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1.Personal Details

*First Name

*Surname

*Email

Maiden Name (If applicable)

*Sex

Femaie

Male

Unspecified

*Date of Birth

*Place of Birth

*Country of Birth

*Nationality

*National Identification Number

2. Contact Details

*Email Address

*Permanent Address

*Present Address

Street Name

Apartment/House number

City where you were born

Work phone number Work

*Home phone numberHome

*Mobile phone number

Fax

3. Employment Details

*Occupation

* No. of Years Employed

Employer’s Name

*Employer Address

Employer Number

*Former OccupationIf employed for less than 5 years in present occupation

*No. of Years Employed

Previous Employer Nmae

*Previous Employer Address

Previous Employer Number

Employment Letter

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4. Family Details

*Father’s Full Name

*Father’s Nationality

*Mother’s Full Name

*Mother’s Nationality

*Marital Status

Single

Married

Divored

Widowed

Separated

Common Law

Spouse’s NameEven if divorced or separated, include maiden name.

Spouse’s Date of Birth

*Is your spouse traveling with you?

Yes

List full names of dependents(If traveling with you)

Relationship to Applicant

In Case of Emergency Contact

Emergency contact name

Emergency contact telephone number

Emergency contact address

Emergency contact apartment/house number

Are any of the following persons in The Bahamas Choose Relative and their Residential Status

Father

Work Permit

Resident

Home Owner

Permanent

Citizen

Mother

Work Permit

Resident

Home Owner

Permanent

Citizen

Spouse

Work Permit

Resident

Home Owner

Permanent

Citizen

Siblings

Work Permit

Resident

Home Owner

Permanent

Citizen

Children

Work Permit

Resident

Home Owner

Permanent

Citizen

None

5. Passport Details

*Passport Number

Date Issued

*Place and Country of Issue

Date Expired

Passport Upload

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6. Travel Information

*Are you staying in a Hotel?

Name of the Person/Hotel of stay

Address of Person/Hotel of stay

The Person/Hotels telephone number

The Person/Hotel email address

Your intended length of stay(the amount of days)

Your Date of arrival

Who is paying for your trip to The Bahamas?

How much money is available to you?

Your bank reference letter

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8.Criminal Details

*Do you have any criminal convictions?

Yes

Please Provide Description of Offense if convicted

Date of Offense if convicted

Place of Offense if convicted

Penalty of Offenseif convicted

*Have you ever been involved in the commission, preparation organisation or support of act of terrorism, either within or outside The Bahamas or have you ever been a member of any organisation which has been involved or advocated terrorism? if yes, please give details

Police Certificate

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9. Additional Details

*Have you ever visited The Bahamas?

Yes

If yes what is the date of your last visit

*Have you ever applied for a Bahamian Visa?If yes, when and where

If you have what date did you apply and where?

Was your visa ever granted or denied?

*Have you ever been deported, remanded or required to leave The Bahamas?If yes, briefly explain why

10. Declaration of Applicant

I certify that I have read and understood all the questions in this application and the answers I have given are true and correct to the best of my knowledge and belief. I understand the possession of a visa does NOT automatically entitle one to enter The Bahamas at a port of entry

Signature of person preparing form

Date (dd/mm/yyyy)

*Signature of Applicant:

*Date (dd/mm/yyyy)

Terms and Conditions

1 All fees are non-refundable.
2 The issuance of an Electronic Entry Visa does not automatically qualify you for entry into the Bahamas.
3 Upon entry, all persons must present the passport used to apply for the visa and the ELECTRONIC ENTRY VISA to the immigration officer on arrival in the Bahamas.
4 Bahamas Immigration reserves the right to accept or deny entry into any port of entry into Bahamas.

I agree to the terms above.

Signature

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1.Personal Details

2. Contact Details

3. Employment Details

4. Family Details

In Case of Emergency Contact

5. Passport Details

6. Travel Information

8.Criminal Details

9. Additional Details

10. Declaration of Applicant

Terms and Conditions

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