Fillable NE APPLICATION FOR EXTENSION OF VISIT VISA Application

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NE APPLICATION FOR EXTENSION OF VISIT VISA Application

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The NE APPLICATION FOR EXTENSION OF VISIT VISA Application form is 2 pages long and contains:

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  • 13 check-boxes
  • 73 other fields

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Application No
1. Details Of Passport
i. Passport No ii. Place of issue
Day Month Year Day Month Year
iii. Date of issue iv. Date of expiry
2. Name in full as
Shown in passport
3. Nationality
4. Gender i. Male ii. Female
Day Month Year
5. Date of Birth
i. Place of Birth
ii. Country
6. Occupation
7. Civil status
i. Single
ii. Married iii. Divorced iv. Widowed
8. If Married Sri Lankan
i. Full Name of Spouse
ii. Passport Number ii. Personal ID Number
9. Address in the
Country of Domicile
10. Address in Sri Lanka
11. Contact Details
i. Telephone Number ii. Mobile
iii. Fax
iv. E-Mail
Day Month Year
12. Date of arrival
Day Month Year
13. Date of expiry of visa /
landing Endorsement
14. Extension of visa Months
Required for
PHOTOGRAPH
SRI LANKA IMMIGRATION AND EMIGRATION
APPLICATION FOR EXTENSION OF VISIT VISA
NE
15. Exchange brought in
i. Type of currency
ii. Amount
iii. Amount cashed
v. Credit card available
Yes
No
16. Details of previous visit to Sri Lanka within immediate six months if any,
i. Date of arrivals ii. Date of departure iii. Duration
iv. Total
17. Whether you are in possession of a return ticket Yes No
18. Reasons for extension
i. Holiday
ii. Visit Relations
iii. Business
iv. Other , Specify
v.
Documents annexed in support to the above reason
1
2
3
4
I hereby declare that to the best of my knowledge and belief the foregoing statements are true, that I shall not engage myself in any employment
paid or unpaid , or in any business or trade on arrival or during my stay in Sri Lanka and that I shall leave Sri Lanka before the date of expiry of
the period of my authorized stay. I also undertake to notify the Controller of Immigration & Emigration, Colombo, immediately any change of
my address, while in Sri Lanka, occurs.
…………………………………………….……
Signature of applicant & Date
D/A D/E Cashed RT
Remarks
Visa Fee (Rs)
Tax (Rs)
Penalty (Rs)
Amount (Rs)
Date
Processing Officer
For Controller General/Controller/Deputy Controller /Assistant
Controller
FOR OFFICE USE ONLY
NOTE
,
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NE APPLICATION FOR EXTENSION OF VISIT VISA Application

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Completed 3 March 2022

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