FORM 1: APPLICATION FORM FOR OBTAINING YOUR VISA TELEX CODE
 
(please do not forget to attach a copy of the information pages of your passport and send  it to the e-mail mentioned below )
 
 1.Family name:
 2.Other names:
 3.Father’s name:
 4.Mother’s name:
 5.Date of birth:
 6.Place of birth:
 7.Nationality:
 8.Purpose of stay (i.e. business):
 9.Personal status (i.e. married etc):
 9a.Sex:
   
10.Company name
   
 11. Permanent address :
 City:
 Tel:
 Fax:
 Email:  
 Mobile:
   
   
 12. Country ( where you reside):
 13. Profession:
 14. Religion:
 15. Main destination ( i.e. Tripoli):
   
 16. Address in Libya ( i.e. Which hotel are you planning to stay in)
   
 City:
 Country:
   
   
 17. Date and place of issue:
 18. Expiry date:
 19. Have you visited Libya before ( yes, no):
    a) Date of last entry:
    b) Purpose of visit
   
 I would like to Ametrade Ltd to lodge and collect my Libyan visa
   
  Yes   No
   
 If you answered yes we will be in contact with you for further details
 
  Email: eltex@ametrade.org
  Tel: + 44 (0) 207 700 4857 / +44 (0) 208 529 0202
  Fax: + 44 (0) 207 681 3120

 
 The deadline to return this form is Jan. 15th 2008.
 Please do not forget to attach a copy of your passport

 
 
 
 
ELTEX 2008 Designed By WAHAexpo Co.