VIETNAMESE E-VISAThis questionnaire will allow us to complete an eVisa application on your behalf. Please provide all information requested, making sure answers exactly match the information in your passport. Any unanswered questions will delay your application. Order Number PERSONAL DETAILS Please provide details exactly as they appear in the passport you will be using to enter Vietnam. If your country of citizenship does not appear in the dropdown selection list, it means you are not currently eligible to apply for an eVisa. Please contact us if you require further information.. First name(s): * Surname / family name: * Date of birth: * Country of citizenship: * United Kingdom Argentina Armenia Australia Azerbaijan Belarus Brunei Bulgaria Canada Chile China Colombia Cuba Czech Republic Denmark East Timor Finland France Germany Greece Hungary India Ireland Italy Japan Kazakhstan Luxembourg Mongolia Myanmar Netherlands New Zealand Norway Panama Peru Philippines Poland Romania Russia Slovakia South Korea Spain Sweden United Arab Emirates United States Uruguay Venezuela Gender: * Male Female PASSPORT DETAILS Passport number: * Country of passport: * United Kingdom Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire Bosnia Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo (Brazzaville) Congo (Democratic Republic) Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea (North) Korea (South) Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russia Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican (Holy See) Venezuela Vietnam Virgin Islands (British) Virgin Islands (US) Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Date of passport issue: * Date of passport expiry: * CONTACT DETAILS Email address: * Mobile phone number: * TRAVEL DETAILS Proposed date of entry: * Please note, the eVisa will be valid for 30 days from your proposed date of entry. Please use the box below to add any special instructions, additional information, etc... DECLARATION OF APPLICANT Declaration checkbox I declare that the information I have given in this application is truthful, complete and correct. VISA BASE TERMS & CONDITIONS (click to view) Ts and Cs checkbox I have read and agree to the Terms and Conditions, and agree to pay the Visa Base handling fee for this service. NB. If the form does not submit when you press the button below, please check you've answered all of the questions. Any you've missed or left out will be highlighted in red.