TURKEY VISA APPLICATION FORM
For Visa Application Offices in Libya
Visa FG
1. FIRST NAME * MUSTAFA
2. SURNAME * MOUSA
3. OTHER SURNAME 4. National ID Number
5. FATHER NAME ABDULLAH 6. Mother Name
7. Place of Birth * ZLEETIN 8. Date of Birth * : 16/01/1986
Single Male
9. Marital Status * 10. Gender *
Married Female
11. Passport Number * HFR9H483 12. Passport Issue Date * : 24/08/2016
13. Passport Issued By * TRIPOLI 14. Passport Expiry Date * : 23/08/2024
15. Nationality * LIBYAN 16. Occupation * EMPLOYER
17. Phone Number * 18. Mobile Phone Number \\\\\\\\\\\
[email protected]
19. E-mail Adress 20. Fax Number /////////////////////////////////
21. Residence Address * TRIPOLI
22. Purpose of Visit Tourism Business Medical
23. Requested Type Single Multiple
of Entry Entry Entry
* Indicates mandatory fields
Travel History
Ifyouhaveanofficialresidencepermitinacountryotherthanyourcountryoforigin(yournationality),
doyouhavepermissiontoreturntothatcountry?
Yes No N/A
IfyouaretravelingtoadifferentfinaldestinationandtransitingTurkey,doyouhaveanentrypermitfor your
final destinationcountry?
Ifyes; Yes No N/A
Permit Valid Until: / / Issuing Authority:
Have you ever been issued a Turkish visa or a residence/work permit? *
If yes; Yes No
Type of Visa: Type of Document:
Arrival Date: / / Departure Date: / /
Issuing Authority:
Have you ever been denied a Turkish visa or a residence/work permit? *
If yes; Yes No
Type of Visa: Type of Document:
Arrival Date: / / Departure Date: / /
Issuing Authority:
Has your admission to Turkey ever been refused at the point of entry?
If yes; Yes No
Point of Entry: Reason of Refusal:
Date of Refusal / / Refusing Authority:
Have you ever been deported from or required to leave Turkey?
If yes; Yes No
Type of Visa: Reason of Deportation
Date of Deportation / / Deporting Authority:
Have you ever overstayed your visa or residence/work permit in Turkey?
If yes; Yes No
Type of Visa: Reason of Overstay:
Arrival Date: / / Departure Date: / /
Have you ever committed any serious crime in Turkey?
If yes; Yes No
Type of Visa: Date of Crime: / /
Arrival Date: / / Departure Date: / /
Type of Crime: Detail of Crime:
Has your visa or residence/work permit ever been cancelled or revoked by Turkish authorities?
Ifyes; Yes No
Type of Document: Revoking Authority:
Date of Revocation: / / Reason of Revocation:
Signature *
Date 10/ 02/2021
IcertifythatIhavereadandunderstoodallthequestionssetforthinthisapplicationformandtheanswersIhave
furnishedonthisformaretrueandcorrecttothebestofmyknowledgeandbelief.Iunderstandthatpossessionofa
visadoesnotautomaticallyentitlemetoentertheRepublicofTurkeyuponarrivalataportofentry.IfIfailtocomply with
the relevant provisions of the Turkish Passport Law No: 5682 and Law on Foreigners and International
ProtectionNo:6458,myentrywillberefusedandincaseofrefusal,Iwillnotclaimanycompensation.