• Contact
  • Application
  • Review
  • Payment
  • Confirm
  • Complete
Informacje kontaktowe ( Wprowadź dane osoby, która ma otrzymać wizę elektroniczną ) ( Enter the details of the person who will receive e-Visa )

Nazwisko
In English Only
Tips:

Fill up the contact information

Fill up the application form

Review the application data

Make payment

Completed & Print receipt

(Please click here to read how to apply)
Imię
In English Only. Include Middle Name, If Any
Kraj
Numer telefonu
Główny adres e-mail
Główny adres e-mail
Drugi adres e-mail
Powtórz drugi e-mail
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You must read and agreed to the Terms & Conditions and you must understand that you may be asked to provide additional information and documentation, prior receipt of which is needed before the e-Visa application can be accepted for processing.

 

General Information
Tel: (855-23) 22 49 73
Fax: (855-23) 22 49 72
E-mail: [email protected]

Payment and Technical Support
Tel: (855-23) 21 55 67
E-mail: [email protected]

Photograph helps
[email protected]

Photo guidelines:
A recent photo in JPEG,PNG or BMP format, file size less than 1MB.
Application with incorrect photo will not be processed.