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: dgsconsulares@sre.gob.mx
Reference number
Consulate Office located at
Typed or printed letters.
One form per applicant.
Official use only
Observations:
Visa application form
Photo
II. Additional Information
10. Marital status: single married common law
11. Current address:
12. Phone number: 13. Email:
14. Current occupation:
15.
Company or Institution’s name:
16. Country of residence: 17. Legal residence: Yes No
18. Do you have a criminal record in Mexico or any other country: Yes No
19. If the answer is yes, please explain:
III. Information and purpose of the trip
20. Date of entry into Mexico: / /
DD MM YYYY
21. Point of entry:
22. Length of stay: Less than 180 days
More than 180 days and less than 4 years
Definitive
23. Have you ever been to Mexico: Yes No
24. Have you ever been deported from Mexico: Yes No
25. If the answer is yes, please explain:
26. Purpose of visit:
I. Personal Information
1. First (given) name(s): Middle name:
(As it appears in passport)
2. First last name: 3. Second last name: Suffix:
(As it appears in passport)
4. Sex:
Female Male
5. Date of Birth: / / 6. Age:
DD MM YYYY
7. Place of Birth: 8. Nationality:
9.
Passport or travel document number:
a) Country issuing the document: b) Date of issue: / /
DD MM YYYY
c) Expiration day: / /
DD MM YYYY
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Type of Visa (check with an X):
Visitor without authorization for lucrative activities
Visitor without authorization for lucrative activities
(Long Duration)
Visitor with authorization for lucrative activities
Visitor for adoption purposes
Temporary Residents Students
Temporary Residents
Permanent Residents
Diplomatic
Official
Service
Type of Passport (check with an X):
Ordinary Not Ordinary Laissez-Passer
The distribution of this form is free of charge
Austin, Texas, USA
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: dgsconsulares@sre.gob.mx
Place:
Date: / /
DD MM YYYY
In case where the applicant presents altered, apocryphal or fraudulently obtained documents, he/she will be registered on the immigration control lists and the visa to
enter Mexico will be denied.
According to Mexican Law and Regulations, the Mexican visa allows a foreign person to present himself/herself at a point of international transit and, at the Customs
and Revision checkpoint, apply to enter Mexican territory. The bearing of a visa does not guarantee entry to national territory. Admission to Mexico is subject to the
approval of sanitary and immigration authorities at the point of entry, who may verify at all times the fulfillment of the legal requirements for entry.
All personal data collected in the abovementioned process is protected in accordance to the provisions of the General Law for the Protection of Personal Data in
Possession of Obligated Subjects. The comprehensive and simplified privacy notice could be consulted at: http://sre.gob.mx/avisos-de-privacidad.
IV. Minors
In case of children, teenagers or persons who are subject to legal protection under civil law, they must present a Visa Application Form signed by both parents, or
by those exercising parental authority or legal guardianship. If the Visa Application Form is delivered by one of the parents, he/she must present a notarized
authorization form signed by the other parent who authorizes the visa application.
When minors or persons who are subject to legal protection under civil law present the Visa Application Form by themselves, or accompanied by someone
different from their parents or whoever exercises parental authority of legal guardianship, it is mandatory to submit a notarized document in which both parents
or of those who exercise parental authority or legal guardianship, authorize the minor to apply for a Mexican visa.
In case of minors, the application form most be signed by both parents or legal guardians, or those who exercise parental authority.
V. Attached supporting documents
Place and date
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Mother’s signature
(In case of minors)
Applicant’s name and signature
Father’s signature
(In case of minors)
Received
(Receiver’s name and signature)
Interviewed
(Official’s name and signature)
Captured
(Capturist’s name and signature)
Authorized
The undersigned states that the documents attached to this file have been
validated and, therefore, authorized.
1)
2)
3)
4)
5)
The distribution of this form is free of charge