| FIRST NAME |
|
|
| LAST NAME |
|
|
| FATHER'S NAME |
|
|
| DATE & PLACE OF BIRTH |
|
|
| SEX |
|
|
| RELIGION |
|
|
| PROFESSION |
|
|
| MARITAL STATUS |
|
|
| Single Married |
|
|
| NATIONALITY |
|
|
| ADDRESS OF RESIDENCE |
|
|
| PURPOSE OF VISITING |
|
|
| INTENDED PERIOD OF STAY |
|
|
| PLACE OF BUSINESS IN LIBYA |
|
|
| ADDRESS OF RESIDENCE IN LIBYA |
|
|
HAVE YOU ENTERED LIBYA PREVIOSLY ,AND ON WHAT DATE(S)?
|
|
|
| PURPOSE OF PRIOR VISIT(S) |
|
|
| LAST DATE OF DEPARTURE FROM LIBYA |
|
|
OTHER PLACE PREVIOSLY DOMICILED IN LIBYA (IF ANY)
|
|
|
| PASSPORT NUMBER |
|
|
| PLACE OF ISSUE |
|
|
| DATE OF EXPIRATION |
|
|
| EMAIL ADDRESS |
|
|
| |
|
|
| |
|
|
|
|
|
| |
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|
