Visa Application  Form                                        

Please answer the questions carefully and send back us enclosed with a copy of your passport (page 1 only) by fax numbers: 0098-21-88813367  & 0098-21-88738862.  Or E-Mailto: visa@sogol.com .

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No initial payment is required for Visa application and confirms   space. Payment will required Due to our bank account after visa approval.

*FIRST NAME:.........................................................................................

* SURNAME: ......................................................................

*FORMER NAME:......................................................................

*FATHERS'  FIRST NAME : ......................................................................

*DATE & PLACE OF BIRTH : ......................................................................

-PRESENT NATIONALITY: ......................................................................

-FORMER NATIONALITY:......................................................................

-SEX: Male Female

-EDUCATIONAL QUALIFICATION:......................................................................

-MARITAL STATUS:  ......................................................................

-PASSPORT DETAILS:......................................................................
-TYPE & NUMBER:......................................................................
-DATE & PLACE OF ISSUE:......................................................................
-DATE OF EXPIRY:......................................................................
*NAME & NATIONALITY OF YOUR SPOUSE:......................................................................
*PLEASE INDICATE THE NAME & RELATIONSHIP OF YOUR COMPANIONS ON THE 

JOURNEY, IF ANY:...............................................................................................................................................................

*YOUR OCCUPATION:......................................................................
*YOUR BUSINESS ADDRESS & TEL & FAX  NUMBER:   ......................................................................

...........................................................................................................................................................................................................

* YOUR E-MAIL PLEASE: ( Necessary for  visa result)...........................................................

*YOUR HOME ADDRESS & TELEPHONE NUMBER:............................................................................

...............................................................................................................................................................................................................

*HAVE YOU EVER APPLIED FOR A VISA TO THE I . R OF IRAN BEFORE?       NO          YES  

*HAS YOUR VISA APPLICATION TO IRAN EVER BEEN REJECTED?                 NO           YES
*HAVE YOU EVER BEEN TO THE I . R OF IRAN? ...................IF SO, WHEN?............................................
*PLEASE INDICATE YOUR ARRIVAL DATES TO THE IRAN:.      /   /  
*HOW LONG WILL YOU STAY IN IRAN?................................................
*BORDER OF ENTRY TO IRAN?...............................................................
*BORDER OF EXIT FROM IRAN?.............................................................
*WHAT CITIES YOU DESIRE TO  VISIT IN THE  IRAN?......................................................................
......................................................................................................................................................................................................

*PLEASE WRITE THE NAME OF INDIVIDUALS OR ORGANIZATIONS THAT YOU WILL MEET IN THE I.R OF IRAN:......................................................................
*WHAT COUNTRIES HAVE YOU EVER TRAVEL TO ?...................................................................... .......................................................................................................................................................

*DO YOU HAVE ANY RELATIVE & ANY IRANIAN FRIENDS WHO ARE LIVING IN IRAN?
IF SO, PLEASE INDICATE.............................................................................................................

*PLEASE INDICATE YOUR FIELDS OF INTERESTS ABOUT THE I.R OF IRAN:
  TOURIST SITES            GEOGRAPHY            POLITICAL AFFAIRS           SOCIAL AFFAIRS    ARTS       OTHERS
.....................................................................................................................................................................................................................

*WHERE YOU WISH TO OBTAIN YOUR VISA? (ONE OF THE IRANIAN CONSULATE)

*COUNTRY : ........................................................CITY:.............................................................

* PLEASE SPECIFY YOUR TRAVEL PLAN  &  TYPE OF ACCOMMODATION THROUGHOUT IRAN INSIDE TABLE BELOW: 

Number Of Days	Itinerary / City name	Required Services ,Program	Your Budget
Arrival day: 1^st Day- / /
2^nd Day- / /
3^rd Day- / /
4^th Day- / /
5^th Day- / /
6^th Day- / /
7^th Day- / /
8^th Day- / /
9^th Day- / /
10^th Day- / /
11th Day-  /  /
12th Day-   /  /
13th- Day-  /   /
14th-Day-  /    /
15th- Day   /    /
16th- Day   /    /
17th- Day   /    /
18th- Day   /    /
19th- Day   /    /
20th- Day   /    /

* ADDITIONAL REMARKS:

..........................................................................................................................................................................

* Was our company “Sogol “ brought to your attention the referral of a friend or Travel Agent or did you see our advertisement? If so, please can you state where?

Web Guide book Magazine News Paper Other

*  ARE YOU  CONSCIOUS  OF OUR CIRCULAR FOR VISA PROCESS AND PRICE ? ................

* I .................................................................authorize Sogol Tehran Co.Ltd. to submit and sign this visa application on my behalf

SIGNATURE ................................................

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