silver cloud voyage # 1231 rio de janeiro to buenos aires · on line visa application form for...
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925 Fifteenth Street NW 3rd Floor Washington DC 20005 Tel: 888 838 4867 ♦ Email: [email protected]
Brazil 1 2
Please enclose your actual passport along with two (2) photographs, one (1) completed visa application form for Brazil, and one (1) clear photocopy of your driver’s license or other state issued identification. The Brazilian visa application must also be completed on line and one (1) cover sheet printed at the link shown herein to be included with your documents. Photographs should be recently shot passport-type photos with a clear background approximately 2” x 2” in dimension. (Note that machine or home photographs are not acceptable.) Your passport must be valid for a minimum of six (6) months beyond the completion of your international travel or until June 22, 2013 and must have at least four (4) blank unused pages available, not including those reserved for amendments and endorsements at the back of your passport. Contact PTDS directly for assistance with renewal of or to add pages to your U.S. passport, as this can easily be done at the same time you apply for your visas.
Visa(s) # # Cost Req’d Forms Photos 1 – Persons - 2
Application Expedite Fee Deadline Per Person
November 5, 2012 (Or 40 days prior $150.00 to your departure)
Silver Cloud Voyage # 1231
Rio de Janeiro to Buenos Aires December 15 – 22, 2012
Applications must be received in our offices no fewer than 40 days prior to your departure from your shipping address or by November 5, 2012 whichever is sooner. (Due to lengthy processing times we urge you to apply for your Brazilian visa as soon as possible.) Documents received after the deadline will be subject to the per person expediting fee shown above. Special requests for passports to be expedited due to other travel plans prior to your tour departure may also require expediting fees. Please contact PTDS directly regarding any special processing needs or before submitting documents you expect may be received substantially after the deadline as there may be special requirements and/or additional fees to process your request. It may not be possible to cancel processing of your applications once they have been submitted.
Please note that consular fees, shipping fees and application requirements quoted at the time of printing are subject to change without notice.
$280.00 $535.00
US passport holders will not require visas for short tourist stays in the following countries: Argentina – Uruguay
Given persistent delays with processing, your Brazil visa may not be obtainable if documents are received after the deadline.
Fees shown above include all necessary consular and service fees as well as the cost to return your passport(s) via FedEx within the continental U.S. (Please add $25.00 to cover extra shipping costs for addresses in Alaska, Hawaii, or Canada.) We strongly suggest that you send your documents to us via FedEx or some other form of traceable overnight courier service.
Visa requirements shown below are for U.S. CITIZENS ONLY. Nationals of all other countries please contact Pinnacle Travel Document Systems directly for specific requirements associated with your itinerary.
PLEASE BE CERTAIN TO RETURN THE FOLLOWING TO:
Pinnacle Travel Document Systems 925 15th Street NW, Ste #300
Washington DC 20005 ♦ Your actual passport (Please keep a photocopy for your records.) ♦ This completed form ♦ One (1) completed visa application form per person for Brazil ♦ One (1) on line visa application cover sheet per person for Brazil ♦ One (1) clear photocopy of driver’s license or state issued identification per person ♦ Two (2) passport-type photographs per person ♦ Credit or debit card authorization below
PLEASE TYPE OR PRINT CLEARLY
Full Name (1):_____________________________ Full Name (2): _____________________________
Passport #:____________________ Exp:___/___ Passport #:____________________ Exp:___/___ Mo Y r Mo Y r
Home ________________________________ Home Tel: ________________________________
Mailing ________________________________ Work Tel: ________________________________
Address: ________________________________ Email: ____________________________________
________________________________ Date of Departure from Home: ____/____/_____ (FedEx cannot deliver to PO boxes) Mo nt h Da y Ye a r
Address ________________________________ Voyage 1231: Rio de Janeiro to Buenos Aires
For the ________________________________ Date of Sail ing: 12 / 15 / 2012 Mo nt h Da y Ye a r Return of ________________________________ Special Instructions: ______________________
Passport: ________________________________ _________________________________________
Tel: ________________________________ _________________________________________
Please indicate below if there are known periods prior to your tour during which you will need your passport for another international tr ip or when you will not be available to sign for the return of your passport. I wil l need my passport(s) for other international travel from _____/____/_____ to _____/____/_____ Mo nt h Da y Yea r Mo nt h Da y Yea r
I wil l not be at my home and/or return shipping address from _____/____/_____ to _____/____/_____ Mo nt h Da y Yea r Mo nt h Da y Yea r
CREDIT CARD AUTHORIZATION: AMEX / V ISA / MC (please circle one)
Cardholder Name:____________________________________ Signature: ______________________________
Card #: ___________________________________________ Expires: ____/____ Amount: US$ ____________ Mo Y r SILVERSEA 1231(Brazi l180+5)60 FORM10 FX25 280/535 4PGS VAL06/22/13 DL 11/05/12 150.00 DATE OF ENTRY BRAZIL 15 DECEMBER 2012
2012 Pinnacle Travel Document Systems
IMPORTANT NOTICE REGARDING PASSPORT PAGES & VALIDITY:
You must have at least four (4) blank unused pages available in your passport for visas and entry/exit stamps. In addition, your passport must be valid until June 22, 2013. If you are a U.S. citizen, and need to renew or add pages to your passport Pinnacle Travel Document Systems can easily assist you with this at the same time your visas are being processed. The total additional fees for these services (including U.S. government expediting fees) are $217.00 for passport pages and $245.00 for passport renewals. We can also assist you with expediting first time passport applications.
You will need to complete an application form and a letter of authorization for PTDS and must send your actual passport to us. Specific requirements and the necessary forms are available for download from our Internet site:
Passport Renewals www.traveldocs.com/passports/renewal.htm
Passport Pages www.traveldocs.com/passports/amend.htm
First Time Passports www.traveldocs.com/passports/new.htm
You may also contact us via email or phone at
[email protected] or 888-838-4867 and we will send you an instruction kit.
On Line Visa Application Form for Brazil In addition to the manual visa application all applicants must complete the
on line visa application for Brazil available at the following web page:
https://scedv.serpro.gov.br/frscedv/index.jsp
Click on VISA REQUEST at the bottom left of the page to begin.
Refer to the sample visa application included herein for information
regarding dates and contacts for your sponsoring organization in Brazil.
Once you have completed the four pages of the electronic application you will be asked if you want to print it. Please click the YES button at the
bottom of the page. Note that the entire form with all the data you inputted will not print in hard copy rather just a cover sheet with your basic
information to which you should affix one of your photographs and sign before sending to us along with the rest of your documents for processing.
VISA REQUEST FORM
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Ministério das Relações Exteriores Sistema de Controle e Emissão de Documentos de Viagem
Versão:v2.6.3
FORM INSTRUCTIONS GENERAL DATA DOCUMENTS OCCUPATION ADDRESSES
DATA
MAIN PURPOSE OF YOUR TRIP TOURISM
APPLICANT
FIRST NAME JONATHAN
MIDDLE NAME BONHAM
LAST NAME DOE
SEX MALE
MARITAL STATUS MARRIED
BIRTH DATE (dd/mm/yyyy) 13/03/1961
PREVIOUS NAMES
PREVIOUS NAME MAIDEN NAME FOR MARRIED FEMALES
REASON FOR CHANGES MARRIAGE ADD
PLACE OF BIRTH
CITY LOS ANGELES
STATE/PROVINCE/etc. CA
COUNTRY UNITED STATES
NATIONALITY
NATIONALITY UNITED STATES
OTHER NATIONALITIES SELECT ADD
PARENTS
MOTHER'S FULL NAME JOHANA HANDEL DOE UNKNOWN
FATHER'S FULL NAME JOHAN SEBASTIAN DOE UNKNOWN
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VISA REQUEST FORM
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Ministério das Relações Exteriores Sistema de Controle e Emissão de Documentos de Viagem
Versão:v2.6.3
FORM INSTRUCTIONS GENERAL DATA DOCUMENTS OCCUPATION ADDRESSES
TRAVEL DOCUMENTS
TYPE PASSPORT
NUMBER 0123456789
DATE OF ISSUE (dd/mm/yyyy) 10/05/2009
DATE OF EXPIRY (dd/mm/yyyy) 09/05/2019
ISSUING COUNTRY/ORGANIZATION US DEPARTMENT OF STATE
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VISA REQUEST FORM
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Ministério das Relações Exteriores Sistema de Controle e Emissão de Documentos de Viagem
Versão:v2.6.3
FORM INSTRUCTIONS GENERAL DATA DOCUMENTS OCCUPATION ADDRESSES
PROFESSION
PROFESSION ENGINEER
EMPLOYER'S ADDRESS
NAME OF EMPLOYER/COLLEGE/SCHOOL ABC INTERNATIONAL, INC
ADDRESS 4321 MAIN STREET
CITY ANYWHERE
STATE/PROVINCE/etc. CA
COUNTRY UNITED STATES
ZIP CODE 98765
PHONE NUMBER 9876543210
E-MAIL [email protected]
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VISA REQUEST FORM
Home
Ministério das Relações Exteriores Sistema de Controle e Emissão de Documentos de Viagem
Versão:v2.6.3
FORM INSTRUCTIONS GENERAL DATA DOCUMENTS OCCUPATION ADDRESSES
PERMANENT RESIDENTIAL ADDRESS
ADDRESS 1234 MAIN STREET
CITY ANYWHERE
STATE/PROVINCE/etc. CA
COUNTRY UNITED STATES
ZIP CODE 98765
PHONE NUMBER 9876543210
E-MAIL [email protected]
CURRENT ADDRESS
ADDRESS 1234 MAIN STREET
CITY ANYWHERE
STATE/PROVINCE/etc. CA
COUNTRY UNITED STATES
ZIP CODE 98765
PHONE NUMBER 9876543210
CONTACT IN BRAZIL
NAME/HOTEL
ADDRESS
CITY
STATE/PROVINCE/etc. TOCOUNTRY BRAZIL
ZIP CODE
PHONE NUMBER
ESTIMATED DATE OF ARRIVAL (dd/mm/yyyy)
LENGTH OF STAY DAYS
HAVE YOU EVER BEEN TO BRAZIL? NO
IF TOU CANNOT VISUALIZE THIS IMAGE, PLEASE CLICK HERE.
PLEASE FILL THE TEXTBOX WITH THE CODE SHOWN IN LEFT BOX.
AXFWEB
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Ministério das Relações Exteriores Sistema de Controle e Emissão de Documentos de
Viagem Versão:v2.6.3
It is strongly recommended the printing of this form to be presented at the Consulate of your jurisdiction.
The presentation of this printed form will facilitate the process. Affix your picture to the receipt and sign it. This form is valid only for the next 30 (thirty) days. Should the printing not be possible, write down the code number shown below and present it at the
Consulate along with one picture.
Your code number is: 100407-003335. Do you wish to print this form? YES NO
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MINISTÉRIO DAS RELAÇÕES EXTERIORES – MRERECIBO DE ENTREGA DE REQUERIMENTO - RER
PROTOCOLO NÚMERO:
DATA DE VALIDADE:
100823-002678
22/09/2010
DOCUMENTO SOLICITADO:
PAÍS DE NASCIMENTO:
NOME COMPLETO:
SEXO:
DATA DE NASCIMENTO:
LOCAL DE NASCIMENTO:
VISTO DE TURISTA
JOHNATHAN BONHAM DOE
ESTADOS UNIDOS
13/03/1961
LOS ANGELES
MASCULINO
Recibo expedido em 23/08/2010 às 16:13:24
(APPLICATION NUMBER)
(DATE OF EXPIRY - DD/MM/YYYY)
(DOCUMENT)
(FULL NAME)
(SEX)
(COUNTRY OF NATIONALITY)
(DATE OF BIRTH - DD/MM/YYYY)
(PLACE OF BIRTH)
ASSINATURA REQUERENTE / RESPONSÁVEL(SIGNATURE OF APPLICANT)
PROTOCOLO NÚMERO: 100823-002678(APPLICATION NUMBER)
NOME DO CONTATO:
TELEFONE:
_________________________________________
_________________________________________
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PAÍS DE NA
DATA DE NAS
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(COUNTRY OF NA
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SEXO:
CIMENTO:
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TURISTA
HNATHAN BONHAM D
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HNATHAN BONHAM DO
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NOTE THAT YOU MUST SEND YOUR DOCUMENTS TO US WELL INADVANCE OF THIS DATE AS SHOWN ON YOUR FORM FOR SUBMISSIONFOR PROCESSING
PLEASEGLUE ONEPHOTO HEREAND STAPLEONE TO THEMANUAL VISAAPPLICATION
PLEASE NOTE THAT THISAPPLICATION COVER SHEET WITHYOUR BASIC INFORMATION THATYOU INPUTTED IS THE ONLY THINGTHAT YOU WILL PRINT AND IS WHATYOU SHOULD SEND TO US ALONGWITH YOUR OTHER DOCUMENTS
PLEASE DO NOT FORGET TO SIGN YOURFORM IN THIS BOX BEFORE SENDING IT TOUS ALONG WITH YOUR OTHER DOCUMENTS
PRINT YOUR NAME AND TELEPHONE NUMBER ON THE LINES PROVIDED HERE
Please be careful that yoursignature does not stray outsideof the signature box at any time.The consulate will not accept anyforms with marks outside this box.
Jonathan Bonham DOE
Los Angeles CA USA 13 March 1961
USA X Married
0123456789 USA 09 MAY 2015
Johan Sebastian DOE - USA
Martha Page DOE - USA
✔
Engineering
Production Manager
ABC International, Inc.
4321 Main Street Anywhere CA 98765(987) 654-0123
1234 Main Street Anywhere CA 98765(987) 654-3210
SILVERSEA 1231
PREPAID CRUISE WITH SILVERSEA CRUISESRIO DE JANEIRO - PARATI - SAU PAULO - RIO GRANDE DO SOL
RIO DE JANEIRO PER YOUR ITINERARY PER YOUR ITINERARY
INCHCAPE SHIPPING SVCS Av Eduardo Ribeiro 520 15th Fl CEP 69010-000 Manaus AM
ON BOARD SHIP - "Silver Cloud"(212) 233-8177
✔2001 - Rio de Janeiro - 7 Days
Jonathan Bonham DOE 10 JUNE 2012
SILVERSEA 1231