1.    Name              __________________________________________________________________
 
        2.    Address           __________________________________________________________________

                                __________________________________________________________________

                                Phone:        Work  ____________________ Home  ___________________
 
        3.    Place and Date of Birth     ________________________________
        4.    Nationality at Birth        ________________________________
                    
        5.    Passport No.                ________________________________
              Place of Issue              ________________________________
              Valid until                 ________________________________
 
        6.    Profession                  ________________________________
 
        7.    Period of Visa requested             _______________________________________________
        8.    Purpose of journey (Please specify)  _______________________________________________
        9.    Name and address of contact person in the US  ______________________________________
                                                            ______________________________________
                                                            ______________________________________
 
       10.    Name and address of contact person(s) in Bangladesh ________________________________
                                                                  ________________________________
                                                                  ________________________________
     
       11.    Name, sex and age of accompanying child/children
                                                 _________________________________________________
                                                 _________________________________________________
                                                 _________________________________________________
     
       12.    Particulars of previous visit(s) to Bangladesh with dates
                                                 _________________________________________________
                                                 _________________________________________________                                                               
                                                 _________________________________________________
     
       13.    Whether visa/extension of stay in Bangladesh ever refused ?
                                                 _________________________________________________
                 ___________________   
                 |                  |  
                 |                  |            Signature  ______________________________________  
                 |                  |            Date       ______________________________________
                 |                  |                 
                 |                  |                 
                 |                  |
                 |                  |   Any misrepresentation of facts may lead to
                 |                  |   cancellation of visa at any time.
                 |__________________|   $21.00 fees (money order) for U.S. citizens.
                               
                                                    
                                                    

1. Kindly follow the instructions below for obtaining Bangladesh visa:

2. Fill in the prescribed application form completely in duplicate.
3. Attache passport size photograph in the box marked in both copies of the form.
4. Send your pasport.

1. All nationals need valid passports to visit Bangladesh. Passports are not required for holders of cetificate, laissez-passer issued by the UN and its affiliated bodies, continuous discharge certificate/Nullies/ Seaman book(travelling on duty) issued by any country recognized by Bangladesh.
2. Missionaries/Employees working in NGO must obtain No Objection Certificate from the Ministry of Home Affairs, Government of Bangladesh prior to their arrival.
3. Business and official visa requires letter of justification/financial guarantee from the employer.
4. Students require financial guarantee certificate and letter from the Educational Institution.
5. Visa fee determined on the basis of reciprocity.
6. Single journey entry visa issued for 3 months only. Single journey entry visa for 15 days may be obtained from Immigration Authority at Dhaka Airport.
7. Visas are valid for 6 months from the date of issue.
8. Visas can be extended after arrival in Bangladesh for multiple journey.
9. Application received from 09:00 - 12:00 hours and passport delivered the next day from 15:00 - 17:00 hours.
10. Rules may be changed from time to time.

A Hospitality Booth has been set up at the Zia International Airport, Dhaka, Bangladesh and to extend assistance to investors, importers, and tourists visiting Bangladesh. The desk is located within the main terminal building, close to the Immigration Office and the Customs Enclosure. The Booth is open round the clock. Persons interested to avails of the services of the Booth may provide their particulars in advance by Telex (642212 BOIBJ) FAX: (880-283-3626).