CONSULADO GENERAL ARGENTINO EN NUEVA YORK

ARGENTINE CONSULATE GENERAL IN NEW YORK

SOLICITUD DE VISA - VISA APPLICATION

TRANSITORIA TEMPORARIA PERMANENTE

NONIMMIGRANT VISITOR VISA OTHER NONIMMIGRANT VISA IMMIGRANT VISA

(tourism, business or other purposes (to temporarily work or study) (to live permanently)

if your proposed period of stay does

not exceed 90 days)

APELLIDO(S): ...............................................................................................................................................

APPLICANT LAST NAME(S)

NOMBRES:....................................................................................................................................................

FIRST AND SECOND NAMES

NACIONALIDAD: ...........................................................................................................................................

CITIZENSHIP

PAÍS Y FECHA DE NACIMIENTO:.................................................................................................................

COUNTRY AND DATE OF BIRTH (dd/mm/yy)

ESTADO CIVIL: .............................................................................................................................................

MARITAL STATUS

PROFESIÓN: ................................................................................................................................................

OCCUPATION

LUGAR DONDE TRABAJA: ...........................................................................................................................

EMPLOYER OR SCHOOL (name, address and telephone number)

.......................................................................................................................................................................

LUGAR DE RESIDENCIA HABITUAL: ...........................................................................................................

HOME ADDRESS AND TELEPHONE NUMBER

.......................................................................................................................................................................

TIPO Y NUMERO DE DOCUMENTO DE VIAJE: ..........................................................................................

TRAVEL DOCUMENT TYPE (i.e. passport, reentry permit, refugee travel document, travel certificate) AND NUMBER

LUGAR DE EXPEDICIÓN: .............................................................................................................................

PASSPORT ISSUANCE CITY

FECHA DE EXPEDICIÓN: ............................................... VENCIMIENTO:.............................................

PASSPORT ISSUANCE DATE (dd/mm/yy) PASSPORT EXPIRY DATE (dd/mm/yy)

CLASE DE VISA SOLICITADA: .....................................................................................................................

TYPE OF VISA REQUESTED (visitor visa, non-immigrant temporary visa, immigrant visa)

MOTIVO DEL VIAJE: ....................................................................................................................................

PURPOSE OF YOUR TRIP TO ARGENTINA

REFERENCIAS EN LA REPÚBLICA: ............................................................................................................

REFERENCES IN ARGENTINA (full names, addresses and telephone numbers of your business/school or personal contacts)

.......................................................................................................................................................................

REFERENCIAS EN EL LUGAR DE RESIDENCIA: ........................................................................................

REFERENCES IN THE USA (full names, addresses and telephone numbers of your business/school or personal contacts)

.......................................................................................................................................................................

¿SOLICITO VISA ANTERIORMENTE?: ........................................................................................................

HAVE YOU EVER APPLIED FOR ANY ARGENTINE VISA BEFORE?

¿RESIDIÓ EN ARGENTINA?: .......................................................................................................................

HAVE YOU EVER LIVED IN ARGENTINA? WHEN?

FECHA EN QUE VIAJARÍA: ..........................................................................................................................

PROPOSED DATE OF ARRIVAL

TIEMPO DE PERMANENCIA ESTIMADO EN LA REPÚBLICA: ....................................................................

ESTIMATED LENGTH OF STAY IN ARGENTINA

¿CUENTA CON PASAJE DE REGRESO CON FECHA CIERTA? .................................................................

DO YOU HAVE A RETURN TICKET WITH A CONFIRMED DATE?

LUGAR Y FECHA: ........................................................

PLACE AND DATE

..........................................

FIRMA DEL INTERESADO

APPLICANT SIGNATURE

..........................................

ACLARACIÓN

APPLICANT FULL NAME

__________________________________________________________________________________________________

TO BE USED ONLY BY CONSULAR AUTHORITIES

(Para uso oficial exclusivamente)

OPINIÓN CONSULAR: ..................................................................................................................................

.......................................................................................................................................................................

.........................................................................

FIRMA DEL FUNCIONARIO CONSULAR

Y SELLO ACLARATORIO