| Surname |
|
| Middle Name |
|
| Given Name |
|
| Sex |
|
| Birth Date |
|
| Country / Region of Birth |
|
| Country of Nationality |
|
| Residential Address |
|
Applicant Photo. Upload color photo against white background
(jpg, 3MB max) |
|
| Passport Number |
|
| Passport Issuing Date |
|
| Passport Expiry Date |
|
| Country of Issue |
|
| Upload color scanned copy of the main page of your passport (jpg, 3MB max) |
|
| Entry date to Cambodia |
|
| Point of Entry |
|
| Point of Exit |
|
| Contact Email |
|
| Contact Phone |
|
| Visa Type |
Business Visa Single Entry E-Visa valid for 3 months with 30 days stay (5 Business Days Processing) - £55.00
Tourist Visa Single Entry E-Visa valid for 3 months with 30 days stay (5 Business Days Processing) - £35.00
|
| |
|
| |
| |
I agree to these Terms and Conditions of e-visa services by Visa Center.
|
|
|