Peace Corps/Ethiopia Visa Requirements and Instructions PLEASE READ CAREFULLY: Incomplete or delayed submission of the visa application can result in removal from your program. To apply for your visa: Download and print the visa application located at: http://www.ethiopianembassy.org/ConsularForms/VisaApplicationForm.pdf Please TYPE the application.
Before printing, confirm that you have: Noted all dates as Day-Month-Year (i.e. 29 July 2017) Typed an indication of Gender (i.e. Ms., Mrs., or Mr.) when you type your name Typed “US Citizen” for your Current Nationality Indicated “Ordinary” as Passport Type Left Passport Number, Issue Date, Expiration Date fields blank Used your home of record for your permanent address and your current phone number Used this format for phone numbers: (XXX) XXX-XXXX Typed “Peace Corps Volunteer” under Current Occupation Indicated “other” for Purpose of Travel and type “Applicant is a Peace Corps Volunteer and is requesting a gratis visa” in the explanation box Indicated Date of Departure from USA as the day after your staging date Indicated Date of Arrival as the day following your departure from the USA Typed “Addis Ababa” as Border of First Entry Entered “27 Months” for Duration of Stay Indicated “Multiple” for number of Entries
1
For Address in Ethiopia Hotel: Hotel Name is “Nifas Silk Lafto (Kifle Ketema). Kebele 05-1819” and Hotel Telephone Number as (+251) 113-200-316 For Contact Person in Ethiopia write “Brannon Brewer, Peace Corps Country Director” and for Telephone Number write (+251) 113-200-316
Before you send: Print 2 visa forms Sign each copy legibly enough that your name can be read from your signature Date the visa forms Paperclip 2 - 2”x 2” photos (in addition to the 2 photos needed for your passport application) to your visa application. On the back of all your photos, please print your name
If you are having trouble accessing the visa application form, please contact the country desk at the extensions listed in your Next Steps email
2
EMBASSY OF ETHIOPIA CONSULAR OFFICE PASSPORT AND VISA SERVICES
EMBASSY OF ETHIOPIA 3506 INTERNATIONAL DRIVE, N.W. WASHINGTON, D.C. 20008 (202) 364-1200
VISA APPLICATION FORM
REQUEST NO.
PLEASE TYPE OR PRINT YOUR ANSWER IN THE SPACE PROVIDED BELOW EACH ITEM. FIRST NAME Ms/Mrs/Mr SEX
MALE
MIDDLE NAME FEMALE
DATE OF BIRTH
CURRENT NATIONALITY US Citizen PASSPORT TYPE
✘ ORDINARY
LAST NAME
D
/M
COUNTRY OF BIRTH
/ YY
ORIGINAL NATIONALITY (NATIONALITY AT BIRTH) SERVICE
DIPLOMATIC
PASSPORT NUMBER
TRAVEL DOCUMENT
ISSUE DATE D
/M
OTHER EXPIRATION DATE
/ YY
D
/M
/ YY
HOME/MAILING ADDRESS CITY/TOWN
STATE/REGION
DAY TEL. (000) 000-0000
ZIP/POSTAL CODE
EVENING TEL. (000) 000-0000
COUNTRY
FAX
E-MAIL
CURRENT OCCUPATION Peace Corps Volunteer PURPOSE OF TRAVEL
TOURISM/FAMILY VISIT
DATE OF DEPARTURE FROM USA
BUSINESS
OFFICIAL
TRANSIT
✘ OTHER
ADDRESS IN ETHIOPIA HOTEL: HOTEL NAME HOTEL TELEPHONE NUMBER
BORDER OF FIRST ENTRY Addis Ababa
DATE OF ARRIVAL IN ETHIOPIA
DURATION OF STAY IN ETHIOPIA 27 Months
Applicant is a Peace Corps Volunteer and requesting a gratis visa
ENTRIES:
SINGLE
DOUBLE
(+251) 113-200-316
PHOTO
CONTACT PERSON IN ETHIOPIA Brannon Brewer, Peace Corps Country Director
ATTACH ONE PASSPORT SIZE PHOTOGRAPH.
TELEPHONE NUMBER (+251) 113-200-316 FAMILY ACCOMMODATION:
✘ MULTIPLE
Nifas Silk Lafto (Kifle Ketema). Kebele 05-1819
CITY
REGION
ZONE
K. KETEMA (WOREDA)
KEBELE
HOUSE NO.
WRITE YOUR NAME ON THE BACK OF THE PHOTOGRAPH.
TELEPHONE
CHILDREN/DEPENDENTS ON THE SAME PASSPORT FIRST NAME
MIDDLE NAME
LAST NAME
SEX
BIRTH DATE (D/M/YY)
BIRTH PLACE
1 2 3 4 5
I, THE UNDERSIGNED, DECLARE THAT ALL THE ABOVE-MENTIONED STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE. APPLICANT’S NAME
APPLICANT’S SIGNATURE
DATE
DO NOT WRITE IN THIS SPACE FOR OFFICIAL USE ONLY/ TO BE FILLED IN AT HEAD OFFICE VISA NUMBER