Secretaría de Relaciones Exteriores
Esta solicitud es de distribución gratuita
Contacto:
Avenida Ricardo Flores Magón no. 2, piso 3, Col. Guerrero, Delegación Cuauhtémoc,
C.P. 06300, Ciudad de México.
Teléfono: (55) 3686 - 5100
Correo electrónico: [email protected]
Consular Office
Each applicant must fill out their own copy of this form.
TYPE or PRINT in black ink.
Office use only
Notes:
Reference Number
Photo
I. Personal Information
III. Purpose and Information of your Travel
20. Date you plan to travel to Mexico: / / /
DD MM YYYY
21. City/ state of entry:
22. Length of stay in Mexico: Less than 180 days
Between 180 days and 4 years
Definitive
23. Have you visited Mexico before? Yes No
24. Have you ever been ordered to leave Mexico? Yes No
25. If you selected YES, please provide an explanation:
26. What is the purpose of your visit to Mexico?
Visa Application Form
1. Given name(s):
(As shown on passport or travel document)
2. Surname(s):
(As shown on passport or travel document)
4. Sex: Female Male
5. Date of Birth: / / / 6. Age:
DD MM YYYY
7. Country/ territory of birth: 8. Nationality:
9. Passport/ Travel Document Number:
a) Issuing country: b) Date issued: / / /
DD MM YYYY
c) Date of expiry: / / /
DD MM YYYY
Type of Visa (check category that applies):
o
Visitor/ Tourist
o
Long-term Visitor/Tourist
o
Work Visa
o
Visitor conducting adoption
proceedings
o
Student
o
Temporary Residence
o
Permanent Residence
o
Diplomatic
o
Official
o
Service
Passport Type:
Regular Special Laissez-Passer
II. Additional Information
10. Marital status: single married common law
11. Current residential address:
12. Phone number (include area code): 13. E-mail address:
14. Occupation:
15. Company name or institution:
16. Country of residence: 17. Legal migratory status: Yes No
18. Have you ever been convicted of a criminal offence in Mexico/ other country? Yes No
19. If you selected YES, please provide an explanation:
Secretaría de Relaciones Exteriores
Esta solicitud es de distribución gratuita
Contacto:
Avenida Ricardo Flores Magón no. 2, piso 3, Col. Guerrero, Delegación Cuauhtémoc,
C.P. 06300, Ciudad de México.
Teléfono: (55) 3686 - 5100
Correo electrónico: [email protected]
Place:
Date: / /
DD MM YYYY
The information hereby provided/attached is truthful, complete and correct. If an applicant provides false or conceals information, and/or submits
documents that are in any way altered, falsified or obtained through fraudulent means will be denied any visa to enter Mexico, and subsequently
registered in migratory databases.
In accordance to Mexican immigration laws and regulations, a Mexican visa allows a foreign national to arrive at a port of entry and/or migration
checkpoint, and request entry into Mexico. Be advised that holding/ presenting a visa does not guarantee that entry into Mexican territory will be
granted. At the point of entry, Mexico's immigration officers are the only authority that can accept or refuse the entry of any traveller into Mexico,
regardless of whether the traveller has previously attained a visa or is exempt from obtaining one.
The information and supporting documents collected for this application are considered confidential and protected by federal law, as mandated by
Federal Law on Protection of Personal Data Held by Individuals. Further details on this matter are available at http://sre.gob.mx/avisos-de-privacidad.
IV. Minors/ Dependents
Parents or legally-appointed guardians must fill an application form on behalf of their minor children. Forms must be signed by both parents, and person(s) who hold
custody/ legal guardianship. If a visa application is presented by only one parent/guardian, said parent must provide a notarized authorization letter, which demonstrates
that the non-accompanying parent consents to the visa application process on behalf of his/her child/children.
Minors applying on their own, or accompanied by a third party over the age of 18, must provide a letter of consent, signed by both parents and/or person(s) who exercise
custody/ guardianship. It is mandatory to have the letter of consent notarized by a Notary Public or entity legally authorized to provide services in the jurisdiction.
V. List of Supporting Documents Attached to this Application
Date and Place
Parent/ Guardian’s Name and Signature
(Minors/ dependents only)
Applicant’s Name and Signature
Parent/ Guardian’s Name and Signature
(Minors/ dependents only)
Recibió
(Nombre y firma de quien recibe la solicitud)
Entrevistó
(Nombre y firma del funcionario que entrevista)
Capturó
(Nombre y firma de quien captura)
Autorizó
El (la) suscrito(a) hace constar que los documentos anexados a este
expediente han sido validados a mi juicio y, por ello, autorizo.
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