ARGENTINE REPUBLIC
CONSULAR OFFICE
FSV- -2019-
FSV – VISA APPLICATION FORM
Print the form Fill out by hand up to field # 50 IN BLOCK CAPITALS
► Sign and print name in field # 51
AFFIDAVIT. FALSE INFORMATION WILL DERIVE IN EXPULSION AND RE-ENTRY BAN
1. SURNAME as it appears on the passport 2. NAME AND MIDDLE NAME as they appear on the passport
3. OTHER NAMES OR SURNAMES maiden name, religious name, professional name, alias
4. FATHER surname, names 5. MOTHER surname, names
6. SEX M o F 7. DATE OF BIRTH dd/mm/yyyy 8. PLACE OF BIRTH city, province, country
9. NATIONALITY current (and of origin, if applicable) 10.TYPE AND NUMBER OF LOCAL IDENTITY DOCUMENT OR RESIDENCY CARD
11. LEBANESE FAMILY REGISTER No.
(only in case of Lebanese origin)
12. HOME ADDRESS 13. HOME TELEPHONE NUMBER
14. E-MAIL ADDRESS 15.MOBILE PHONE NUMBER
16. TYPE AND PASSPORT No. 17. COUNTRY AND DATE OF ISSUANCE 18. EXPIRATION DATE
dd/mm/yyyy
19. EMPLOYER 20. WORK TELEPHONE NUMBER
21. MARITAL STATUS 22. OCCUPATION 23. ACTIVITY AND POSITION
24. PURPOSE OF THE TRIP 25. LENGTH OF STAY
26. REFERENCES IN ARGENTINA people, companies, address, email, telephone number
27. PLACE OF STAY IN ARGENTINA address, telephone number
28. DATE OF ARRIVAL IN ARGENTINA dd/mm/yyyy 29. DATE OF DEPARTURE FROM ARGENTINA dd/mm/yyyy
30. SPOUSE surnames, names, nationality, date of birth, will he/she travel with you?
FSV- -2019-
31. CHILDREN surnames, names, nationality, date of birth, will they travel with you?
32. HAVE YOU EVER APPLIED FOR AN ARGENTINE VISA
BEFORE? YES or NO
33. WHEN DID YOU APPLY?
dd/mm/yyyy
34. WHERE DID YOU APPLY?
Country , city
35. DID YOU ENTER WITH
THAT VISA? YES or NO
36.WHEN DID YOU ENTER?
dd/mm/yyyy
37. LENGTH OF THAT STAY 38. PURPOSE OF THAT TRIP
39. DOES A SPOUSE, PARTNER, SIBLING, PARENT, OR RELATIVE RESIDE IN ARGENTINA? who, address, telephone
40. LIST YOUR CITIES OF RESIDENCE FOR THE PAST THREE YEARS INCLUDING DATES, STARTING WITH YOUR CURRENT
PLACE OF RESIDENCE
41. HAVE YOU EVER BEEN DENIED ENTRY OR BANNED
FROM RE-ENTERING ARGENTINA BEFORE? YES or NO
42. HAVE YOU EVER TRIED TO RE-ENTER OR BEEN EXPELLED
FROM ARGENTINA, AVOIDING MIGRATION CHECKS OR THROUGH
UNAUTHORIZED POINTS OR AT UNAUTHORIZED TIMES?
YES or NO
43. HAVE YOU EVER BEEN SENTENCED FOR ARMS TRAFFICKING, HUMAN TRAFFICKING, DRUG TRAFFICKING, MONEY
LAUNDERING, INVESTMENT IN ILLEGAL ACTIVITIES, OR OTHER CRIMES PUNISHABLE BY THREE OR MORE YEARS OF
IMPRISONMENT (EVEN IF YOU WERE LATER GRANTED A PARDON OR AN AMNESTY)? YES or NO
44. HAVE YOU INCURRED OR PARTICIPATED IN ACTS OF GOVERNMENT OR OTHER ACTS , THAT CONSTITUTE GENOCIDE,
WAR CRIMES, ACTS OF TERRORISM OR CRIMES AGAINST HUMANITY, OR IN OTHER ACTIVITIES SUBJECT TO
PROSECUTION BY THE INTERNATIONAL CRIMINAL COURT? YES or NO
45.DO YOU HAVE A CRIMINAL RECORD INVOLVING TERRORIST ACTIVITIES OR MEMBERSHIP IN ORGANIZATIONS
CHARGED WITH CRIMES SUBJECT TO PROSECUTION BY THE INTERNATIONAL CRIMINAL COURT OR UNDER ARGENTINE
ACT 23077 (DEFENCE OF DEMOCRACY ACT)? YES or NO
46. HAVE YOU EVER BEEN SENTENCED IN ARGENTINA OR DO YOU HAVE A CRIMINAL RECORD FOR THE SUBMISSION OF
MATERIALLY FALSE DOCUMENTS OR DOCUMENTS CONTAINING MISREPRESENTATIONS IN ORDER TO OBTAIN, FOR
YOURSELF OR FOR OTHERS, MIGRATION BENEFITS? YES or NO
47. DO YOU PROMOTE OR PROFIT FROM PROSTITUTION? HAVE YOU BEEN SENTENCED OR DO YOU HAVE A CRIMINAL
RECORD FOR PROMOTING OR PROFITING FROM PROSTITUTION, OR FOR CARRYING OUT ACTIVITIES INVOLVING HUMAN
TRAFFICKING OR SEXUAL EXPLOITATION? YES or NO
48. HAVE YOU EVEN BEEN SENTENCED IN ARGENTINA OR DO YOU HAVE A CRIMINAL RECORD FOR PROMOTING OR
FACILITATING THE ILLEGAL ENTRY TO, STAY IN OR DEPARTURE FROM ARGENTINE TERRITORY OF FOREIGNERS?
YES or NO
49. DO YOU BELIEVE YOU MAY BE SUBJECT TO ANY RESTRICTION UNDER ARGENTINE MIGRATION REGULATIONS?
YES or NO
50. CITY AND DATE OF REQUEST 51. APPLICANT'S SIGNATURE AND PRINT NAME
The consular officer will start the visa process when receiving this application form
completed and signed, accompanied by the required supporting documents.
The visa applicant will be previously informed about the required supporting documents.
Before issuing the visa the consular officer may require a personal interview with the solicitor.
FSV- -2019-
Colour Photograph
4x4 cm
White background
Space left only for the consular officer’s use
VISA CATEGORY (PERMANENT, TEMPORARY OR TRANSITORY):
MIGRATORY CRITERION:
VALIDITY OF THE VISA:
AUTHORIZED PERIOD OF STAY:
TYPE OF ENTRY: MULTIPLE OR SINGLE
DECISION OF THE CONSULAR OFFICER:
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