Government Entry Waiver Application Form
Please complete this form to apply for a government entry waiver. All fields are required for processing your application.
Full Name
*
First Name
Last Name
Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Nationality / Citizenship
*
Please Select
United States
Canada
United Kingdom
Australia
India
China
Germany
France
Other
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Intended Date of Entry
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Purpose of Entry
*
Please Select
Business
Tourism
Family Visit
Education
Official Government Business
Other
Expected Duration of Stay (in days)
*
Have you previously visited the country?
*
Yes
No
Signature
*
Submit Application
Submit Application
Should be Empty: