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PERSONAL DETAILS

Given name(s)*:

enter all names, as in your passport

Surname(s) / family name(s)*:

enter all surnames / family names, as in your passport

E-mail adress*:

Confirm e-mail address* (The two email addresses must match):

Date of birth*:

Day:

Month:

Year:

Country / territory of birth*:

Gender*:

Male

Female

I accept all terms & conditions (checks all the checkboxes below)

I accept the Terms and Conditions required to process my application. *(Required)

The price charged may vary and will be provided at the last page (the fee covers the costs of the immigration service). According to art. 9 par. 2 letter a and art. 10 of the General Data Protection Regulation of 27th April 2016 (Official Journal of the European Union UE L 119 of 05/04/2016) I agree to processing the personal data concerning sex, health and information on convictions and violations of law or related security measures for the performance of the contract of visa agency by international visa service llc.

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I consent to receiving, via electronic communication means (email), commercial information from INTERNATIONAL VISA SERVICE sp. z o.o. sp.k. regarding its own services as well as services or goods of its Trusted Partners, in accordance with the Act of 18 July 2002 on the provision of services by electronic means (consolidated text: Journal of Laws of 2020, item 344, as amended), and to the use of telecommunications terminal equipment and automatic calling systems for the purposes of direct marketing or sending commercial information regarding its own services as well as services or goods of its Trusted Partners to my email address, in accordance with the Act of 16 July 2004 - Telecommunications Law (consolidated text: Journal of Laws of 2024, item 34, as amended).

eVisa Cambodia Electronic Visa Online