Visa Application Form- Vietnam

Vietnam E-Visa Application Form
Importatant Information

An entry visa is required for citizens of the United States, Canada and Australia to visit Vietnam and Cambodia.

In an effort to make this process as streamline as possible. The Citizen Ambassador Program will process the E-visa applications for your delegation as a group.

E-visa applications will be submitted at 60 days prior to the delegation convene date. You are not required to obtain your visa through the Citizen Ambassador program and may apply for a visa/E-visa independently.

Completing the Citizen Ambassador visa/e-visa application does NOT guarantee approval. Visa decisions are made at the discretion of the issuing government. In the event of a denial, the Citizen Ambassador Program will work with the issuing authority to resolve issues to the best of our ability.

Please Note: You are responsible for complying with all visa procedures and deadlines. The inability to obtain visas will result in withdrawal of an offer of acceptance and forfeiture of a space on the program.

Cancellation due to lack of entry visa or valid passport is subject to the cancellation penalties outlined in the terms and conditions of participation.

Applying for your e-visa through the Citizen Ambassador Program

To complete the visa appication, you will need the following documents:
- A valid passport- passport must be valid for at least six months beyond the intended stay
- Passport should have at least one blank page available for entry and exit stamps.
- A standard visa photo- see specific requirements below
- A copy of your flight confirmation (to Vietnam and from Vietnam)

Delegate/Guest Information
Delegate or Accompayning Guest Name

First NameLast Name
Citizen Ambassador Program Delegation

Contact Information
Email
example@example.com
Phone Number
Please enter a valid phone number.
Permanent Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Passport Information
Name (Exactly As listed in your Passport)

SurnameMiddle (if on passport)Given Suffix
Passport Number
Current Nationality/Citizenship
Nationality/Citizenship at Birth
Date of Birth

MonthDayYear
Date
City of Birth
Country of Birth
Place of Issue
Citizenship ID No.- if applicable
Does not apply to US Passport holders
Date of Issue

MonthDayYear
Date
Expiration Date

MonthDayYear
Date

Background Information
Occupation
Religion

Travel and Visa Information
I am applying for a

Single Entry Visa (valid for 30 days after arrival)Multiple Entry Visa (valid for 3 months after arrival, 30 day duration of stays)
Information for single entry visa for Vietnam

If you are NOT returning to Vietnam after the main program or the Cambodia Extension
Date of Arrival in Vietnam

MonthDayYear
Port of Arrival in Vietam
Date of Departure from Vietnam

MonthDayYear
Port of Departure from Vietnam
Additional Information for multi-entry visa for Vietnam

If returning to Vietnam after the main program or Cambodia extension
Date of Return to Vietnam

MonthDayYear
Port of Return in Vietnam
Date of Departure from Vietnam

MonthDayYear
Port of Departure from Vietnam

Passport copy and Visa Photo Submission
1. Passport Photo Page Copy: Provide a clear, high-resolution color scan of the passport's biodata page (photo page)
- Ensure the passport copy is valid for at least six months beyond the intended stay
- Ensure that fingers are not obstructing any part of the passport copy
- Avoid any glare or shadows that may obscure the content on the biometric page
- It is recommended to scan the passport copy
- Ensure that all information, such as passport number, name, date of birth, and photograph, are clearly legible.
Passport Photo Page Copy

Important: Please ensure that all documents meet the requirements to avoid delays in processing your visa application. Please contact the Citizen Ambassador Program with questions.
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2. Visa Photo: Provide a recent photograph (Passport Photo Size: 2inch X 2 Inch or 55MM X 55MM)
- Eyes must be visible and open
- Do not show teeth
- Ensure the forehead is visible
- Present a full face, front view
- Use a plain light-colored or white background
- Avoid shadows on the face or background
- No hats, headgear, or sunglasses
Standard Visa Photo

Important: Please ensure that all documents meet the requirements to avoid delays in processing your visa application. Please contact the Citizen Ambassador Program with questions.
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Visa Application Fee

A non-refundable application fee is required to submit your visa application for processing.*

Single Entry Vietnam Visa ApplicationVisa application does not guarantee approval by the Government of Vietnam. The Citizen Ambassador Program does not certify information provided, nor approve applications. Visa denial, does not waive standard cancellation penalties as stated in the Citizen Ambassador Program Participant Terms and Conditions agreed to at the time of program application.

$125.00

Multiple Entry Vietnam Visa Application Visa application does not guarantee approval by the Government of Vietnam. The Citizen Ambassador Program does not certify information provided, nor approve applications. Visa denial, does not waive standard cancellation penalties as stated in the Citizen Ambassador Program Participant Terms and Conditions agreed to at the time of program application.

$175.00

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Total

$0.00

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Credit Card Number	Security Code
Card Expiration

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Vietnam E-Visa Application Form

Information for single entry visa for Vietnam

Additional Information for multi-entry visa for Vietnam