Obrazec br. 1. PRIMENO ... 8. Vid i broj na patna isprava, koga i kade e izdadena
. Passport (No., issuing office, date of issue). 9. Va`ewe na patna isprava.
Obrazec br. 1 Obrazecot da se popolnuva ~itlivo. Za to~nosta na podatocite odgovara podnositelot na baraweto.
PRIMENO Do Diplomatsko-konzularno pretstavni{tvo na Republika Makedonija
Broj
Vrednost
Taksa
Prilog
To Diplomatic-Consular Office of the Republic of Macedonia
Barawe za izdavawe viza za stranec
Application for Visa for foreigner 1.
Prezime
3. Pol
M
@
M
F
Surname 2.
Ime
Sex
Name 4.
Den, mesec i godina na ra|aweto
Date of birth 5.
Mesto na ra|awe i dr`ava
Place of birth and country 6.
@iveali{te i adresa
Place of residence and address 7.
Dr`avjanstvo
Citizenship 8.
Vid i broj na patna isprava, koga i kade e izdadena
Passport (No., issuing office, date of issue) 9.
Va`ewe na patna isprava
Date of expiry 10. Zanimawe
Profession 11. Kade ste vraboteni - Firma, mesto i adresa, telefon (ako ne ste vraboteni, odgovorete so "ne")
Where are you employed - name of the company, place and address, phone number (if you are not employed, please answer "No") 12. Kakva viza barate (vlezna, vlezno-izlezna, tranzitna)
What type of visa is required (entry visa, exit-entry visa, transit visa) 13. Za koe vreme i datum(i) na vleguvawe
How long do you intend to stay and entrance date(s) 14. Vlezno-izlezna viza ja barate za: 1. edno patuvawe 2. nekolku patuvawa (2,3,4, ...) 3. neograni~en broj patuvawa
The entry-exit visa is requested for: 1. one travel 2. several travels (2,3,4, … ) 3. unlimited number of travels 15. Za koja cel: turisti~ki, privatno, delovno
What is the purpose of the traveling: tourist, private, business 16. Mesto i adresa na prestoj vo Republika Makedonija
Place and address of stay in the Republic of Macedonia 17. Naziv na firmata-ustanova i telefon kade }e prestojuvate vo Republika Makedonija
Name of the company-institution and phone in which you are going to stay in the Republic of Macedonia 18. Kaj kogo }e pretstojuva vo Republika Makedonija Ime i prezime, telefon
With whom are you going to stay- name and given name, phone
Strana 2 19. Dali porano ste dobile viza za vleguvawe vo Republika Makedonija (koj vid i koga)
Have you ever been issued entry visa to the Republic of Macedonia (type and when) 20.
Kade ste prestojuvale prethodno vo Republika Makedonija (mesto i adresa, firma, ustanova, ime na liceto)
Where had you previously stayed in the Republic of Macedonia (place and address, company, institution, name of the person) 21.
Dali porano ste bile odbieni za viza i koga
Has any your application for visa been previously rejected 22.
Dali imate sopstveni sredstva za pokrivawe na tro{ocite pri prestojot vo Republika Makedonija
Do you have financial means of your own to cover the expenses during the stay in the Republic of Macedonia 23.
Koj vi gi obezbeduva sredstva za prestojot vo Republika Makedonija (ime na lice, naziv na firmata-ustanovata, mesto i adresa, telefon)
Who is going to provide you with financial means during your stay in the Republic of Macedonia (name, name of the company-institution, place and address, phone) 24.
Dali imate rodnini vo Republika Makedonija (koe strodstvo, ime i prezime, mesto i adresa, telefon)
Do you have relatives in the Republic of Macedonia (type of kinship, name and given name, place and address, phone) 25.
Dali imate makedonsko poteklo - od koe mesto, koe e makedonskoto ime, koga ste dojdeni vo zemjata kade sega `iveete
Do you have Macedonian origin-location of the place, its Macedonian name, when have you arrived in the country in which you are presently living So istata patna isprava patuvaat i:
Accompnied by: PREZIME I IME
Srodstvo
Surname and name
Kinship
Den, mesec i godina na ra|awe
Date of birth
POTVRDUVAM DEKA GORNITE PODATOCI SE VISTINSKI I TO^NI (nadle~niot organ na Republika Makedonija }e go odbie baraweto ako podatocite se nevistiniti)
I CONFIRM THAT THE ABOVE STATED DATA ARE TRUE AND CORRECT (the competent authority of the Republic of Macedonia shall reject and application if the data are not true)
PRIFA]AM DEKA NA IMATELOT NA VIZATA MO@E DA NE MU SE ODOBRI VLEZ VO REPUBLIKA MAKEDONIJA NA GRANI^NIOT PREMIN DOKOLKU SE SMETA ZA NEPO@ELEN
I AGREE THAT THE HOLDER OF THIS VISA MAY AT THE BORDER CROSSING BE REJECTED THE ENTRY TO THE REPUBLIC OF MACEDONIA IN CASE HE/SHE IS CONSIDERED TO BE PERSONA NON GRATA
Vo ______________________________ baraweto
Potpis na podnositelot na
In
Signature of applicant
Na________________200__ godina
On Kon baraweto prilo`uvam:
Documents enclosed:
______________________________________
Strana 3 Popolnuva slu`benoto lice na organot na koj mu e podenseno baraweto
Fills out authorized person Kako e re{eno baraweto
Application solved Rok na va`ewe na vizata
Period of visa validity Datum na izdavaweto na vizata
Date of visa issue
_______________________________ Potpis na ovlastenoto lice Signature of relevant authority Mesto za taksa
Administrative tax