Family Name

Given Name

Middle Name

Gender Male
Female

Nationality *

Nationality at birth *

Date of birth ... *

Marital status Never married
Married
Engaged
Separated
Divorced
Widowed
Single

What type of travel document do you hold? Passport
Travel document
Certificate of identity
Others
*

If Others, please Specify

Document number *

Issuing date ... *

Date of expiry ... *

Country of issue *

What is your current address?

Business phone

Home phone

Mobile phone

Email address *

What is your current occupation / profession? *

Who is your current employer / institution? *

Do you have any person(s) included in your passport who will be travelling with you? Yes
No

If YES, please state his or her Full name and attach supporting document(s) to show relationship with each person

Attach supporting documents

Have you visited Vanuatu before? Yes
No

When do you plan to visit Vanuatu? ...

What is your purpose of visiting Vanuatu? Single entry (VUV45,000)
Multiple entry (VUV65,000)
Business (conference, seminar, workshop, training, internship, etc.)
Educational (study, conference, seminar, workshop, etc.)
others
Non-Educational training (boxing, scuba diving, etc.)
Employment
Volunteer / NGO (single entry only)
Diplomatic / Official
Others please specify
*

If others, please specify

VALIDITY OF VISA: The validity of visa is up to 3 months (both single entry and double entry) as shown on the ENTER BEFORE date on a visa stamp. That means you must enter Vanuatu BEFORE that date.

VALIDITY OF STAY: Period of stay per entry to be granted is determined by the immigration authorities at any immigration checkpoints upon arrival.

CONDITIONS: 

• Possession of a visa does not entitle the bearer to enter upon arrival at port of entry if he or she is found inadmissible;
• Each application is considered on its individual merit and may be rejected without the VIS having to provide any reason;
• Visa processing fee is non-refundable under any circumstances. 

DECLARATION: 

• I have truthfully provided all the information required of me to the best of my knowledge;
• I have read and agreed to the above conditions and completed parts A and B.

Enter signature and date below before continuing to part C on the next page.

Signature of applicant *

Date ... *

Please Verify