Republic
VISA APPLICATION FORM
NOTICE: Fill in all the blanks in CAPITAL LETTERS. False statements will cause denial of Visa.
1- SURNAME/S ( as in passport) 2- FIRST & SECOND NAMES (as in passport)
UDDIN TASHHIR
3- OTHER GIVEN NAMES (Maiden- Religious- Professional- A. K. A.):
-
4- FATHER 5- MOTHER
SURNAME: UDDIN SURNAME: BEGUM
NAME: M.M. ZAHIR (LATE) NAME: SAFIA
6- SEX M/F 7- DATE OF BIRTH (D / M/ Y) 8- PLACE OF BIRTH (City, Province, Country)
28-01-1956 WAH CANTT, PUNJAB, PAKISTAN
MALAE
9- (Only for Lebanese) 10- TYPE & NUMBER OF LOCAL DOCUMENT OF IDENTITY:
FAMILY REGISTRATION NUMBER:
CNIC # 37406-1583477-7
-
11- NATIONALITY 12- HOME ADDRESS: 13- HOME TEL & FAX:
Current: Original: 1-C KACHNAR ROAD,
PAKISTANI PAKISTANI WAH CANTT – 47040 +92-51-9055 23122
PAKISTAN
14- PROFESSION: 15- MARITAL STATUS: 16- CURRENT ASIGNMENT:
GOVT. SERVANT MARRIED DIRECTOR SERVICES,
POF WAH CANTT
17- EMPLOYER: (Company name & Address) 18- Business Tel & Fax:
+92-51-9055 21024
PAKISTAN ORDNANCE FACTORIES, WAH CANTT – 47040 (PAKISTAN) +92-51-9271400
19- PASSPORT/ TRAVEL DOCUMENT: 20- PLACE & DATE OF ISSUE: 21- EXPIRY DATE (DD/MM/ YYYY):
PASSPORT # AH2404771 ISLAMABAD, PAKISTAN,
25-9-2009 24-09-2014
22-TYPE OF VISA: 23- PURPOSE OF ENTRY: 24-LENGTH OF STAY:
TO VISIT CNG CYLINDER MANUFACTURING PLANT 10 DAYS
25- REFERENCES IN ARGENTINA (Contacts in Argentina – Telephones and Addresses)
M/S. INFLEX, ARGENTOIL SA 3902 SAN LORENZO ST, BUENOS AIRES, ARGENTINA
26-DATE OF ARRIVAL: 27- ADDRESS IN ARGENTINA: (Residence or Hotel Information) 28- DATE OF DEPARTURE:
29-03-2011 M/S. INFLEX, ARGENTOIL SA 3902 SAN LORENZO ST, 05-04-2011
BUENOS AIRES, ARGENTINA
29- SPOUSE: (Surnames, Names, Nationality, Date of Birth)
BATOOL UZMA, PAKISTANI, 15-01-1967
30- CHILDREN: (Surnames, Names, Nationality, Date of Birth)
BATOOL WAJEEHA, PAKISTANI, 02-01-1990
AHMED MUNEEB, PAKISTANI, 16-12-1991
31- HAVE YOU EVER APPLIED FOR ARGENTINE VISA BEFORE: 32- WHEN? 33- WHERE?
-
YES NO YEAR: -
34- HAVE YOU EVER ENTERED 35- WHEN? 36-LENGTH OF STAY: 37- PURPOSE?
THE COUNTRY? - - -
YES NO YEAR:
38- DOES ANY OF THE FOLLOWING CURRENTLY RESIDE IN ARGENTINA?
NO
Spouse Fiancée Siblings Parents Other relatives
39- WRITE DOWN THE COUNTRIES WHERE YOU HAVE LIVED LONGER THAN 6 MONTHS IN THE LAST 5 YEARS, STARTING WITH HOME
ADDRESS:
COUNTRIES: CITIES: ESTIMATED DATES
PAKISTAN WAH CANTT SINCE BIRTH
PLACE & DATE: WAH CANTT 24-3-2011 SIGNATURE & FULL NAME: TASHHIR UDDIN
CONSULAR USE ONLY
N°
EPAKI / COLOUR PHOTO
4X4
Please, turn overleaf, date, sign and write your full name).
Embassy of the Argentine
Republic
Embassy of the Argentine
Republic
Have you been denied entry into Argentina? Have you been expelled from Yes No
Argentina or are you prohibited from re-entering the country?
Have you ever been convicted (even though you may have been pardoned, or Yes No
received amnesty or any similar provision) on account of a criminal offense related
to WEAPONS TRAFFICKING, PEOPLE TRAFFICKING, MONEY
LAUNDERING or ILLICIT INVESTMENTS OR OTHER FELONIES punishable
with prison for a period of 3 or more years?
Have you committed or taken part in government acts or any others, which may Yes No
constitute genocide, war crimes, acts of terrorism, crimes against humanity, or any
other which may be judged by the International Criminal Court?
Do you have any record or affiliation with terrorist activities or terrorist Yes No
organizations which could result in indictment by the International Criminal Court
or by Argentine Law 23.077 (Defense of Democracy)?
Have you been convicted or have any record in Argentina for promoting or Yes No
facilitating the entry, stay or exit of undocumented aliens?
Have you been convicted or have any record in Argentina for having produced a Yes No
forged document or making a false statement to obtain for you or third parties a
favorable immigration ruling?
Do you promote prostitution, derive profit from it or have you ever been convicted Yes No
or have a record in Argentina for promoting prostitution, derive profit from it or for
trafficking or sexually exploiting people?
Have you ever tried to enter Argentina without submitting yourself to immigration Yes No
control or by evading it?
Do you think you might be banned from entry on account of any other impediment Yes No
as sanctioned by Argentine Immigration Law?
NOTICE: ALL APPLICANTS SHOULD READ AND ANSWER ACCORDINGLY.
Unless more severely punished, false statements are sanctioned with expulsion and
prohibition of return.
Place & Date: WAH CANTT 24-3-2011 Full Name & Signature:
TASHHIR UDDIN
The consular officer will require an interview to resolve the present application.
After the personal interview, please allow 4 weeks for the answer to your application.
Embassy of the Argentine
Republic
VISA REQUIREMENTS FOR BUSINESSMEN
CONTACT INFORMATION