| Surname |
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| Middle Name |
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| Given Name |
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| Sex |
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| Birth Date |
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| Country / Region of Birth |
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| Country of Nationality |
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| Residential Address |
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Applicant Photo. Upload color photo against white background
(jpg, 3MB max) |
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| Passport Number |
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| Passport Issuing Date |
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| Passport Expiry Date |
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| Country of Issue |
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| Upload color scanned copy of the main page of your passport (jpg, 3MB max) |
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| Entry date to Cambodia |
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| Point of Entry |
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| Point of Exit |
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| Contact Email |
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| Contact Phone |
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| Service Type |
Tourist E-Visa Single Entry valid for 90 days with max 30 days stay (5 Business Days Processing) - $160.00 (+tax $14.30)
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I understand and agree that:
1. Processing time should be calculated starting the next business day of the date when the documents are received.
2. Consular and government officials may request additional documentation at their discretion.
3. Issuance of visa, actual processing timing, visa type, its validity term, number of entries and other details are determined exclusively by the embassy/consulate/foreign government body on case by case basis and Visa Center can not be held responsible for this act.
4. Orders cancelled before visa application is filed with the foreign government are subject to full refund minus admin fee of CAD85+tax. No refunds are possible after filing has been completed.
5. Orders submitted in violation of the requirements or containing misrepresentation will be cancelled immediately with full refund minus admin fee of CAD85+tax.
And I also agree to these Terms and Conditions of services by Visa Center.
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