VISA APPLICATION FOR TOURISTS TO MONGOLIA
Serials: BREDA NL
(Please complete the form in block letters or type.)
1. Surname:
2. Given names:
3. Other names:
4. Date of birth
Recent
Passport
Photograph
( Name assumed/ previous/ maiden etc)
5. Country of birth
6. Nationality
8. Address:
7. Sex  Male  Female
Please, do not staple!
A. Personal data
9. Zip code:
10. City:
11. Country:
FOR OFFICIAL USE ONLY
Konsulyn ajiltan boglono
DTG-yn kod 
12. Phone/Fax:
13. E-mail:
A. Vis olgoson undeslel
14. Employer/University’s/Entrepreneurs Name:
15. Phone:
16. Address
17. Zip code:
18. City:
19. Type of passport:
GHY-ny zovshoorol
Dugaar :
Ognoo :
GIHAEA-ny zovshoorol
Dugaar :
Ognoo :
20. Passport Number
 Ordinary Other: ………………
Busad undeslel:
21. Date of Issue
22. Validity
23. Place of issue
24. Travel Agent or organization which organizes your way of traveling (+Address & Phone)
 Yaraltai
 Engiin
B. Shiidver
Visiin angilal
J
Yalgaa
oroh/garah
Baih hugatsaa
 honog
B. Travel & visa
25. Date of arrival in Mongolia ___ /___ /______ (max. 90 days after the visa application date)
________________
26. Tourist visa requested for  days (maximum 30 days)
27. I declare that to the best of my knowledge the above particulars are correct and complete. I
garyn useg
undertake to leave the territory of Mongolia upon the expiring date of the visa, if granted. I
realize that possession of a visa is only on the prerequisites for entry into the territory of
Mongolia. If entry is refused I will have no claim to compensation.
28. I will get registered within a week after my arrival in Mongolia at the Foreign Citizens and
C. Control sector
Naturalization Office and get deregistered before the departure at the same office, if my stay of
length will be over thirty days.
Ene hesegt visiin huudasny tasalbaryg naana
Place _______________
Applicant’s signature
Tusgai temdeglel
Date _________________
_________________________________________
(In case of minors, signature of parents or guardian)
Mongolian Honorary Consulate in the Netherlands - Charles Petitweg 35 A10 - 4827 HJ Breda - The Netherlands
VISA APPLICATION FOR TOURISTS TO MONGOLIA
Serials: BREDA NL
PROCEDURE
Ik wens gebruik te maken van de volgende procedure:
(hokje aankruisen met een blauwe pen a.u.b. Slechts één keuze mogelijk)
 5 daagse procedure inclusief retourverzending
 5 daagse procedure exclusief retourverzending
€ 85,50 (€ 76,00 voor uw visum + € 9,50 verzenkosten red.)
€ 76,00
 4 daagse procedure inclusief retourzending
 4 daagse procedure exclusief retourzending
€ 95,50 (€ 86,00 voor uw visum + € 9,50 verzenkosten red.)
€ 86,00
 3 daagse procedure inclusief retourzending
 3 daagse procedure exclusief retourzending
€ 105,50 (€ 96,00 voor uw visum + € 9,50 verzenkosten red.)
€ 96,00
 1 uur procedure exclusief retourzending
(alleen op afspraak)
€ 110,00
 1 uur procedure (buiten openingstijden) exclusief retourzending
(alleen op afspraak)
Plaats ________________________________
Datum ______________________________
Handtekening __________________________
Mongolian Honorary Consulate in the Netherlands - Charles Petitweg 35 A10 - 4827 HJ Breda - The Netherlands
€ 142,00