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Srilanka Visa Application Form
Surname/Family Name*
Other/Given Names
Title
Please select
DR
MASTER
MISS
MR
MRS
MS
REV
Date Of Birth
Gender
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Female
Nationality*
Are you fully vaccinated for covid-19?
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Country or Region of Birth
Occupation
Passport Number
Passport Issue Date
Passport Expiry Date
Child information in parent's passport
Child Surname/Name*
Other/Given Names
Date Of Birth
Gender
Select gender
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Female
Relationship
Travel Information
Where you have been during last 14 days before this travel?
Visa Required Days
Intended Arrival Date
Purpose of Visit
Port of Departure
Airline/Vessel
Flight/Vessel Number
Contact Details
Address Line 1
Address Line 2
City
State
Zip/Postal Code
Country or Region
Address in Sri Lanka
Email Address
Telephone Number
Mobile Number
Fax Number
Declaration
Do you have a valid residence visa to Sri Lanka?
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No
Are you currently in Sri Lanka with a valid ETA or obtained an extension of visa? *
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Do you have a multiple entry visa to Sri Lanka? *
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Total payable amount: 4500
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