ࡱ>  Root EntryZ O2]S~CONTENTS CompObjVSPELLING(4 *** qDLLName32=E_DU14KE.DLL L dL 2EPSON Stylus Photo 950 ***3winspoolEPSON Stylus Photo 950 (Copy 1)USB002F"\""V"$c"` "``""A."@"\""V"$c"` "``"."application form1 Mauritanian visa.wps"p"p ... Residential address: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & .Tel: & & & & & & & & & & ..Fax: & & & & & & & & Passport number: & & & & & & & Issue date: & & & & & & & & & & Place of is Z O2Quill96 Story Group Class9qy2y2y2CHNKWKS TEXTTEXT FDPPFDPPFDPCFDPCSTSHSTSH(STSHSTSH(`SYIDSYIDSGP SGP INK INK BTEPPLC BTECPLC FONTFONT<STRSPLC :PRNTWNPRJFRAMFRAMTITLTITLWNDOP DOP THE EMBASSY OF THE ISLAMIC REPUBLIC OF MAURITANIA 8 CARLOS PLACE, MAYFAIR, LONDON, W1K 3AS. TEL: 020-74789323/ FAX: 020-74789339. VISA APPLICATION FORM Surname and Forenames: & & & & & & & & & & & & & & & & & & & & & & & & .. Date and Place of birth: & & & & & & & & & & & & & & & & & & & & & & & & & .. Nationality: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & .. Profession: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & ... Residential address: & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & .Tel: & & & & & & & & & & ..Fax: & & & & & & & & Passport number: & & & & & & & Issue date: & & & & & & & & & & Place of issue: & & & & & & & & .. Expiry date: & & & & & & & & & . Length of stay in Mauritania: & & & & & & & & & & & & & & & & & & & & .& & ... Purpose of visit to Mauritania:& & & & & & & & & & & & & & & & & & & & & & .. References in Mauritania (i.e., Hotels, Business partners or friends if any):& & & & & & & & & .. & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & Entry point into Mauritania: & & & & & & & & .From where& & & & & & & & & ... Leaving point from Mauritania& & & & & & & ..Destination& & & & & & & & & & Type of Vehicle:& & & & & & .Number of Passengers& & & & Travellers by Road Registration no:& & & & & & & & & & & & & & & & & & & & Travelling by convoy?& & & & & & & & & & & & & & & & & . Date of departure from UK:& & & & & & & & & & & & & & & & & & & & & & & ... Date of entry into Mauritania: & & & & & & & & & & & & & & & & & & & & & & ... Date of application: & & & & & & & & & & & & & ..Signature: & & & & & & & & & Application forms should be sent back by post or fax. Please note that the evaluation of your application can take 72 hours before issuing visas. We'll give you a call for an appointment for the collection of visas if your application is successful. 0d24bd$&PR6868, .  V X 6 8 (2"'( ) @S  " "  bd2j46 `4` ``$ $ 08,  "PS$ 08( "PS$ 08,  "|$ 08* "PS$ 08"$ 08* "!$ 08* "$ 08L$,@  "" e "  "" ett  (Times New Roman " " "@ TTTKEPSON Stylus Photo 950 (Copy 1pv 4d0