Cliquez ICI pour obtenir votre eVisa Tanzanie Officiel
(Tanzania Mainland / Zanzibar)
|
|
Toggle navigation
Qu'est ce que AVE
Demande AVE
Pays Membre
FAQ
Avantages AVE
Nos Services
Contact
Demande d'eVisa Touristique pour la Tanzanie
Demande d'autorisation de voyage électronique pour visiter la Tanzanie
Ce formulaire est à remplir sur la page ci-dessous. Toute erreur sera irréversible après paiement car votre demande sera d'ores et déjà en cours de traitement.
Informations personnelles
Prénom
*
Nom de jeune fille
Nom de famille
Sexe
Homme
Femme
État matrimonial actuel
*
Si vous êtes séparé, marié en instance de divorce, veuillez remplir marié
--
Célibataire
Marié
Divorcé
Veuf
Date et Lieu de naissance
Date de naissance
*
Jour
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Mois
Janvier
Février
Mars
Avril
Mai
Juin
Juillet
Août
Septembre
Octobre
Novembre
Décembre
Année
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Pays
*
--
AFGHANISTAN
ALAND ISLANDS
ALBANIA
ALGERIA
ANDORRA
ANGOLA
ANGUILLA
ANTARTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BAKER ISLAND
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BONAIRE, SINT EUSTATIUS AND SABA
BOSNIA AND HERZEGOWINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO, DEMOCRATIC REPUBLIC (ZAIRE)
CONGO, PEOPLE'S REPUBLIC
COOK ISLANDS
COSTA RICA
COTE D'IVOIRE
CROATIA (HRVATSKA)
CUBA
CURACAO
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
EAST TIMOR
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN AND ANTARCTIC LANDS
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD AND MCDONALD ISLANDS
HOLY SEE (VATICAN CITY STATE)
HONDURAS
HONG KONG
HOWLAND ISLAND
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLIC)
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JARVIS ISLAND
JERSEY
JOHNSTON ATOLL
JORDAN
KAZAKHSTAN
KENYA
KINGMAN REEF
KIRIBATI
KOREA, DEMOCRATIC PEOPLE'S REPUBLIC
KOREA, REPUBLIC OF
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MACEDONIA, FORMER YUGOSLAV REPUBLIC
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MAN, ISLE OF
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA, FEDERATED STATES
MIDWAY ISLANDS
MOLDOVA, REPUBLIC
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NAVASSA ISLAND
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINIAN TERRITORY, OCCUPIED
PALMYRA ATOLL
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
REUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT BARTHELEMY
SAINT HELENA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT MARTIN
SAINT PIERRE AND MIQUELON
SAINT VINCENT & GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SINT MAARTEN (DUTCH PART)
SLOVAKIA (SLOVAK REPUBLIC)
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA & SOUTH SANDWICH ISLANDS
SOUTH SUDAN
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD & JAN MAYEN ISLANDS
SWAZILAND
SWEDEN
SWITZERLAND
SYRIA
TAIWAN
TAJIKISTAN
TANZANIA, THE UNITED REPUBLIC
THAILAND
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIETNAM
VIRGIN ISLANDS (BRITISH)
VIRGIN ISLANDS (U.S.)
WAKE ISLAND
WALLIS AND FUTUNA ISLANDS
WESTERN SAHARA
YEMEN
YUGOSLAVIA
ZAMBIA
ZIMBABWE
Ville
*
Nationalité
Nationalité indiqué sur votre passeport
*
--
AFGHANISTAN
ALAND ISLANDS
ALBANIA
ALGERIA
ANDORRA
ANGOLA
ANGUILLA
ANTARTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BAKER ISLAND
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BONAIRE, SINT EUSTATIUS AND SABA
BOSNIA AND HERZEGOWINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO, DEMOCRATIC REPUBLIC (ZAIRE)
CONGO, PEOPLE'S REPUBLIC
COOK ISLANDS
COSTA RICA
COTE D'IVOIRE
CROATIA (HRVATSKA)
CUBA
CURACAO
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
EAST TIMOR
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN AND ANTARCTIC LANDS
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD AND MCDONALD ISLANDS
HOLY SEE (VATICAN CITY STATE)
HONDURAS
HONG KONG
HOWLAND ISLAND
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLIC)
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JARVIS ISLAND
JERSEY
JOHNSTON ATOLL
JORDAN
KAZAKHSTAN
KENYA
KINGMAN REEF
KIRIBATI
KOREA, DEMOCRATIC PEOPLE'S REPUBLIC
KOREA, REPUBLIC OF
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MACEDONIA, FORMER YUGOSLAV REPUBLIC
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MAN, ISLE OF
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA, FEDERATED STATES
MIDWAY ISLANDS
MOLDOVA, REPUBLIC
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NAVASSA ISLAND
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINIAN TERRITORY, OCCUPIED
PALMYRA ATOLL
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
REUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT BARTHELEMY
SAINT HELENA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT MARTIN
SAINT PIERRE AND MIQUELON
SAINT VINCENT & GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SINT MAARTEN (DUTCH PART)
SLOVAKIA (SLOVAK REPUBLIC)
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA & SOUTH SANDWICH ISLANDS
SOUTH SUDAN
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD & JAN MAYEN ISLANDS
SWAZILAND
SWEDEN
SWITZERLAND
SYRIA
TAIWAN
TAJIKISTAN
TANZANIA, THE UNITED REPUBLIC
THAILAND
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIETNAM
VIRGIN ISLANDS (BRITISH)
VIRGIN ISLANDS (U.S.)
WAKE ISLAND
WALLIS AND FUTUNA ISLANDS
WESTERN SAHARA
YEMEN
YUGOSLAVIA
ZAMBIA
ZIMBABWE
Citoyennetés supplémentaires
*
Oui
Non
Indiquez les pays / territoires dont vous étes citoyen.
--
AFGHANISTAN
ALAND ISLANDS
ALBANIA
ALGERIA
ANDORRA
ANGOLA
ANGUILLA
ANTARTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BAKER ISLAND
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BONAIRE, SINT EUSTATIUS AND SABA
BOSNIA AND HERZEGOWINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO, DEMOCRATIC REPUBLIC (ZAIRE)
CONGO, PEOPLE'S REPUBLIC
COOK ISLANDS
COSTA RICA
COTE D'IVOIRE
CROATIA (HRVATSKA)
CUBA
CURACAO
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
EAST TIMOR
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN AND ANTARCTIC LANDS
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD AND MCDONALD ISLANDS
HOLY SEE (VATICAN CITY STATE)
HONDURAS
HONG KONG
HOWLAND ISLAND
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLIC)
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JARVIS ISLAND
JERSEY
JOHNSTON ATOLL
JORDAN
KAZAKHSTAN
KENYA
KINGMAN REEF
KIRIBATI
KOREA, DEMOCRATIC PEOPLE'S REPUBLIC
KOREA, REPUBLIC OF
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MACEDONIA, FORMER YUGOSLAV REPUBLIC
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MAN, ISLE OF
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA, FEDERATED STATES
MIDWAY ISLANDS
MOLDOVA, REPUBLIC
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NAVASSA ISLAND
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINIAN TERRITORY, OCCUPIED
PALMYRA ATOLL
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
REUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT BARTHELEMY
SAINT HELENA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT MARTIN
SAINT PIERRE AND MIQUELON
SAINT VINCENT & GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SINT MAARTEN (DUTCH PART)
SLOVAKIA (SLOVAK REPUBLIC)
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA & SOUTH SANDWICH ISLANDS
SOUTH SUDAN
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD & JAN MAYEN ISLANDS
SWAZILAND
SWEDEN
SWITZERLAND
SYRIA
TAIWAN
TAJIKISTAN
TANZANIA, THE UNITED REPUBLIC
THAILAND
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIETNAM
VIRGIN ISLANDS (BRITISH)
VIRGIN ISLANDS (U.S.)
WAKE ISLAND
WALLIS AND FUTUNA ISLANDS
WESTERN SAHARA
YEMEN
YUGOSLAVIA
ZAMBIA
ZIMBABWE
Coordonnées
N ° de telephone
N ° de portable
*
Email
*
Adresse du domicile
Adresse
*
Ville
*
Pays
*
--
AFGHANISTAN
ALAND ISLANDS
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BAKER ISLAND
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BONAIRE, SINT EUSTATIUS AND SABA
BOSNIA AND HERZEGOWINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO, DEMOCRATIC REPUBLIC (ZAIRE)
CONGO, PEOPLE'S REPUBLIC
COOK ISLANDS
COSTA RICA
COTE D'IVOIRE
CROATIA (HRVATSKA)
CUBA
CURACAO
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
EAST TIMOR
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN AND ANTARCTIC LANDS
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD AND MCDONALD ISLANDS
HOLY SEE (VATICAN CITY STATE)
HONDURAS
HONG KONG
HOWLAND ISLAND
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLIC)
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JARVIS ISLAND
JERSEY
JOHNSTON ATOLL
JORDAN
KAZAKHSTAN
KENYA
KINGMAN REEF
KIRIBATI
KOREA, DEMOCRATIC PEOPLE'S REPUBLIC
KOREA, REPUBLIC OF
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MACEDONIA, FORMER YUGOSLAV REPUBLIC
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MAN, ISLE OF
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA, FEDERATED STATES
MIDWAY ISLANDS
MOLDOVA, REPUBLIC
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NAVASSA ISLAND
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINIAN TERRITORY, OCCUPIED
PALMYRA ATOLL
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
REUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT BARTHELEMY
SAINT HELENA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT MARTIN
SAINT PIERRE AND MIQUELON
SAINT VINCENT & GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SINT MAARTEN (DUTCH PART)
SLOVAKIA (SLOVAK REPUBLIC)
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA & SOUTH SANDWICH ISLANDS
SOUTH SUDAN
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD & JAN MAYEN ISLANDS
SWAZILAND
SWEDEN
SWITZERLAND
SYRIA
TAIWAN
TAJIKISTAN
TANZANIA, THE UNITED REPUBLIC
THAILAND
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES MINOR OUTLYING ISLANDS
UNITED STATES OF AMERICA
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIETNAM
VIRGIN ISLANDS (BRITISH)
VIRGIN ISLANDS (U.S.)
WAKE ISLAND
WALLIS AND FUTUNA ISLANDS
WESTERN SAHARA
YEMEN
YUGOSLAVIA
ZAMBIA
ZIMBABWE
Est-ce que vous effectuez votre demande depuis votre pays de résidence ?
*
Oui
Non
Merci de nous spécifier l’adresse, la ville et le pays actuelle.
Adresse
*
Ville
*
Pays
*
--
AFGHANISTAN
ALAND ISLANDS
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BAKER ISLAND
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BONAIRE, SINT EUSTATIUS AND SABA
BOSNIA AND HERZEGOWINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO, DEMOCRATIC REPUBLIC (ZAIRE)
CONGO, PEOPLE'S REPUBLIC
COOK ISLANDS
COSTA RICA
COTE D'IVOIRE
CROATIA (HRVATSKA)
CUBA
CURACAO
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
EAST TIMOR
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN AND ANTARCTIC LANDS
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD AND MCDONALD ISLANDS
HOLY SEE (VATICAN CITY STATE)
HONDURAS
HONG KONG
HOWLAND ISLAND
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLIC)
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JARVIS ISLAND
JERSEY
JOHNSTON ATOLL
JORDAN
KAZAKHSTAN
KENYA
KINGMAN REEF
KIRIBATI
KOREA, DEMOCRATIC PEOPLE'S REPUBLIC
KOREA, REPUBLIC OF
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MACEDONIA, FORMER YUGOSLAV REPUBLIC
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MAN, ISLE OF
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA, FEDERATED STATES
MIDWAY ISLANDS
MOLDOVA, REPUBLIC
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NAVASSA ISLAND
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINIAN TERRITORY, OCCUPIED
PALMYRA ATOLL
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
REUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT BARTHELEMY
SAINT HELENA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT MARTIN
SAINT PIERRE AND MIQUELON
SAINT VINCENT & GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SINT MAARTEN (DUTCH PART)
SLOVAKIA (SLOVAK REPUBLIC)
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA & SOUTH SANDWICH ISLANDS
SOUTH SUDAN
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD & JAN MAYEN ISLANDS
SWAZILAND
SWEDEN
SWITZERLAND
SYRIA
TAIWAN
TAJIKISTAN
TANZANIA, THE UNITED REPUBLIC
THAILAND
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES MINOR OUTLYING ISLANDS
UNITED STATES OF AMERICA
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIETNAM
VIRGIN ISLANDS (BRITISH)
VIRGIN ISLANDS (U.S.)
WAKE ISLAND
WALLIS AND FUTUNA ISLANDS
WESTERN SAHARA
YEMEN
YUGOSLAVIA
ZAMBIA
ZIMBABWE
Renseignements sur l’Emploi
Statut d’emploi
*
--
Employé
Travailleur indépendant
Sans emploi
Nom de l'employeur
*
Profession
*
Information Passeport
Type de passeport
*
--
Passeport
Autres
Numéro de passeport
*
Pays ayant délivré le passeport
*
--
AFGHANISTAN
ALAND ISLANDS
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTARTICA
ANTIGUA AND BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BAKER ISLAND
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BONAIRE, SINT EUSTATIUS AND SABA
BOSNIA AND HERZEGOWINA
BOTSWANA
BOUVET ISLAND
BRAZIL
BRITISH INDIAN OCEAN TERRITORY
BRUNEI DARUSSALAM
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHILE
CHINA
CHRISTMAS ISLAND
COCOS (KEELING) ISLANDS
COLOMBIA
COMOROS
CONGO, DEMOCRATIC REPUBLIC (ZAIRE)
CONGO, PEOPLE'S REPUBLIC
COOK ISLANDS
COSTA RICA
COTE D'IVOIRE
CROATIA (HRVATSKA)
CUBA
CURACAO
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
EAST TIMOR
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS (MALVINAS)
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN AND ANTARCTIC LANDS
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUERNSEY
GUINEA
GUINEA-BISSAU
GUYANA
HAITI
HEARD AND MCDONALD ISLANDS
HOLY SEE (VATICAN CITY STATE)
HONDURAS
HONG KONG
HOWLAND ISLAND
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN (ISLAMIC REPUBLIC)
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JARVIS ISLAND
JERSEY
JOHNSTON ATOLL
JORDAN
KAZAKHSTAN
KENYA
KINGMAN REEF
KIRIBATI
KOREA, DEMOCRATIC PEOPLE'S REPUBLIC
KOREA, REPUBLIC OF
KUWAIT
KYRGYZSTAN
LAO PEOPLE'S DEMOCRATIC REPUBLIC
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYAN ARAB JAMAHIRIYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MACEDONIA, FORMER YUGOSLAV REPUBLIC
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALI
MALTA
MAN, ISLE OF
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MICRONESIA, FEDERATED STATES
MIDWAY ISLANDS
MOLDOVA, REPUBLIC
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NAVASSA ISLAND
NEPAL
NETHERLANDS
NETHERLANDS ANTILLES
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORTHERN MARIANA ISLANDS
NORWAY
OMAN
PAKISTAN
PALAU
PALESTINIAN TERRITORY, OCCUPIED
PALMYRA ATOLL
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
PITCAIRN
POLAND
PORTUGAL
PUERTO RICO
QATAR
REUNION
ROMANIA
RUSSIAN FEDERATION
RWANDA
SAINT BARTHELEMY
SAINT HELENA
SAINT KITTS AND NEVIS
SAINT LUCIA
SAINT MARTIN
SAINT PIERRE AND MIQUELON
SAINT VINCENT & GRENADINES
SAMOA
SAN MARINO
SAO TOME AND PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SINT MAARTEN (DUTCH PART)
SLOVAKIA (SLOVAK REPUBLIC)
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SOUTH GEORGIA & SOUTH SANDWICH ISLANDS
SOUTH SUDAN
SPAIN
SRI LANKA
SUDAN
SURINAME
SVALBARD & JAN MAYEN ISLANDS
SWAZILAND
SWEDEN
SWITZERLAND
SYRIA
TAIWAN
TAJIKISTAN
TANZANIA, THE UNITED REPUBLIC
THAILAND
TOGO
TOKELAU
TONGA
TRINIDAD AND TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS AND CAICOS ISLANDS
TUVALU
UGANDA
UKRAINE
UNITED ARAB EMIRATES
UNITED KINGDOM
UNITED STATES MINOR OUTLYING ISLANDS
UNITED STATES OF AMERICA
URUGUAY
UZBEKISTAN
VANUATU
VENEZUELA
VIETNAM
VIRGIN ISLANDS (BRITISH)
VIRGIN ISLANDS (U.S.)
WAKE ISLAND
WALLIS AND FUTUNA ISLANDS
WESTERN SAHARA
YEMEN
YUGOSLAVIA
ZAMBIA
ZIMBABWE
Lieu de délivrance
*
Date de délivrance du passeport
*
Jour
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Mois
Janvier
Février
Mars
Avril
Mai
Juin
Juillet
Août
Septembre
Octobre
Novembre
Décembre
Année
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Date d’expiration du passeport
*
Jour
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Mois
Janvier
Février
Mars
Avril
Mai
Juin
Juillet
Août
Septembre
Octobre
Novembre
Décembre
Année
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
2051
2052
2053
2054
2055
2056
2057
2058
2059
2060
2061
2062
2063
2064
2065
2066
2067
2068
2069
2070
2071
2072
2073
2074
2075
2076
2077
2078
2079
Informations sur votre père
Nom
*
Prénom
*
Nationalité
*
--
AFGHAN
ALAND ISLANDER
ALBANIAN
ALGERIAN
AMERICAN
AMERICAN SAMOAN
ANDORRAN
ANGOLAN
ANGUILLAN
ANTARTICAN
ANTIGUAN, BARBUDAN
ARGENTINE
ARMENIAN
ARUBAN, DUTCH
AUSTRALIAN
AUSTRIAN
AZERIS, AZERBAIJANI
BAHAMIAN
BAHRAINI
BAKER ISLANDER
BANGLADESHI
BARBADIAN, BAJAN
BASOTHO
BELARUSIAN
BELGIAN
BELIZEAN
BENINESE
BERMUDIAN
BHUTANESE
BOLIVIAN
BOSNIAN, HERZEGOVINIAN
BOUVET ISLANDER
BRAZILIAN
BRITH VIRGIN ISLANDER
BRITISH
BRUNEIAN
BULGARIAN
BURKINABE
BURMESE
BURUNDIAN
CAMBODIAN
CAMEROONIAN
CANADIAN
CAPE VERDEAN
CAYMANIAN
CENTRAL AFRICAN
CHADIAN
CHANNEL ISLANDER
CHANNEL ISLANDER
CHILEAN
CHINESE
CHINESE
CHINESE, HONG KONG
CHRISTMAS ISLANDER
COCOS ISLANDER
COLOMBIAN
COMORAN
CONGOLESE, CONGO
CONGOLESE, CONGO
COOK ISLANDER
COSTA RICAN
CROATIAN
CUBAN
CURACAOAN
CYPRIOT
CZECH
DANISH
DJIBOUTIAN
DOMINICAN
DOMINICAN
DUTCH
DUTCH ANTILLEAN
ECUADORIAN
EGYPTIAN
EMIRATI
EQUATORIAL GUINEAN, EQUATOGUINEAN
ERITREAN
ESTONIAN
ETHIOPIAN
FALKLAND ISLAND
FAROESE
FIJIAN
FINNISH
FRENCH
FRENCH
FRENCH
FRENCH GUIANAN
FRENCH POLYNESIAN
GABONESE
GAMBIAN
GEORGIAN
GERMAN
GHANAIAN
GIBRALTAR
GREEK
GREENLANDIC
GRENADIAN
GUADELOUPEAN
GUAMANIAN
GUATEMALAN
GUINEAN
GUINEAN
GUYANESE
HAITIAN
HEARD AND MCDONALD ISLANDSER
HONDURAN
HOWLAND
HUNGARIAN
ICELANDIC
I-KIRIBATI
INDIAN
INDONESIAN
IRANIAN
IRAQI
IRISH
ISRAELI
ITALIAN
IVOIRIAN
JAMAICAN
JAPANESE
JARVIS
JOHNSTON
JORDANIAN
KAZAKHSTANI
KENYAN
KINGMAN
KITTITIAN, NEVISIAN
KOREAN
KOREAN
KUWAITI
KYRGYZSTANI
LAO, LAOTIAN
LATVIAN
LEBANESE
LIBERIAN
LIECHTENSTEIN
LITHUANIAN
LUXEMBOURG
LYBYAN
MACEDONIAN
MAHORAN
MALAGASY
MALAWIAN
MALAYSIAN
MALDIVIAN
MALIAN
MALTESE
MANX
MARSHALLESE
MAURITANIAN
MAURITIAN
MAURITIAN
MEXICAN
MICRONESIAN, CHUUKESE, KOSRAEN, POHNPEIAN, YAPESE
MIDWAY
MOLDOVAN
MONEGASQUE, MONACAN
MONGOLIAN
MONTENEGRAN
MONTSERRATIAN
MOROCCAN
MOTSWANA, BATSWANA
MOZAMBICAN
NAMIBIAN
NAURUAN
NAVASSA
NEPALESE
NEW CALEDONIAN
NEW ZEALAND
NICARAGUAN
NIEUAN
NIGERIAN
NIGERIEN
NI-VANUATU
NORFOLK ISLANDER
NORTHERN MARIANA ISLANDER
NORWEGIAN
OF BONAIRE, SINT EUSTATIUS AND SABA
OF SAINT BARTHELEMY
OF SAINT MARTIN
OF SVALBARD, OF JAN MAYEN
OF THE VATICAN
OMANI
PAKISTANI
PALAUAN
PALESTINIAN
PALMYRA
PANAMIAN
PAPUA NEW GUINEAN
PARAGUAYAN
PERUVIAN
PHILIPPINE
PITCAIRN ISLANDER
POLISH
PORTUGAIS
PUERTO RICAN
QATARI
REUNION
ROMANIAN
RUSSIAN
RWANDAN
SAHRAWI, SAHRAWIAN, SAHRAOUIAN
SAINT HELENIAN
SAINT LUCIAN
SAINT VINCENTIAN, VINCENTIAN
SALVADORAN
SAMMARINESE
SAMOAN
SAO TOMEAN
SAUDI, SAUDI ARABIAN
SENEGALESE
SERBIAN
SEYCHELLOIS
SIERRA LEONEAN
SINGAPOREAN
SINT MAARTENER
SLOVAK
SLOVENIAN
SOLOMON ISLANDER
SOMALI
SOUTH AFRICAN
SOUTH GEORGIA & SOUTH SANDWICH ISLANDS
SOUTH SUDANESE
SPANISH
SRI LANKAN
SUDANESE
SURINAMESE
SWAZI
SWEDISH
SWISS
SYRIAN
TAIWAN
TAJIKISTANI
TANZANIAN
THAI
TIMORESE
TOGOLESE
TOKELAUAN
TONGAN
TRINIDADIAN, TOBAGONIAN
TUNISIAN
TURKISH
TURKMENISTANI
TURKS AND CAICOS ISLANDER
TUVALUAN
UGANDAN
UKRAINIAN
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAYAN
UZBEKISTANI
VENEZUELAN
VIETNAMESE
VIRGIN ISLANDER
VIRGIN ISLANDER
WAKE ISLAND
WALLISIAN, FUTUNAN, FUTUNA ISLANDER
YEMENI
YUGOSLAVIA
ZAMBIAN
ZIMBABWEAN
Informations sur votre mère
Nom
*
Prénom
*
Nationalité
*
--
AFGHAN
ALAND ISLANDER
ALBANIAN
ALGERIAN
AMERICAN
AMERICAN SAMOAN
ANDORRAN
ANGOLAN
ANGUILLAN
ANTARTICAN
ANTIGUAN, BARBUDAN
ARGENTINE
ARMENIAN
ARUBAN, DUTCH
AUSTRALIAN
AUSTRIAN
AZERIS, AZERBAIJANI
BAHAMIAN
BAHRAINI
BAKER ISLANDER
BANGLADESHI
BARBADIAN, BAJAN
BASOTHO
BELARUSIAN
BELGIAN
BELIZEAN
BENINESE
BERMUDIAN
BHUTANESE
BOLIVIAN
BOSNIAN, HERZEGOVINIAN
BOUVET ISLANDER
BRAZILIAN
BRITH VIRGIN ISLANDER
BRITISH
BRUNEIAN
BULGARIAN
BURKINABE
BURMESE
BURUNDIAN
CAMBODIAN
CAMEROONIAN
CANADIAN
CAPE VERDEAN
CAYMANIAN
CENTRAL AFRICAN
CHADIAN
CHANNEL ISLANDER
CHANNEL ISLANDER
CHILEAN
CHINESE
CHINESE
CHINESE, HONG KONG
CHRISTMAS ISLANDER
COCOS ISLANDER
COLOMBIAN
COMORAN
CONGOLESE, CONGO
CONGOLESE, CONGO
COOK ISLANDER
COSTA RICAN
CROATIAN
CUBAN
CURACAOAN
CYPRIOT
CZECH
DANISH
DJIBOUTIAN
DOMINICAN
DOMINICAN
DUTCH
DUTCH ANTILLEAN
ECUADORIAN
EGYPTIAN
EMIRATI
EQUATORIAL GUINEAN, EQUATOGUINEAN
ERITREAN
ESTONIAN
ETHIOPIAN
FALKLAND ISLAND
FAROESE
FIJIAN
FINNISH
FRENCH
FRENCH
FRENCH
FRENCH GUIANAN
FRENCH POLYNESIAN
GABONESE
GAMBIAN
GEORGIAN
GERMAN
GHANAIAN
GIBRALTAR
GREEK
GREENLANDIC
GRENADIAN
GUADELOUPEAN
GUAMANIAN
GUATEMALAN
GUINEAN
GUINEAN
GUYANESE
HAITIAN
HEARD AND MCDONALD ISLANDSER
HONDURAN
HOWLAND
HUNGARIAN
ICELANDIC
I-KIRIBATI
INDIAN
INDONESIAN
IRANIAN
IRAQI
IRISH
ISRAELI
ITALIAN
IVOIRIAN
JAMAICAN
JAPANESE
JARVIS
JOHNSTON
JORDANIAN
KAZAKHSTANI
KENYAN
KINGMAN
KITTITIAN, NEVISIAN
KOREAN
KOREAN
KUWAITI
KYRGYZSTANI
LAO, LAOTIAN
LATVIAN
LEBANESE
LIBERIAN
LIECHTENSTEIN
LITHUANIAN
LUXEMBOURG
LYBYAN
MACEDONIAN
MAHORAN
MALAGASY
MALAWIAN
MALAYSIAN
MALDIVIAN
MALIAN
MALTESE
MANX
MARSHALLESE
MAURITANIAN
MAURITIAN
MAURITIAN
MEXICAN
MICRONESIAN, CHUUKESE, KOSRAEN, POHNPEIAN, YAPESE
MIDWAY
MOLDOVAN
MONEGASQUE, MONACAN
MONGOLIAN
MONTENEGRAN
MONTSERRATIAN
MOROCCAN
MOTSWANA, BATSWANA
MOZAMBICAN
NAMIBIAN
NAURUAN
NAVASSA
NEPALESE
NEW CALEDONIAN
NEW ZEALAND
NICARAGUAN
NIEUAN
NIGERIAN
NIGERIEN
NI-VANUATU
NORFOLK ISLANDER
NORTHERN MARIANA ISLANDER
NORWEGIAN
OF BONAIRE, SINT EUSTATIUS AND SABA
OF SAINT BARTHELEMY
OF SAINT MARTIN
OF SVALBARD, OF JAN MAYEN
OF THE VATICAN
OMANI
PAKISTANI
PALAUAN
PALESTINIAN
PALMYRA
PANAMIAN
PAPUA NEW GUINEAN
PARAGUAYAN
PERUVIAN
PHILIPPINE
PITCAIRN ISLANDER
POLISH
PORTUGAIS
PUERTO RICAN
QATARI
REUNION
ROMANIAN
RUSSIAN
RWANDAN
SAHRAWI, SAHRAWIAN, SAHRAOUIAN
SAINT HELENIAN
SAINT LUCIAN
SAINT VINCENTIAN, VINCENTIAN
SALVADORAN
SAMMARINESE
SAMOAN
SAO TOMEAN
SAUDI, SAUDI ARABIAN
SENEGALESE
SERBIAN
SEYCHELLOIS
SIERRA LEONEAN
SINGAPOREAN
SINT MAARTENER
SLOVAK
SLOVENIAN
SOLOMON ISLANDER
SOMALI
SOUTH AFRICAN
SOUTH GEORGIA & SOUTH SANDWICH ISLANDS
SOUTH SUDANESE
SPANISH
SRI LANKAN
SUDANESE
SURINAMESE
SWAZI
SWEDISH
SWISS
SYRIAN
TAIWAN
TAJIKISTANI
TANZANIAN
THAI
TIMORESE
TOGOLESE
TOKELAUAN
TONGAN
TRINIDADIAN, TOBAGONIAN
TUNISIAN
TURKISH
TURKMENISTANI
TURKS AND CAICOS ISLANDER
TUVALUAN
UGANDAN
UKRAINIAN
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAYAN
UZBEKISTANI
VENEZUELAN
VIETNAMESE
VIRGIN ISLANDER
VIRGIN ISLANDER
WAKE ISLAND
WALLISIAN, FUTUNAN, FUTUNA ISLANDER
YEMENI
YUGOSLAVIA
ZAMBIAN
ZIMBABWEAN
Informations sur votre représentant
Nom
*
Prénom
*
Nationalité
*
--
AFGHAN
ALAND ISLANDER
ALBANIAN
ALGERIAN
AMERICAN
AMERICAN SAMOAN
ANDORRAN
ANGOLAN
ANGUILLAN
ANTARTICAN
ANTIGUAN, BARBUDAN
ARGENTINE
ARMENIAN
ARUBAN, DUTCH
AUSTRALIAN
AUSTRIAN
AZERIS, AZERBAIJANI
BAHAMIAN
BAHRAINI
BAKER ISLANDER
BANGLADESHI
BARBADIAN, BAJAN
BASOTHO
BELARUSIAN
BELGIAN
BELIZEAN
BENINESE
BERMUDIAN
BHUTANESE
BOLIVIAN
BOSNIAN, HERZEGOVINIAN
BOUVET ISLANDER
BRAZILIAN
BRITH VIRGIN ISLANDER
BRITISH
BRUNEIAN
BULGARIAN
BURKINABE
BURMESE
BURUNDIAN
CAMBODIAN
CAMEROONIAN
CANADIAN
CAPE VERDEAN
CAYMANIAN
CENTRAL AFRICAN
CHADIAN
CHANNEL ISLANDER
CHANNEL ISLANDER
CHILEAN
CHINESE
CHINESE
CHINESE, HONG KONG
CHRISTMAS ISLANDER
COCOS ISLANDER
COLOMBIAN
COMORAN
CONGOLESE, CONGO
CONGOLESE, CONGO
COOK ISLANDER
COSTA RICAN
CROATIAN
CUBAN
CURACAOAN
CYPRIOT
CZECH
DANISH
DJIBOUTIAN
DOMINICAN
DOMINICAN
DUTCH
DUTCH ANTILLEAN
ECUADORIAN
EGYPTIAN
EMIRATI
EQUATORIAL GUINEAN, EQUATOGUINEAN
ERITREAN
ESTONIAN
ETHIOPIAN
FALKLAND ISLAND
FAROESE
FIJIAN
FINNISH
FRENCH
FRENCH
FRENCH
FRENCH GUIANAN
FRENCH POLYNESIAN
GABONESE
GAMBIAN
GEORGIAN
GERMAN
GHANAIAN
GIBRALTAR
GREEK
GREENLANDIC
GRENADIAN
GUADELOUPEAN
GUAMANIAN
GUATEMALAN
GUINEAN
GUINEAN
GUYANESE
HAITIAN
HEARD AND MCDONALD ISLANDSER
HONDURAN
HOWLAND
HUNGARIAN
ICELANDIC
I-KIRIBATI
INDIAN
INDONESIAN
IRANIAN
IRAQI
IRISH
ISRAELI
ITALIAN
IVOIRIAN
JAMAICAN
JAPANESE
JARVIS
JOHNSTON
JORDANIAN
KAZAKHSTANI
KENYAN
KINGMAN
KITTITIAN, NEVISIAN
KOREAN
KOREAN
KUWAITI
KYRGYZSTANI
LAO, LAOTIAN
LATVIAN
LEBANESE
LIBERIAN
LIECHTENSTEIN
LITHUANIAN
LUXEMBOURG
LYBYAN
MACEDONIAN
MAHORAN
MALAGASY
MALAWIAN
MALAYSIAN
MALDIVIAN
MALIAN
MALTESE
MANX
MARSHALLESE
MAURITANIAN
MAURITIAN
MAURITIAN
MEXICAN
MICRONESIAN, CHUUKESE, KOSRAEN, POHNPEIAN, YAPESE
MIDWAY
MOLDOVAN
MONEGASQUE, MONACAN
MONGOLIAN
MONTENEGRAN
MONTSERRATIAN
MOROCCAN
MOTSWANA, BATSWANA
MOZAMBICAN
NAMIBIAN
NAURUAN
NAVASSA
NEPALESE
NEW CALEDONIAN
NEW ZEALAND
NICARAGUAN
NIEUAN
NIGERIAN
NIGERIEN
NI-VANUATU
NORFOLK ISLANDER
NORTHERN MARIANA ISLANDER
NORWEGIAN
OF BONAIRE, SINT EUSTATIUS AND SABA
OF SAINT BARTHELEMY
OF SAINT MARTIN
OF SVALBARD, OF JAN MAYEN
OF THE VATICAN
OMANI
PAKISTANI
PALAUAN
PALESTINIAN
PALMYRA
PANAMIAN
PAPUA NEW GUINEAN
PARAGUAYAN
PERUVIAN
PHILIPPINE
PITCAIRN ISLANDER
POLISH
PORTUGAIS
PUERTO RICAN
QATARI
REUNION
ROMANIAN
RUSSIAN
RWANDAN
SAHRAWI, SAHRAWIAN, SAHRAOUIAN
SAINT HELENIAN
SAINT LUCIAN
SAINT VINCENTIAN, VINCENTIAN
SALVADORAN
SAMMARINESE
SAMOAN
SAO TOMEAN
SAUDI, SAUDI ARABIAN
SENEGALESE
SERBIAN
SEYCHELLOIS
SIERRA LEONEAN
SINGAPOREAN
SINT MAARTENER
SLOVAK
SLOVENIAN
SOLOMON ISLANDER
SOMALI
SOUTH AFRICAN
SOUTH GEORGIA & SOUTH SANDWICH ISLANDS
SOUTH SUDANESE
SPANISH
SRI LANKAN
SUDANESE
SURINAMESE
SWAZI
SWEDISH
SWISS
SYRIAN
TAIWAN
TAJIKISTANI
TANZANIAN
THAI
TIMORESE
TOGOLESE
TOKELAUAN
TONGAN
TRINIDADIAN, TOBAGONIAN
TUNISIAN
TURKISH
TURKMENISTANI
TURKS AND CAICOS ISLANDER
TUVALUAN
UGANDAN
UKRAINIAN
UNITED STATES MINOR OUTLYING ISLANDS
URUGUAYAN
UZBEKISTANI
VENEZUELAN
VIETNAMESE
VIRGIN ISLANDER
VIRGIN ISLANDER
WAKE ISLAND
WALLISIAN, FUTUNAN, FUTUNA ISLANDER
YEMENI
YUGOSLAVIA
ZAMBIAN
ZIMBABWEAN
Détails de la visite
Type de visa demandé
*
--
Visa Touristique
Visa d’affaires
Raison de votre visite
*
--
Loisirs et vacances
Rendre visite à des amis / parents
Participant à des réunions (Compagnie)
Activités humanitaires et de charité
Visite du conjoint / regroupement familial
Traitement de santé
Participant à des réunions (institutions / ONG)
Est-ce votre première visite en Tanzanie
Oui
Non
Date de la dernière visite
Jour
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Mois
Janvier
Février
Mars
Avril
Mai
Juin
Juillet
Août
Septembre
Octobre
Novembre
Décembre
Année
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
Numéro du visa
Plans de Voyage
Destination
*
--
Tanzania Mainland
Zanzibar
Type de ports
*
--
Date d’arrivée
*
Jour
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Mois
Janvier
Février
Mars
Avril
Mai
Juin
Juillet
Août
Septembre
Octobre
Novembre
Décembre
Année
2019
2020
Durée du séjour (jours)
*
Hôte local
Hôte
*
--
Citoyen Tanzanien
Société / Organisation / Hôtel
Soi Même
Résident avec passe
Résident avec permis
Carte d'identité nationale / Carte d'identité de Zanzibar
Numéro de passe
Numéro de permis
Nom complet
*
Numéro de portable
*
Email
*
Nom du bureau / de l'organisation
Numéro d'enregistrement du Société / Organisation / Hôtel
Relation
*
Adresse
*
Hébergement
Où allez-vous séjourner?
*
--
Un hôtel
Motel
Appartement
Résidence privé
Adresse physique
*
Qui vous accompagne
Vous voyagez en groupe ou au sein d’un voyage organisé par une société ’Corporate’ ou d’un tour opérateur?
*
Oui
Non
Nom du groupe ou de la société ou du tour operateur
*
Etes-vous d'être accompagné par des mineurs?
*
Oui
Non
Prénom
*
Nom
*
Date de naissance
*
Jour
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Mois
Janvier
Février
Mars
Avril
Mai
Juin
Juillet
Août
Septembre
Octobre
Novembre
Décembre
Année
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
