa does NOT guarantee entry into Belize. Theimmigration Official at the point of entry determines whether or not a person qualifies for admission. Visitors aretherefore advised to carry with them documentation provided to obtain the visa and present such evidence to theImmigration 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 admissioninto Belize. The Immigration Official at the point of entry determines the actual period of stay. Extension to theperiod of stay must be made by application to the nearest Immigration office IN BELIZE. Failure to extend thevisa is a criminal offence.8. The holder of a Non-Immigrant Visa is prohibited from engaging in ANY kind of employment.APPLICATION PROCESS:1. A separate application is required for each traveler regardless of age. Each application should be legiblyprinted, signed and dated. A RECENT passport-sized photograph with the applicant’s printed name andsignature on the reverse side should be fastened to the application form in the space provided.2. The VISA fees are as follows: CHF 75 for single entry, CHF 100 for multiple entries and Business travelersand a self addressed envelope (CHF 5). Payment MUST be made by cash or postal order. Personal chequesare NOT accepted. Please note that the Consulate of Belize does not accept responsibility for any financialdocumentary loss associated with the application for a visa.3. Completed application forms, with ALL supporting documentation and relevant passports, should be deliveredin person or posted to the address below. However, in some cases, an interview may be requested byappointment.Consulate of Belize7, rue du Mont Blanc1201 – GenevaSwitzerlandTel: +41 22 9068428Fax: +41 22 9068429DO NOT WRITE IN THIS SPACEAffixPhotographHere