Ukraina - INFO

Kontakt:

tel. +48 22 201 94 95
tel. +48 602 507 422

e-mail: info@ukraina-info.pl
e-mail: info@ukraina-info.com

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S	erwis wizowy:

F	ormularz wizowy:

Tel. (+48 22)201 94 95
Tel. kom. (+48) 602 50 74 22

Wysyłka przez Pocztę:
"Ukraina - INFO"
ul. Jaracza 2
00378 Warszawa
Polska

E-mail: info@ukraina-info.pl
E-mail: info@ukraina-info.com

Http: www.visa.ukraina-info.com

F	ormularz

1. Imię i nazwisko osoby wyznaczonej do kontaktowania się z nami w sprawie wizy:

2. Adres do korespondencji (dla firm - adres firmy):

3. Numer telefonu, faxu:

4. Adres e-mail:

Temat

Dane do formularza wizowego:

5. Surname (as written in your passport):

6. Full name (as written in your passport):

7. Other name or surnames used in the past:

8. Date of birth, country, town:

9. Sex (female, male):

10. Nationality present and former (if any):

11. Address of permanent residence (country, postal code, town, street, building, apt):

12. Number of passport:

date of issue (day-manth-year):

valid until (day-manth-year):

13. Marital Status (single, married, divorced, widowed):

14. Duration of stay in Ukraine (number of day, months):

15. Date of proposed entry to Ukraine:

16. Point of entry to Ukraine:

17. Means of transport for entry to Ukraine:

18. Name and address of organization (private person) which invites:

19. Visa requested for (single, double entry, multiply entry):

20. In case of need who will give you financial support:

Twoje pytania, uwagi i komentarze:

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