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 ¦7. Цяперашняе        ¦Калi Вы мянялi грамадзянства(ы), калi ласка,    ¦               ¦Дата звароту        ¦ ¦грамадзянства(ы) /   ¦назавiце грамадзянства(ы), якiя былi ў Вас      ¦               ¦....................¦ ¦Current              ¦раней / If you changed your citizenship(s),     ¦               ¦                    ¦ ¦citizenship(s)       ¦please specify citizenship(s) you held          ¦               ¦Падставы:           ¦ ¦.....................¦previously                                      ¦               ¦   --¬              ¦ ¦                     +------------------------------------------------+---------------+   ¦ ¦сапраўдны     ¦ ¦                     ¦Дата(ы) змены грамадзянства(аў) / Dates of      ¦               ¦   ¦ ¦пашпарт       ¦ ¦                     ¦acquiring a new citizenship(s)                  ¦               ¦   L--              ¦ ¦                     ¦                                                ¦               ¦   --¬              ¦ +---------------------+-------+---------------------+------------------+---------------+   ¦ ¦вiзавая       ¦ ¦8. Тып пашпарта / Type of    ¦9. Нумар пашпарта /  ¦10. Дата выдачы / Date of issue   ¦   ¦ ¦падтрымка     ¦ ¦passport                     ¦                     +--T---+---T---+-----T-----+---T---+   L--              ¦ ¦                             ¦Passport number      ¦  ¦   ¦   ¦   ¦     ¦     ¦   ¦   ¦   --¬              ¦ ¦ ----¬                       ¦                     +--+---+---+---+-----+-----+---+---+   ¦ ¦фiнансавыя    ¦ ¦ ¦   ¦звычайны / ordinary    ¦                     ¦(day / month / year)              ¦   ¦ ¦сродкi        ¦ ¦ ¦----                       ¦                     ¦                                  ¦   L--              ¦ ¦ ----¬                       +---------------------+                                  ¦   --¬              ¦ ¦ ¦   ¦дыпламатычны /         ¦11. Кiм выдадзены /  ¦                                  ¦   ¦ ¦страхоўка     ¦ ¦ ¦----                       ¦                     +----------------------------------+   L--              ¦ ¦  diplomatic                 ¦Issuing authority    ¦12. Тэрмiн дзеяння / Valid until  ¦                    ¦ ¦ ----¬                       ¦                     +--T---+---T---+-----T-----+---T---+   --¬              ¦ ¦ ¦   ¦службовы / оfficial    ¦                     ¦  ¦   ¦   ¦   ¦     ¦     ¦   ¦   ¦   ¦ ¦iнтэрв'ю      ¦ ¦ ¦----                       +---------------------+--+---+---+---+-----+-----+---+---+   L--              ¦ ¦                             ¦13. Дзе выдадзены /  ¦(day / month / year)              ¦Рашэнне па звароту: ¦ ¦ ----¬                       ¦                     ¦                                  ¦   --¬              ¦ ¦ ¦   ¦iншы дакумент / other  ¦Place of issue       ¦                                  ¦   ¦ ¦станоўчае     ¦ ¦ ¦----                       ¦                     ¦                                  ¦   L--              ¦ ¦  document                   ¦                     ¦                                  ¦   --¬              ¦ ¦  ...........................¦                     ¦                                  ¦   ¦ ¦адмоўнае      ¦ ¦                             ¦                     ¦                                  ¦   L--              ¦ ¦                             ¦                     ¦                                  ¦Тып вiзы:           ¦ +---------------------+-------+---------------------+----------------------------------+   --¬              ¦ ¦14. Месца працы /    ¦Займаемая пасада / Position.....................................¦   ¦ ¦B             ¦ ¦Place of work        ¦работадаўца / employer..........................................¦   L--              ¦ ¦                     ¦                                                                ¦   --¬              ¦ ¦                     ¦                                                                ¦   ¦ ¦C             ¦ +---------------------+----------------------------------------------------------------+   L--              ¦ ¦15. Службовы адрас / ¦дом / house.................... вулiца / street.................¦                    ¦ ¦                     ¦                                                                ¦   --¬              ¦ ¦Work address         ¦горад (населены пункт) / city (town)............................¦   ¦ ¦D             ¦ ¦                     ¦                                                                ¦   L--              ¦ ¦                     ¦раён (вобласць) / region............. краiна / country..........¦                    ¦ ¦                     ¦тэлефон / phone.................. e-mail........................¦Кратнасць вiзы:     ¦ ¦                     ¦                                                                ¦   --¬              ¦ ¦                     ¦                                                                ¦   ¦ ¦1             ¦ +---------------------+-------------------------+----------+---------------------------+   L--              ¦ ¦16. Тып вiзы /       ¦   --¬транзiтная /       ¦17. Вiза  ¦                           ¦                    ¦ ¦                     ¦   ¦ ¦transit            ¦/         ¦                           ¦                    ¦ ¦                     ¦   L--                   ¦          ¦ ----¬                     ¦   --¬              ¦ ¦Type of visa         ¦                         ¦Visa      ¦ ¦   ¦групавая / group     ¦   ¦ ¦2             ¦ ¦requested            ¦                         ¦          ¦ ¦   ¦                     ¦   ¦ ¦              ¦ ¦                     ¦   --¬                   ¦          ¦ ¦----                     ¦   L--              ¦ ¦                     ¦   ¦ ¦кароткачасовая /   ¦          ¦                           ¦                    ¦ ¦                     ¦   L--                   ¦          ¦ ----¬                     ¦   --¬              ¦ ¦                     ¦      short-term         ¦          ¦ ¦   ¦iндывiдуальная /     ¦   ¦ ¦шм            ¦ ¦                     ¦   --¬                   ¦          ¦ ¦----                     ¦   L--              ¦ ¦                     ¦   ¦ ¦доўгатэрмiновая /  ¦          ¦      individual           ¦Мэта вiзiту         ¦ ¦                     ¦   L--                   ¦          ¦                           ¦   --¬              ¦ ¦                     ¦      long-term          ¦          ¦                           ¦   ¦ ¦без права     ¦ +---------------------+-------------------------+----------+---------------------------+   L--              ¦ ¦18. Колькасць уездаў ¦   --¬аднаразовая /      ¦19. Тэрмiн знаходжання / Period       ¦      працы па      ¦ ¦/ Number of entries  ¦   ¦ ¦single             ¦of stay requested.....................¦      найме         ¦ ¦requested            ¦   L--                   ¦сутак / days                          ¦                    ¦ ¦                     ¦   --¬                   ¦                                      ¦                    ¦ ¦                     ¦   ¦ ¦двухразовая /      ¦                                      ¦                    ¦ ¦                     ¦   ¦ ¦double             ¦                                      ¦                    ¦ ¦                     ¦   L--                   ¦                                      ¦   --¬              ¦ ¦                     ¦                         ¦                                      ¦   ¦ ¦гуманiтарная  ¦ ¦                     ¦   --¬                   ¦                                      ¦   L--              ¦ ¦                     ¦   ¦ ¦шматразовая /      ¦                                      ¦                    ¦ ¦                     ¦   L--                   ¦                                      ¦   --¬              ¦ ¦                     ¦      multiple           ¦                                      ¦   ¦ ¦дыпламатычная ¦ +---------------------+-----+---T---T-T-T-T-T---+---+----T-T---+---T-----+---T---+---T-+   L--              ¦ ¦20. Тэрмiн дзеяння   ¦з /  ¦   ¦   ¦ ¦ ¦ ¦ ¦   ¦   ¦па /¦ ¦   ¦   ¦     ¦   ¦   ¦   ¦ ¦                    ¦ ¦                     ¦     +---+---+-+-+-+-+---+---+    +-+---+---+-----+---+---+---+-+   --¬              ¦ ¦вiзы / Visa          ¦from ¦(day / month / year)   ¦till¦(day / month / year)         ¦   ¦ ¦з правам      ¦ ¦requested            ¦     ¦                       ¦    ¦                             ¦   ¦ ¦працы па      ¦ ¦                     ¦     ¦                       ¦    ¦                             ¦   L--              ¦ ¦                     ¦     ¦                       ¦    ¦                             ¦      найме         ¦ +---------------------+-----+---------------------T-+----+-----------------------------+   --¬              ¦ ¦21. Назва запрашаючай арганiзацыi або iмя        ¦                                    ¦   ¦ ¦наведванне    ¦ ¦запрашаючай асобы / Name of inviting             ¦                                    ¦   ¦ ¦месцаў        ¦ ¦organisation or person                           ¦                                    ¦   L--              ¦ ¦                                                 ¦                                    ¦      пахавання     ¦ ¦                                                 ¦                                    ¦                    ¦ ¦                                                 ¦                                    ¦   --¬              ¦ ¦                                                 ¦                                    ¦   ¦ ¦на сталае     ¦ ¦                                                 ¦                                    ¦   ¦ ¦жыхарства     ¦ ¦                                                 ¦                                    ¦   L--              ¦ ¦                                                 ¦                                    ¦                    ¦ +---------------------+---------------------------+------------------------------------+   --¬              ¦ ¦22. Адрас            ¦дом (кватэра) / house (apartment)............ вулiца /          ¦   ¦ ¦прыватная     ¦ ¦запрашаючай          ¦street..........................................................¦   L--              ¦ ¦арганiзацыi або      ¦                                                                ¦                    ¦ ¦асобы / Address of   ¦горад (населены пункт) / city (town)............................¦   --¬              ¦ ¦inviting organisation¦                                                                ¦   ¦ ¦рэлiгiйная    ¦ ¦or person            ¦раён (вобласць)/ region.........................................¦   ¦ ¦дзейнасць     ¦ ¦                     ¦                                                                ¦   L--              ¦ ¦                     ¦тэлефон / phone..................... e-mail.....................¦   --¬              ¦ ¦                     ¦                                                                ¦   ¦ ¦службовая     ¦ +---------------------+----------------------------------------------------------------+   L--              ¦ ¦23. Адрас            ¦дом (кватэра) / house (apartment)............ вулiца /          ¦                    ¦ ¦знаходжання ў        ¦street..........................................................¦                    ¦ ¦Беларусi / Address   ¦                                                                ¦   --¬              ¦ ¦of stay in Belarus   ¦горад (населены пункт) / city (town)............................¦   ¦ ¦транзiт       ¦ ¦                     ¦                                                                ¦   L--              ¦ ¦                     ¦раён (вобласць) / region........................................¦                    ¦ ¦                     ¦                                                                ¦   --¬              ¦ ¦                     ¦гасцiнiца / hotel...............................................¦   ¦ ¦турызм        ¦ ¦                     ¦                                                                ¦   L--              ¦ +---------------------+----------------------------------------------------------------+   --¬              ¦ ¦24. Мэта вiзiту      ¦                                                                ¦   ¦ ¦у мэтах       ¦ ¦                     ¦                                                                ¦   ¦ ¦вучобы        ¦ ¦                     ¦                                                                ¦   L--              ¦ ¦(падрабязна)         ¦                                                                ¦                    ¦ ¦                     ¦                                                                ¦   --¬              ¦ ¦Purpose of visit     ¦                                                                ¦   ¦ ¦удзел у       ¦ ¦                     ¦                                                                ¦   ¦ ¦спартыўных /  ¦ ¦(in details)         ¦                                                                ¦   L--              ¦ ¦                     ¦                                                                ¦      культурных    ¦ ¦                     ¦                                                                ¦                    ¦ ¦                     ¦                                                                ¦      мерапрыемствах¦ ¦                     ¦                                                                ¦                    ¦ +---------------------+----------------------------------------------------------------+                    ¦ ¦25. Дамашнi адрас/   ¦дом (кватэра) / house (apartment).............. вулiца /        ¦                    ¦ ¦                     ¦street..........................................................¦                    ¦ ¦Home address         ¦горад (населены пункт) / city (town)............................¦Сапраўдная          ¦ ¦                     ¦раён (вобласць) / region..................... краiна /          ¦з ..............    ¦ ¦                     ¦country.........................................................¦па ..........       ¦ ¦                     ¦тэлефон / phone...................... e-mail....................¦Вiза N BLR          ¦ ¦                     ¦                                                                ¦..................  ¦ +---------------------+-------------------------------+--------------------------------+--------------------+ ¦26. Цi былi Вы раней у Рэспублiцы Беларусь / Have    ¦калi / when..........................................¦ ¦you ever been to the Republic of Belarus             ¦дзе / where..........................................¦ ¦     --¬                     ----¬                   ¦                                                     ¦ ¦     ¦ ¦так / yes            ¦   ¦не / no            ¦                                                     ¦ ¦     L--                     ¦----                   ¦                                                     ¦ ¦Калi так, вызначце тэрмiн, месцы i мэту апошняга     ¦з якой мэтай / purpose of visit......................¦ ¦вiзiту / If yes, please specify dates, places and    ¦                                                     ¦ ¦purpose of your previous visit                       ¦                                                     ¦ +-----------------------------------------------------+-----------------------------------------------------+ ¦27. Папярэднiя вiзiты ў Рэспублiку Беларусь (на працягу бягучага году) / Previous visits to the Republic   ¦ ¦of Belarus (within a current year)                                                                         ¦ ¦                                                                                                           ¦ +-----------------------------------------------------------------------------------------------------------+ ¦28. Цi было Вам калi-небудзь адмоўлена ў беларускай вiзе альбо вiза была анулявана / Have you ever been    ¦ ¦refused a Belarusian visa or your visa was cancelled                                                       ¦ ¦     --¬       ----¬                                                                                       ¦ ¦     ¦ ¦не /   ¦   ¦так / yes     калi / when .............................................................¦ ¦     ¦ ¦no     ¦   ¦                                                                                       ¦ ¦     L--       ¦----                                                                                       ¦ +-----------------------------------------------------------------------------------------------------------+ ¦29. Цi падпадалi Вы падчас ранейшага знаходжання на тэрыторыi Рэспублiкi Беларусь пад адказнасць за        ¦ ¦парушэнне беларускага заканадаўства / Have you ever been charged with violating the Belarusian law while   ¦ ¦in Belarus?                                                                                                ¦ ¦     --¬       ----¬                                                                                       ¦ ¦     ¦ ¦не /   ¦   ¦так / yes     калi / when..............................................................¦ ¦     ¦ ¦no     ¦   ¦              дзе / where..............................................................¦ ¦     L--       ¦----                                                                                       ¦ ¦Станоўчы адказ на пытанне не вядзе да абавязковай адмовы ў выдачы вiзы, аднак у гэтым выпадку пажадана     ¦ ¦Ваша асабiстая прысутнасць з мэтай правядзення iнтэрв'ю з консульскiм работнiкам / Positive answer will    ¦ ¦not necessarily lead to the rejection of a visa request, but in this case your presence is required for an ¦ ¦interview with a consular officer                                                                          ¦ +-----------------------------------------------------+-----------------------------------------------------+ ¦30. Цi былi Вы калi-небудзь дэпартаваны з якой-      ¦                                                     ¦ ¦небудзь краiны / Have you ever been deported from    ¦калi / when..........................................¦ ¦any country                                          ¦з якой краiны / which country........................¦ ¦     --¬       ----¬                                 ¦                                                     ¦ ¦     ¦ ¦не /   ¦   ¦так / yes                        ¦                                                     ¦ ¦     ¦ ¦no     ¦   ¦                                 ¦                                                     ¦ ¦     L--       ¦----                                 ¦                                                     ¦ +-----------------------------------------------------+--------------------------+--------------------------+ ¦31. Транспартны сродак, якi прадугледжаны для ўезду ў Рэспублiку Беларусь /     ¦32. Mаршрут руху /        ¦ ¦Means of transport available for your travel to the Republic of Belarus         ¦Itinerary                 ¦ +-----------------------------------------------------+--------------------------+--------------------------+ ¦33. Сродкi да iснавання падчас знаходжання ў         ¦34. Медыцынская страхавая арганiзацыя / Medical      ¦ ¦Рэспублiцы Беларусь / Means available for stay in    ¦insurance organisation                               ¦ ¦the Republic of Belarus                              ¦.....................................................¦ ¦                                                     ¦нумар страхавога полiса / insurance policy           ¦ ¦ ----¬                     ----¬                     ¦number...............................................¦ ¦ ¦   ¦наяўныя сродкi /     ¦   ¦крэдытныя карткi /   ¦                                                     ¦ ¦ ¦----                     ¦----                     ¦тэрмiн дзеяння страхавога полiса /                   ¦ ¦  cash                      credit cards             ¦insurance certificate valid until....................¦ ¦ ----¬                     ----¬                     ¦                                                     ¦ ¦ ¦   ¦дарожныя чэкi /      ¦   ¦бiлеты / tickets     ¦                                                     ¦ ¦ ¦----                     ¦----                     ¦                                                     ¦ ¦  travel cheques                                     ¦                                                     ¦ ¦ ----¬                                               ¦                                                     ¦ ¦ ¦   ¦пражыванне /                                   ¦                                                     ¦ ¦ ¦----                                               ¦                                                     ¦ ¦  accommodation                                      ¦                                                     ¦ +---------------------------+---T---+-----------------+----------------+---T--------------------------------+ ¦35. Сямейнае               ¦   ¦   ¦знаходжуся ў шлюбе / married      ¦   ¦разведзены(а) / divorced        ¦ ¦становiшча / Marital       ¦   ¦----                                  ¦----                                ¦ ¦status                     ¦   ----¬                                  ----¬                                ¦ ¦                           ¦   ¦   ¦не знаходжуся ў шлюбе / single    ¦   ¦удавец (удава) / widow(er)      ¦ ¦                           ¦   ¦----                                  ¦----                                ¦ +---------------------------+-------------------------+-----------------------------------------------------+ ¦36. Прозвiшча мужа (жонкi) / Spouse's family name    ¦37. Папярэднiя прозвiшчы мужа (жонкi) / Spouse's     ¦ ¦                                                     ¦previous name                                        ¦ +---------------------------+-------------------------+--------------------------+--------------------------+ ¦38. Iмя (iмёны) мужа       ¦39. Грамадзянства мужа   ¦40. Дата нараджэння мужа  ¦41. Месца нараджэння мужа ¦ ¦(жонкi) / Spouse's first   ¦(жонкi) / Spouse's       ¦(жонкi) / Spouse's date   ¦(жонкi) / Spouse's place  ¦ ¦and other names            ¦citizenship              ¦of birth                  ¦of birth                  ¦ ¦                           ¦                         +--T-T-T---+---T---+---T---+                          ¦ ¦                           ¦                         ¦  ¦ ¦ ¦   ¦   ¦   ¦   ¦   ¦                          ¦ ¦                           ¦                         +--+-+-+---+---+---+---+---+                          ¦ ¦                           ¦                         ¦(day / month / year)      ¦                          ¦ +---------------------------+-------------------------+--------------------------+--------------------------+ ¦42. Калi Вас суправаджаюць дзецi i яны ўнесены ў Ваш пашпарт, запоўнiце таблiцу / If you are accompanied   ¦ ¦by children and they are included in your passport fill in the table below                                 ¦ +---------------------------+----------------------------------------------------+--------------------------+ ¦Прозвiшча / Family name    ¦Iмя / Name                                          ¦Дата i месца нараджэння / ¦ ¦                           ¦                                                    ¦Date and place of birth   ¦ +---------------------------+----------------------------------------------------+--------------------------+ ¦                           ¦                                                    ¦                          ¦ +---------------------------+----------------------------------------------------+--------------------------+ ¦                           ¦                                                    ¦                          ¦ +---------------------------+----------------------------------------------------+--------------------------+ ¦                           ¦                                                    ¦                          ¦ +---------------------------+----------------------------------------------------+--------------------------+ ¦43. Дэкларацыя: я заяўляю, што iнфармацыя, якая змешчана ў гэтай анкеце, з'яўляецца дакладнай i            ¦ ¦праўдзiвай. Я ведаю, што паведамленне непраўдзiвых звестак альбо адмаўленне ад прадстаўлення неабходных    ¦ ¦дакументаў можа служыць падставай для адмовы ва ўездзе ў Рэспублiку Беларусь. Я таксама папярэджаны, што,  ¦ ¦калi гэтая iнфармацыя будзе прызнана недакладнай, вiза можа быць анулявана ў любы момант. Я абавязуюся па  ¦ ¦прыбыццi ў Рэспублiку Беларусь ва ўстаноўленым парадку аформiць рэгiстрацыю i пакiнуць яе тэрыторыю да     ¦ ¦заканчэння тэрмiну дзеяння вiзы.                                                                           ¦ ¦Declaration: I declare that information in this application is true and correct. I am aware that any false ¦ ¦statements or refusal to submit the necessary documents may lead to rejection in entrance to the Republic  ¦ ¦of Belarus. I am also warned that if this information is found to be incorrect, the visa may be cancelled  ¦ ¦at any time. Upon arrival to the Republic of Belarus I will register according to the established          ¦ ¦procedure and leave the territory of the Republic of Belarus before my visa expires.                       ¦ +-----------------------------------------------------+-----------------------------------------------------+ ¦44. Асабiсты подпiс / Signature                      ¦45. Дата запаўнення / Date                           ¦ ¦                                                     ¦                                                     ¦ ¦-----------------------------------------------------+------------------------------------------------------ 
 
 Приложение 12 к Инструкции о порядке выдачи виз Республики Беларусь иностранным гражданам и лицам без гражданства 
 
         APPLICATION FOR ENTRANCE TO THE REPUBLIC OF BELARUS                             (ATTACHMENT) 
 
 -----------------------------------------------------------------------------------¬ ¦Family name.......................................................................¦ ¦First name........................................................................¦ ¦Other names (if any)..............................................................¦ +-----------------+----------------------------------------------------------------+ ¦                 ¦          --¬        --¬           --¬                          ¦ ¦Education        ¦elementary¦ ¦    high¦ ¦     higher¦ ¦                          ¦ ¦                 ¦          L--        L--           L--                          ¦ ¦                 ¦Academic institution............................................¦ ¦                 ¦Academic degree and specialization..............................¦ +-----------------+----------------------------------------------------------------+ ¦Date you took up your current employment..........................................¦ ¦Previous occupation...............................................................¦ ¦Date when you left your previous employment.......................................¦ ¦Annual primary income in the last 3 years.........................................¦ +-----------------+----------------------------------------------------------------+ ¦                 ¦Citizenship.....................................................¦ ¦Information about¦Occupation......................................................¦ ¦spouse           ¦Position........................................................¦ ¦                 ¦Employer........................................................¦ ¦                 +----------------------------------------------------------------+ ¦                 ¦Business address of spouse                                      ¦ ¦                 +------------------------------------------+---------------------+ ¦                 ¦house (apartment).........................¦Business phone       ¦ ¦                 ¦street....................................¦No.                  ¦ ¦                 ¦city / town...............................¦                     ¦ ¦                 ¦region....................................¦                     ¦ ¦                 ¦country...................................¦                     ¦ +-----------------+---------------+----------+---------------+---------------------+ ¦Children         ¦Family name    ¦First name¦Date and place ¦Citizenship          ¦ ¦                 ¦               ¦          ¦of birth       ¦                     ¦ ¦                 +---------------+----------+---------------+---------------------+ ¦                 ¦               ¦          ¦               ¦                     ¦ +-----------------+---------------+----------+---------------+---------------------+ ¦Have you ever done military service?        ¦                                     ¦ ¦       ---¬    -----¬                       ¦                                     ¦ ¦yes    ¦  ¦no  ¦    ¦                       ¦                                     ¦ ¦       ¦---    ¦-----                       ¦                                     ¦ ¦if yes, please specify country, arm,        ¦                                     ¦ ¦military rank and position, speciality and  ¦                                     ¦ ¦dates of your military service              ¦                                     ¦ +--------------------------------------------+-------------------------------------+ ¦Have you ever taken part in a military      ¦                                     ¦ ¦conflict?                                   ¦                                     ¦ ¦Have you ever been a victim of a military   ¦                                     ¦ ¦conflict?                                   ¦                                     ¦ ¦       ---¬    -----¬                       ¦                                     ¦ ¦yes    ¦  ¦no  ¦    ¦                       ¦                                     ¦ ¦       ¦---    ¦-----                       ¦                                     ¦ ¦if yes, please clarify in details           ¦                                     ¦ +--------------------------------------------+-------------------------------------+ ¦Do you have real estate (house, apartment,  ¦                                     ¦ ¦other property) abroad?                     ¦                                     ¦ ¦       ---¬    -----¬                       ¦                                     ¦ ¦yes    ¦  ¦no  ¦    ¦                       ¦                                     ¦ ¦       ¦---    ¦-----                       ¦                                     ¦ ¦if yes, please clarify in details           ¦                                     ¦ +--------------------------------------------+-------------------------------------+ ¦Do you have real estate (house, apartment,  ¦                                     ¦ ¦other property) in the Republic of Belarus? ¦                                     ¦ ¦Are you a founder of any firm or enterprise ¦                                     ¦ ¦officially registered in the Republic of    ¦                                     ¦ ¦Belarus?                                    ¦                                     ¦ ¦       ---¬    -----¬                       ¦                                     ¦ ¦yes    ¦  ¦no  ¦    ¦                       ¦                                     ¦ ¦       ¦---    ¦-----                       ¦                                     ¦ ¦if yes, please clarify in details           ¦                                     ¦ +--------------------------------------------+-------------------------------------+ ¦Do you have relatives living in the Republic¦                                     ¦ ¦of Belarus?                                 ¦                                     ¦ ¦       ---¬    -----¬                       ¦                                     ¦ ¦yes    ¦  ¦no  ¦    ¦                       ¦                                     ¦ ¦       ¦---    ¦-----                       ¦                                     ¦ ¦if yes, please clarify in details           ¦                                     ¦ +--------------------------------------------+-------------------------------------+ ¦Have you ever applied for the CIS countries ¦                                     ¦ ¦residence permit?                           ¦                                     ¦ ¦       ---¬    -----¬                       ¦                                     ¦ ¦yes    ¦  ¦no  ¦    ¦                       ¦                                     ¦ ¦       ¦---    ¦-----                       ¦                                     ¦ ¦if yes, please clarify in details           ¦                                     ¦ +--------------------------------------------+-------------------------------------+ ¦Do you have any infectious diseases?        ¦                                     ¦ ¦       ---¬    -----¬                       ¦                                     ¦ ¦yes    ¦  ¦no  ¦    ¦                       ¦                                     ¦ ¦       ¦---    ¦-----                       ¦                                     ¦ ¦if yes, please clarify in details           ¦                                     ¦ +--------------------------------------------+-------------------------------------+ ¦Do you have relatives living in European    ¦                                     ¦ ¦countries?                                  ¦                                     ¦ ¦       ---¬    -----¬                       ¦                                     ¦ ¦yes    ¦  ¦no  ¦    ¦                       ¦                                     ¦ ¦       ¦---    ¦-----                       ¦                                     ¦ ¦if yes, please clarify in details           ¦                                     ¦ +--------------------------------------------+-------------------------------------+ ¦Your journey's itinerary, places you are    ¦                                     ¦ ¦going to visit                              ¦                                     ¦ +--------------------------------------------+-------------------------------------+ ¦How are you planning to leave the Republic  ¦                                     ¦ ¦of Belarus?                                 ¦                                     ¦ ¦Do you have transport or travel tickets to  ¦                                     ¦ ¦the country of your nationality, permanent  ¦                                     ¦ ¦residence or the third country?             ¦                                     ¦ +---------------------------------+----------+-------------------------------------+ ¦Who will pay for your travel and ¦myself --¬inviting    --¬                       ¦ ¦stay in the Republic of Belarus? ¦       ¦ ¦side        ¦ ¦                       ¦ ¦                                 ¦       L--            L--                       ¦ ¦                                 ¦                      --¬                       ¦ ¦                                 ¦other persons,        ¦ ¦.......................¦ ¦                                 ¦organisations         ¦ ¦                       ¦ ¦                                 ¦                      L--                       ¦ +------------+-----T---+----------+------------------------------------------------+ ¦What        ¦cash ¦   ¦...........................................................¦ ¦financial   ¦     ¦----                                                           ¦ ¦means do you¦traveller's cheques, credit cards etc. ..............................¦ ¦have to     ¦                ---¬                                                 ¦ ¦sustain you ¦travel vouchers ¦  ¦.................................................¦ ¦while in    ¦                ¦---                                                 ¦ ¦Belarus?    ¦letter of guarantee of an inviting organisation to cover the costs   ¦ ¦            ¦of your stay in the Republic of Belarus ---¬                         ¦ ¦            ¦                                        ¦  ¦.........................¦ ¦            ¦                                        ¦---                         ¦ +------------+---------------------------------------------------------------------+ ¦If you apply for business visa, please answer also the following questions:       ¦ +--------------------------------------------+-------------------------------------+ ¦What particular arrangements have you       ¦                                     ¦ ¦already fulfilled with inviting side        ¦                                     ¦ ¦(Belarusian enterprises, companies,         ¦                                     ¦ ¦organisations)?                             ¦                                     ¦ +--------------------------------------------+-------------------------------------+ ¦What purposes do you have in mind during    ¦                                     ¦ ¦your travel to fulfill agreements made with ¦                                     ¦ ¦Belarusian organisations, enterprises?      ¦                                     ¦ +--------------------------------------------+-------------------------------------+ ¦Declaration: I hereby declare that information mentioned in this application is   ¦ ¦true and correct. I am also warned that if information is found to be incorrect,  ¦ ¦the visa may be cancelled at any time. Upon arrival to the Republic of Belarus I  ¦ ¦will register according to the established procedure and leave the territory of   ¦ ¦the Republic of Belarus before my visa expires.                                   ¦ +---------------------+----------------------+------+------+-----T----+-----T------+ ¦Signature            ¦Date of application   ¦      ¦      ¦     ¦    ¦     ¦      ¦ +---------------------+----------------------+------+------+-----+----+-----+------+ ¦Foreigners and stateless persons visiting Belarus should submit their passports   ¦ ¦within a period of 3 working days (excepting holidays) to the competent           ¦ ¦authorities specially authorized to implement registration procedure.             ¦ ¦----------------------------------------------------------------------------------- 
 
 
 
 
 
 
 
 
 
 Приложение 13 к Инструкции о порядке выдачи виз Республики Беларусь иностранным гражданам и лицам без гражданства 
 
          Наименование загранучреждения Республики Беларусь 
 
                                         Министерство иностранных дел                                         Республики Беларусь                                         Консульское управление 
 
                                 ВИЗА Об отказе в выдаче визы / О заявке на визу 
 
      В __________________________________ поступила заявка на выдачу          (название загранучреждения) ____________________________ на въезд в Республику Беларусь в период         (тип визы) с ______ по ______ следующего иностранного гражданина, приглашенного ____________________________________________________________________                  (указывается приглашающая сторона) ____________________________________________________________________       (фамилия, имя), год рождения, номер документа для выезда                       за границу, гражданство)      В списке значится: ____________________________________________________________________       (фамилия, имя, год рождения, номер документа для выезда                       за границу, гражданство)      В  визе  отказано  / Просим согласовать возможность выдачи визы упомянутому гражданину. ____________________________________       _________________________ (должность консульского сотрудника)           (инициалы, фамилия) 
 
 
 
 
 
 
 
 
 
 Приложение 14 к Инструкции о порядке выдачи виз 
 
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