CONSULATE GENERAL OF SAINT LUCIA
800 SECOND AVENUE, 9TH FLOOR
NEW YORK, NY 10017

VISA APPLICATION FORM

NAME ___________________________________________________
ADDRESS ___________________________________________________
PHONE No. ___________________________________________________
LENGTH OF STAY AT ABOVE ADDRESS ___________________________________________________
CITIZEN OF ______________ PASSPORT NO ____________________
DATE & PLACE OF ISSUE ___________________________________________________
LENGTH OF VISIT ___________________________________________________
PURPOSE OF VISIT ___________________________________________________
INTENDED ADDRESS ___________________________________________________
DO YOU KNOW ANYONE IN SAINT LUCIA ___________________________________________________
ADDRESS ___________________________________________________

_______________________                  __________________________
   Signature of Applicant                                           Date

FOR OFFICIAL USE ONLY


Visa No.__________  Date Issued:_____________________

Copy of ticket /letter from Travel Agent________________

Date of Departure: ______________ Return:___________________

Fee Paid/Gratis___________

Issuing Officer: _______________________ Date: _______________________

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