Application for an Extended Visitor Visa - Page 1 / 9

Application Fee

4 months - VT 20,000

7 months - VT 30,000

12 months - VT 55,000

Payment must be done before we process the application. This must be treated as purchasing a product, it is a service but we must receive the payment, before we can process the application. For example if you deposit your application at the Australian High Commissioner or NZH payment must be done straight way.

1 - Give your details as shown on your passport.

Family Name

Given Name

2 - Gender Male Female

3 - Have you been known by any other name?

If yes : Please give details and provide supporting documentation

Other name Yes No

Family Name

Given Name

Date of Birth

5 - Place of birth

Town/city

Country

6 - Nationality

7 - Details of your passport

Country of passport

Passport number

Place of issue

Date of Issue

Date of Expiry

8 - Do you hold any other citizenship?

Do you hold any other citizenship? Yes No

If yes, please specify

9 - Relationship Status

Relationship Status

Married

De facto

Engaged

Separated

Divorced

Widowed

Single

Name of partner/ spouse/ fiancée

Date of birth

Application for an Extended Visitor Visa - Page 2 / 9

10 - Your country of usual residence

Your country of usual residence

11 - Your residential address in your country of usual residence

Your residential address in your country of usual residence

12 - Your telephone numbers outside Vanuatu (include country and area code)

Office hours

After hours

13 - Address for correspondence

Address for correspondence

14 - Do you agree to Vanuatu Immigration communicating with you,

or your authorised representative, by fax or e-mail?

Do you agree ? Yes No

If yes, please give details

Fax number

E-mail address

Details of your visit to Vanuatu

15. Why do you want to visit Vanuatu?

16. Your address and telephone number in Vanuatu or the name of your hotel (if known).

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Previous Visa Applications

17 - Are you currently in Vanuatu?

Are you currently in Vanuatu? Yes No

If yes, please provide the following details:

Arrival Date

Type of visa held

Visa expiry date

If no, when are you planning to arrive in Vanuatu?

Arrival Date

18 - How long are you planning to stay in Vanuatu?

Duration of stay in Vanuatu:

Up to 4 months

Up to 7 months

Up to 12 months

Departure Date

19 - Have you previously spent any time in Vanuatu?

Have you previously spent any time in Vanuatu? Yes No

If yes, please give the following details

Period 1

From

Type of Visa held

Period 2

From

Type of Visa held

Period 3

From

Type of Visa held

20 - Have you ever been refused a visa to come to Vanuatu?

19. Have you ever been refused a visa to come to Vanuatu? Yes No

If yes, please give details

Application for an Extended Visitor Visa - Page 4 / 9

Health and Character

21 - Have you ever had or currently have tuberculosis?

or been in close contact with a person who has active tuberculosis? Yes No

If yes, please give details

22 - Are you suffering from a contagious disease and/or a mental illness?

Are you suffering from a contagious disease and/or a mental illness? Yes No

If yes, please give details

Application for an Extended Visitor Visa - Page 5 / 9

23 - Have you or any person included in your application ever

- been convicted of a criminal offence in any country? Yes No

- been charged with an offence that is currently awaiting legal action? Yes No

- been acquitted of any offence on the grounds of mental illness, insanity or unsoundness of mind and as a result been detained in a facility or institution? Yes No

- been removed or are you in the process of removal from any country (including Vanuatu)? Yes No

- left any country to avoid being prosecuted for an offence in that country or to avoid being removed or deported? Yes No

- had, or do you have, an association with another person or with a group or organisation that is or has been involved in criminal conduct? Yes No

- been involved in any activities that would represent a risk to the security and defence of Vanuatu? Yes No

- been involved in any activity relating to the illegal movement of people to any country? Yes No

- served in a military force or militia, undergone any military/paramilitary training, or been trained in weapons/explosives use? Yes No

- Do you have any outstanding debts to the government of Vanuatu? Yes No

If you answered 'Yes' to any of the above questions, you must give ALL the relevant details. If the matter relates to a criminal conviction, please give the nature of the offence, full details of sentence and dates of any period of imprisonment or other detention.

Please give details

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24 - What is your employment status?

Employed / Self employed

Occupation or Employer's details

Retired

Date of retirement

Student

Name of educational institution

Unemployed

Details of last employment

Other

Please specify

25 - How will you be maintaining yourself financially while you are in Vanuatu?

26 - Is someone else providing support for your visit to Vanuatu?

Is someone else providing support for your visit to Vanuatu? Yes No

If yes, please give details

Person 1 providing support for your visit to Vanuatu

Full Name

Relationship to you

Date of Birth

Address

Person 2 providing support for your visit to Vanuatu

Full Name

Relationship to you

Date of Birth

Address

Person 3 providing support for your visit to Vanuatu

Full Name

Relationship to you

Date of Birth

Address

Person 4 providing support for your visit to Vanuatu

Full Name

Relationship to you

Date of Birth

Address

Person 5 providing support for your visit to Vanuatu

Full Name

Relationship to you

Date of Birth

Address

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27 - What support are they providing?

What support are they providing?

Financial

Accommodation

Other

Please provide details

28 - Are you under 18 years of age?

Under 18 Yes No

If you are under the age of 18 both your parents or legal guardian(s) must complete Question 28 and Questions 29, 30 and 31 as required. Evidence of their relationship to you must be provided. If your parents or legal guardian(s) have not made adequate arrangements for your accommodation, support and general welfare while in Vanuatu, a visitor visa cannot be granted.

29 - This question, and other questions as indicated, must be completed by the parents or legal guardian(s)of the applicant under 18 years of age.

Parent/ Legal guardian 1

Family Name

Given Names

Date of birth

Relationship to applicant

I am satisfied with the care and support arrangements that have been made, and I consent to the grant of a visitor visa to my child.

Signature

Date

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Parent/ Legal guardian 2

Family Name

Given Names

Date of birth

Relationship to applicant

I am satisfied with the care and support arrangements that have been made, and I consent to the grant of a visitor visa to my child.

Signature

Date

30 - As the parent or legal guardian of the applicant under 18 years of age,

do you hold or have you applied for a visa to travel to Vanuatu with the applicant?

As the parent or legal guardian of the applicant under 18 years of age, do you hold or have you applied for a visa to travel to Vanuatu with the applicant? Yes No

If no, go to Question 31

If yes , please choose one of the options below and give details of the visa

I currently hold a valid visa to enter and remain in Vanuatu

Type of Visa

Valid from

I have applied for a visa to enter and remain in Vanuatu

Now go to Question 33

Type of Visa

31 - Will the applicant be travelling with an organised tour (for example a school group)?

Will the infant be travelling with an organised tour ? Yes No

If yes, please specify before going to Question 33

Organised tour

If the applicant is under 18 years of age, is not a member of an organised tour and will not be accompanied by at least one of his or her parents or legal guardians whilst in Vanuatu, the applicant must stay with a person who is at least 18 years old and is a citizen of Vanuatu or the holder of a visa valid for the duration of the applicant's stay. The person nominated below must provide a signed undertaking to provide accommodation, food and care for the applicant during the applicant's stay in Vanuatu which is to be submitted with this visa application form.

32 - Please provide details of the person responsible for the applicant's general welfare below.

Family Name

Date of birth

Given Names

Relationship to applicant

Address in Vanuatu

Contact telephone number (include country and area code if outside Vanuatu)

Is this person either a citizen of Vanuatu or the holder of a visa valid for the duration of the applicant's stay in Vanuatu? Yes No

If Yes : Please specify below (please include visa details if appropriate)

Has this person been convicted of a criminal offence in any country or been charged with an offence that is currently awaiting legal action? Yes No

If yes, please give details

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33 - Declaration

Signature of applicant or parent/ legal guardian

Date

Signature of parent/ legal guardian

Date

34 - Consent to correspond with authorised representative (if applicable)

Through my signature at question 32 above I consent to the Vanuatu Immigration Service corresponding with the following person who is my authorised representative or agent. I understand that this may extend to the provision of personal information about me if relevant to this application.

Name and address of authorised representative

Telephone number

Fax number

E-mail address

Download Section

You can upload your files (passport, picture, etc) now or we will ask you to send them by email

You need to provide :

- A Copy the page with your picture of a valid passport
Note: Passport must be the one you will use on entry to Vanuatu

- Return ticket or evidence of other arranged transport from Vanuatu within 30 days of arrival

Upload your files

Human ?

Online Payment

You can submit the form and we will contact you for the payment.

Application for an Extended Visitor Visa - Done !

Thanks you,

We will contact you after reviewing your application with questions or agreement normally in the next 36 hours.

Best regards,
The Global Immigration Team

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