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Personal details

Given name(s)

Surname(s)

Gender

Male

Female

Marital status

Date of birth

Day

Month

Year

Country of birth

Place of birth (city/town/village)

Nationality

Mother's name

E-mail address

Re-enter e-mail address (the two e-mail addresses must match)

Travel details

Type of visa

Date of arrival (dd/mm/yyyy)
If you do not have a ticket, please enter your approximate departure date.

Port of arrival

I accept all terms & conditions (checks all the checkboxes below)

I accept the Terms and Conditions. The price charged may vary and will be provided at the last page (the fee covers the costs of the immigration service). According to art. 9 par. 2 letter a and art. 10 of the General Data Protection Regulation of 27th April 2016 (Official Journal of the European Union UE L 119 of 05/04/2016) I agree to processing the personal data concerning sex, health and information on convictions and violations of law or related security measures for the performance of the contract of visa agency by INTERNATIONAL VISA SERVICE LLC LP.

I consent to receiving, via electronic communication means (email), commercial information from INTERNATIONAL VISA SERVICE sp. z o.o. sp.k. regarding its own services as well as services or goods of its Trusted Partners, in accordance with the Act of 18 July 2002 on the provision of services by electronic means (consolidated text: Journal of Laws of 2020, item 344, as amended), and to the use of telecommunications terminal equipment and automatic calling systems for the purposes of direct marketing or sending commercial information regarding its own services as well as services or goods of its Trusted Partners to my email address, in accordance with the Act of 16 July 2004 - Telecommunications Law (consolidated text: Journal of Laws of 2024, item 34, as amended).

Passport details

Passport number