Türkmenistanyň Päkistan Yslam 4х5

Respublikasyndaky Ilçihanasy
Embassy of Turkmenistan to the Surat
Islamic Republic of Pakistan photo

(to be affixed)
Visa Application Form

1. Familiýasy / Surname:

2. Ady / Name and patronymic:

3. Doglan wagtyndaky familiýasy / Born (previous surname):

4. Doglan wagty (güni-aýy-ýyly) we doglan ýeri / Birth date (date-month-year) and place:

5. Häzirki raýatlygy / 6. Doglan wagtyndaky raýatlygy (ozalky) /

Current citizenship: Native-born citizenship (previous):

7. Jynsy / Sex: 8. Maşgala ýagdaýy / Family status:

Erkek / Male Öýlenmedik (durmuşa çykmadyk) / Single
Aýal / Femal Öýlenen / Married Aýrlyşan / Divorced
Dul / Widow (er) Beýleki / Other
9. Pasportynyň görnüşi / Type of passport:
Milli / International
Diplomatik / Diplomatic
Gulluk / Service
1951 ý. Konwensiýa laýyklykda ýolagçy resminama / Travel documents as per Convention 1951
Beýleki ýolagçy resminama (adyny görkezmeli) / Other travel document (pls. show details):

10. Pasport belgisi / Passport No: 11. Pasporty beren edara / Authority of issuance

12. Berlen senesi / Issue date: 13. Möhleti / Validity

14. Çagalar (pasportda ýazylan görnüşde görkezmeli) /

Children (show as per registered in passport):
Ady / Name: Familiýasy / Surname: Doglan senesi / Date of birth:
1)
2)
3)
15. Wizanyň görnüşi (maksady) / Type of visa (purpose): 16. Wiza / Visa
Diplomatik / Diplomaitc Ýeke şahys /
Gulluk / Service Individual
Biznes / Business
Hususy / Private Topar / Group
Üstaşyr/ Transit
17. Soralýan wiza /Visa is inquired for 18. Wiza _______ gün / aý (lar) üçin soralýar
Bir gezeklik / Single Visa is required for ____________days / month(s)
Iki gezeklik / Double
Üç gezeklik / Triple
Köp gezeklik / Multiple entry
19. Giriş senesi / Entry date: 20. Çykyş senesi / Exit date:
Ulag görnüşi / Type of transport: Ulag görnüşi / Type of transport:
21. Türkmenistana ozalky saparlary / Previous trips to Turkmenistan:
Ýok /No
Hawa (senesini görkezmeli) / Yes (Indicate year and date of visit):

22. Türkmenistanda boljak ýeriniziň adresi / Place of stay in Turkmenistan:

23. Işleýän ýeriňiz we hünäriňiz (wezipäňiz, adresiňiz we telefonyňyz) /

Profession, place of work (position, address and telephone):

Talyplar üçin (ýokary okuw jaýynyň ady we adresi) /

For students (title and address of educational institution):

24. Çagyrýan tarap / Inviting side

1) Ady, atasynyň ady we familiýasy, doglan senesi we ýeri (guramanyň ady) /
First / last name, date & place of birth (name of organization):

2) Adres / Address:
3) Telefon / Telephone:
25. Ýüz tutýanyň saparynyň çykdajylary kim tarapyndan tölenýär /
Who is paying trip and stay expenses of applicant?
Ýüz tutýanyň özi / Applicant
Çagyrýan raýat / Inviting person
Çagyrýan gurama / Inviting organization

26. Saparyň dowamynda ulanjak pul serişdeleri /

Funds for living during stay:
Nagt pul / Cash
Ýolagçy çekleri / Traveler’s cheques
Elektron kredit karta / Credit card
Beýleki / Others

27. Şu arzada tarapymdan görkezilen maglumatlaryň doly we dogrydygyny tassyklaýaryn. Ýalňyş we

nädogry maglumatlaryň görkezilen halatynda wizamyň ýatyryljakdygyny ýa-da oňa garşylyk bildiriljekdigi,
şeýle hem bu ýurdyň janaýat jogapkärçiligine çekiljekdigim barada habarlydygymy belleýärin.
Türkmenistanyň serhedinde ygtyýarly edaralar tarapyndan ýurdyň çäklerine girmeklige garşylyk bilidirilen
halatynda wiza üçin edilen çykdajylary yzyna gaýtarylyp berilmegini soramajakdygyma boýun bolýaryn.
Wizanyň möhletiniň dolmagy sebäpli ýurtdan wagtynda çykjakdygym barada hem borçlanýaryn.

I insure that all data faithfully indicated in this application form are true and complete. I am informed
that false data will be a purpose of rejection or disaffirming of issued visa as well as appealing to
criminal responsibility in accordance with the standards of this state. In case of entry rejection on the
border of Turkmenistan by Competent Body I am pledged for not asking to pay back visa fees and other
expenses. I am pledged to leave the territory of Turkmenistan by termination of visa’s expatriation date.

28.Ýaşaýan ýeriňiziň adresi / Applicant’s residence address: Telefon / Telephone

29. Ýüz tutýanyň goly / Applicant’s Signature:

30. Doldurylan senesi / Filling date:
“____ “ _____________________20