VIETNAM E-VISA / VISA ON ARRIVAL ORDER FORM Choose Visa Tourist E-Visa Number of Visa Only 1 Application Type of visa and validity 1 Month Single Entry - $60CAD3 Month Single Entry - $80CAD1 Month Multiple Entry - $75CAD3 Month Multiple Entry - $110CAD1 Month Single Entry + Airport Express Stamping Service - $125CAD3 Month Single Entry + Airport Express Stamping Service - $145CAD1 Month Multiple Entry + Airport Express Stamping Service - $140CAD3 Month Multiple Entry + Airport Express Stamping Service - $175CAD Full Name Gender MaleFemale Date of Birth Nationality CanadaAustraliaCanadaUnited KingdomFranceGermanyHollandHong Kong S.A.R.IrelandItalyBelgiumPortugalSwitzerlandCyprusDenmarkFinlandJapanAndorraArgentinaArmeniaAustraliaAustriaAzerbaijanBelarusBoliviaBosnia and HerzegovinaBrazilBulgariaCanadaChileColombiaCosta RicaCroatiaCubaCyprusCzech RepublicDenmarkMarshall IslandsMaltaKiribatiEcuadorEstoniaFiji IslandsFinlandFranceGermanyGreeceGeorgiaHollandHondurasHong Kong S.A.R.HungaryIcelandMicronesiaIsraelItalyJapanKazakhstanLatviaLiechtensteinLithuaniaLuxembourgMacau S.A.R.MacedoniaMexicoMoldovaMonacoNetherlandsNew ZealandNorwayParaguayPeruPolandRomaniaRussiaSan MarinoSerbiaSerbia and MontenegroSlovakiaSloveniaSpainSwedenTaiwanUkraineUnited KingdomUnited StatesUruguayUzbekistanVenezuelaNauruPalauPanamaPapua New GuineaSamoaSingaporeSolomon IslandsSouth AfricaSwitzerlandTajikistanTongaTrinidad and TobagoTurkmenistanTuvaluVaticanVanuatu Passport No Upload Color Scan copy of the main page of your passport Primary Email Alternative Email Contact Phone Date of Arrival Date of Departure Flight Reference Purpose of Visit VocationalFamily/Friend_VisitBusiness Eligible entry points. E-visa holders must enter Vietnam through the following points ONLY: Can Tho Int AirportCat Bi Int AirportCam Ranh Int AirportPho Bai Int AirportPho Quoc Int AirportTan Son Nhat Int AirportNoi Bai Int AirportDa Nang Int Airport I confirm and understand that: 1. The processing time is calculated from the next business day the payment was made. 2. The visa officers might request additional supporting documents resulting in the delay of the processing time. 3. The visa officers have the authority to determine at their own discretion the actual validity, type and the cost of visas and the VLSCanada Visa Services can not be held responsible for their decisions. 4. The visa officers may refuse to grant visas without any explanations. You are solely responsible for the travel costs associated with this decision. 5. No refunds are possible after placing the order. 6. Orders placed in violation of the requirements or containing misrepresentation will be cancelled immediately without any refunds. Δ