1 Travel and Transportation • Volunteer Visas – Sri Lanka • Updated 2020-03-01

Volunteer Visa Instructions Sri Lanka

General Information On page six of this document you will find a blank visa application. Please complete all fields as indicated in the instructions. If a field is not listed you should leave it blank. If you make a mistake on your visa application please fill out a new one. The embassy will not accept visa applications that contain information which has been whited out or crossed out.

Any entries colored blue have been prefilled for you on the fillable visa application form.

If you have any questions on completing this application, please contact your Country Desk Officer: srilanka@peacecorps.gov

Application Instructions – Entry Visa 1. Details of Present Passport: Leave Blank

i) Number: Leave Blankii) Place of Issue: Leave Blankiii) Date of Issue: Leave Blankiv) Date of Expiry: Leave Blank

2. Details of previous passport held, if any: Personal Passport information (if any)i) Number: Personal Passport numberii) Place of Issue: Personal Passport Place of Issueiii) Date of Issue: Personal Passport Date of Issue (DD/MM/YYYY)iv) Date of Expiry: Personal Passport Date of Expiry (DD/MM/YYYY)

3. Name in Full as shown in Passport: Input full name on Personal Passport4. Nationality: U.S. Citizen5. If naturalized, (fill in as needed, otherwise leave blank)

i) Date: Input date formatted as (DD/MM/YYYY)ii) Place of naturalization: Input place of Naturalizationiii) Former Nationality: Input Former Nationality

6. Gender: Check i) male or ii) Female, as it appears on your passport7. Date of Birth: Input Date of Birth formatted as (DD/MM/YYYY)8. Place and country of birth:

i) Place: Input the City or County of birthii) Country: Input the Country of birth

9. Civil Status: Check box applicable10. If Married,

i) Full Name of Spouse: Input Full Name of Spouse as applicableii) Nationality: Input Nationality of Spouseiii) Postal Address: Input Postal Address of Spouseiv) Passport Number: Passport number of Spousev) Date of expiry: Date of expiry of Spouse’s Passport (DD/MM/YYYY)

11. Applicant’s height in centimeters: Input height in centimeters

2

12. Any identification Marks of Peculiarities: Leave blank13. Address:

i) In the country of domicile: Input your home addressii) During stay in Sri Lanka: Ministry of Education, 6th floor Isurupaya,

Pelawatte, Battaramulla Sri Lanka14. Profession/Occupation: Peace Corps Volunteer

i) Name and address of employee, if any: Leave blankii) If in business where business is: Leave address, fax, and e-mail blank

15. Contact Numbers: Input personal informationTelephone: Input personal telephone numberMobile: Input personal mobile phone numberFax: Input personal fax numberEmail: Input personal email address

16. Object of present visit: Other PurposeSpecify: Peace Corps Volunteer

17. Route and mode of travel to Sri Lanka: Air travel Washington D.C. to Colombo,Sri Lanka

18. Period for which visit visa is required: 27 months19. Whether previously in Sri Lanka? If so: (If not applicable please leave ALL

blank)i) Last place of residence: Leave Blankii) Date of leaving: Return date from previous travel to Sri Lanka formatted as

(DD/MM/YYYY)iii) Particulars of Visa last obtained: Check applicable boxiv) Date of issue visa: (DD/MM/YYYY)v) Period of validity: Input number of monthsvi) If residence visa, Resident visa number: Input Resident Visa number if

applicable20. Whether permission to visit Sri Lanka or to extend stay in Sri Lanka has

been refused previously … Leave Blank (Contact Country Desk Officer if thisapplies to you)

21. a) Particulars of a person in Sri Lanka who can furnish information regardingapplicant and security for maintenance and repatriation of the applicant, if sorequired: Peace Corps Sri Lankab) Name and address of a responsible person in applicant’s own countrywho can furnish information regarding applicant: Matt Gendron

22. i) How much money in US$ will the applicant have with him/her or haveavailable on arrival in Sri Lanka : $100ii) If Credit Card available, Name of Cards: Leave Blank

Amounts spent: Leave Blank23. Any other reason to urge in support of application: Leave Blank24. Finger mark of the applicant: Leave blank

Date for signature: Leave Blank Peace Corps will fill in dates for group processing Applicant’s Signature: SIGN YOUR APPLICATION AFTER YOU PRINT! Signature must be in ink.

Instructions 1-8: Please ignore the instructions listed below your signature. Peace Corps has arranged processing directly with the Sri Lankan Embassy.

Office use only: LEAVE BLANK. Do not write anything on page 5 of 5.

Travel and Transportation • Volunteer Visas – Sri Lanka • Updated 2020-03-01

3 Travel and Transportation • Volunteer Visas – Sri Lanka • Updated 2020-03-01

Annexture 1 Instructions: 1. Full Name as appearing in the Passport: Input full name2. Country, Place & Date of birth: Input Country, Place and Date of Birth3. Nationality: U.S Citizen4. Previous Nationality (if applicable): Input previous Nationality if applicable5. Passport No. : Leave Blank

Place & Date of issue: Leave Blank Category of Passport (Diplomatic/Official/Ordinary): Leave Blank

6. Purpose of the Visit: Peace Corps Volunteer7. Status of the Position in the Mission: Leave Blank8. Designation in the Mission: Peace Corps Volunteer9. Present designation and the place of Work: Peace Corps Volunteer- Peace

Corps Sri Lanka10. Previous Places of Work during the past 5 years: List up to two previous

companies or universities where employed11. Whether Replacement or New Position: New Position

i. If replacement, Name & Rank of the person to be replaced: LeaveBlank

ii. Date on which he/she will be leaving: Leave Blankiii. In case of a new position, the area of work, to be handled in themission: Peace Corps Volunteer

12. Expected period of assignment in Sri Lanka: 27 months13. Sri Lanka Mission to which the visa clearance is to be sent: Peace Corps Sri

Lanka- Colombo14. Details of the other household/family members accompanying the Officer:

Leave Blank15. Date: Leave Blank Peace Corps will fill in dates for group processing16. Signature: SIGN YOUR APPLICATION AFTER YOU PRINT! Signature must be

written in ink.

4 Travel and Transportation • Volunteer Visas – Sri Lanka • Updated 2020-03-01

Annexture 2 Instructions

Applicant’s Information 1. Surname/Family Name: Input Last Name

Other given name: Input First Name Title: Input Mr., Ms., Mrs., as appropriate. Cannot be left blank. Date of Birth: Input Date of Birth formatted as (DD/MM/YYYY) Gender: Input gender as it appears on your passport (Male or Female) Nationality: U.S Citizen Country of Birth: Input Country of Birth Occupation: Peace Corps Volunteer Passport Number: Leave Blank Date of Issue: Leave Blank Date of Expiry: Leave Blank Email address: Input personal email address

Travel Information of the Applicant a. Purpose of visit: Peace Corps Volunteerb. Duration of stay in Sri Lanka: 27 monthsc. Name of the Sri Lanka Mission where applicant could collect the visa:

Peace Corps Sri Lanka- Colombo

Mode of Travel of the Applicant a. Proposed Travel Itinerary: Air Travel Washington D.C to Colombo, Sri Lanka

Details of the Host Organization in Sri Lanka a. Name of the Organization: Peace Corps Sri Lankaa. Address of the Organization: Ministry of Education, 6th floor, Isurupaya,

Pelawatte, Battaramulla, Sri Lankab. Details of the Coordinator of the Organization (including telephone, fax

and email coordinates): srilanka@peacecorps.gov

Contact Details of Applicant’s Organization b. Name of the Organization: Peace Corpsc. Address of the Organization: 1275 First Street NE Washington, D.C 20526d. Telephone, Fax, and E-Mail Coordinates: 202-692-1879

srilanka@peacecorps.gov

5 Travel and Transportation • Volunteer Visas – Sri Lanka • Updated 2020-03-01

Photo Requirements □ You will need two 2”x2” photos, the same size as your passport photos□ Photos must have a white background and be printed on glossy photo paper□ Please make sure your ears and forehead are visible□ For more guidelines and examples please visit the Department of State

Website□ Write your full name and "Sri Lanka" on the back of all photos□ Write your name and "Sri Lanka" on a small envelope and place your photos

inside to protect them during shipping

Mailing Instructions □ Print one copy of your visa application single sided. Do not attach photos.□ Print one copy of “Annexture 1.”□ Print one copy of “Annexture 2.”□ Verify that all of the information is correct, if any of the information is incorrect

please correct and reprint, do not cross out information or use whiteout□ SIGN YOUR VISA APPLICATION AND ANNEXTURE 1. Do not write dates.□ Mail all three Sri Lanka forms and photos in one shipping envelope to the

address below.o Do not attach photos – place them in a smaller envelope labeled with

your name and "Sri Lanka" and send all items in one shipping envelope

Melwood Warehouse 5606 Dower House RD

CTC Building—BSC/Peace Corps Upper Marlboro MD 20772

ISSUED FREE

Department of Immigration & Emigration

APPLICATION FOR A ENTRY VISA

To be completed in Block Letters

Application No Affix a photograph

Visa exemption No

1. Details of present Passport:

i) Number ii) Place of Issue

iii) Date of Issue iv) Date of Expiry

2. Details of previous passport held, if any

i) Number ii) Place of Issue

iii) Date of Issue iv) Date of Expiry

3. Name in Full as shown in Passport:

YearYear DayMonth

Month YearDay Month

Month

Year Day

Day

For office use only

FORM B(Regulations 6)

4. Nationality:

5. If naturalized,

i)Date: ii) Place of naturalization

iii) Former Nationality:

6. Gender * i) Male ii) Female

7. Date of Birth Month

8. Place and country of Birth i. Place ii. Country

9. Civil Status * i. Single ii. Married iii. Widowed iv. Divorced

10. If Married i) Full name of Spouse:

ii)Nationality: iii) Postal Address:

MonthDay Year

Day Year

iii) Passport Number

iv) Date of expiry Month

11. Applicant's height in centimeters

12. Any identification Marks of Pecularities:

13. Addresss:

i) In the country of domicile

ii) During staying in Sri Lanka:

14. Profession/Occupation

i. Name and address of employee, if any:

ii. If in business where business is

Day Year

ii. If in business where business is

Fax: E-mail:

15. Contact Numbers Telephone Mobile

Fax E-Mail

16 Object of present visit * : i. Tourist ii. Applied for resident visa

iii. Other Purpose Specify:

17. Route and mode of travel to Sri Lanka:

18. Period for which visit visa is required

19. Whether previously in Sri Lanka? If So:-

i Last place of residence ii. Date of leaving Month YearDay

iii. Particulars of Visa last obtained*

Tourist Resident visa Specify

Other Purpose Specify

Multiple Specify

iv. Date of issue visa v. Period of validity

Month

vi. If residence visa, Resident visa number:

20

21

Whether permission to visit Sri Lanka or to extend stay in Sri Lanka has been refused previously and, if so by whom

and when or whether application has been made now previously to any Sri Lanka visa office abroad? If so, full

particulars and position of such application:

(a) Particulars of a person in Sri Lanka who can furnish information regarding applicant and security for

maintenance and repatriation of the applicant, if so required:

Day Month Year

22. (i) How much money in US$ will the applicant have with him/her or have available

on arrival in Sri Lanka?

(b) Name and address of a responsible person in applicant's own country who can furnish information regarding

applicant:

Name Address Contact No Relationship

Name Address Contact No Relationship

(ii) If credit card available, Name of cards Amounts spent

23. Any other reason to urge in support of application :

24. Finger mark of the applicant

………………………………………………

Date: ……………………………. Signature of applicant

I hereby declare that to the best of my knowledge and belief the forgoing statements are true, that I shall not engage

myself in any employment, paid or unpaid, or in any business or trade other than the purpose of visa is granted,on

arrival in Sri Lanka and that I shall leave Sri Lanka before the date of expiry of the period of my authorized stay in

the Island. I also undertake to notify the Controller of Immigration & Emigration, Colombo, immediately any change

of my address, while in Sri Lanka occurs.

Instructions : Instructions :

(1) An application for a visa must be made at least one month before the date of intended travel.

(2) Fee for a visit visa is charged on a reciprocal basis. In addition to Fax xxxxxxx should be added over 3 months and over 6 months visit visa for Rs. 10,000/- and Rs. 15,000/- respectively. Holders of Diplomatic or official passports will be granted or issued visas free of charge, if the purpose of visit is official or diplomatic.

(3) An applicant must submit two copies of his recent photograph 4.5 x 3.5 c.m. for issue of visa.

(4) * to be marked (�) in relevant cage

(5) There should be forwarded with application any documentary evidance available to prove the facts set out therein particularly the statement made in columns ( 16), (21) and (22)

(6) Copy of data page of applicants passport is required

(7) The applicant may be required to submit further information and proof as may be necessary.

(8) If married a Sri Lankan a copy of marriage certificate with originals are necessary.

2. Visa Number:

3. Correspondance number of Controller Immigration & Emigration if any,

Date: ……………………… Officer of Overseas Mission:

Name:

Designation:

Visa Endorsement

Affix a photograph

of applicant

1. Gratis Visa for ……………………………………………………. or Visit visa for Tourism/ other purpose (Business

discussion, Seminar, Machine installation, Workshop, Short term training) or Entry for applying Residence Visa is

granted for …………….. Days/ Weeks/ Months.

Office Use Only

Finger Mark

Receives Passport:

Date: …………………………………………………………………………………….

Signature of Applicant

Annexture 1

Contd 2

APPLICATION FOR ENTRY VISA REQUEST FOR EMPLOYMENT/ASSIGNMENT

AT DIPLOMATIC MISSIONS 01. Full Name as appearing in the Passport : ………………………………………………………………………………………………..

………………………………………………………………………………………………………………………………………………………………

02. Country, Place & Date of Birth : ……………………………………………………………………………………………………………….

03. Nationality : …………………………………………………………………………………………………………………………………………...

04. Previous Nationality (if applicable) : ……………………………………………………………………………………………………….

05. Passport No. : …………………………………………………………………………………………………………………………………………

Place & Date of issue : ……………………………………………………………………………………………………………………..

Category of Passport (Diplomatic/Official/Ordinary) : ……………………………………………………………………..

06. Purpose of the Visit : ………………………………………………………………………………………………………………………………

(in case of temporary assignments, meetings, training programmes conducted by the Mission

etc.)

07. Status of the Position in the Mission :

(a) Head of the Mission

(b) Member of the Diplomatic staff

(c) Member of the Technical and Administrative staff

(d) Members of the Service staff

(e) Dependant family member of Diplomatic Staff Member

08. Designation in the Mission : (Pertaining to the visit) ………………………………………………………………………………..

(Political/Economic/Cultural/Media/Consular/Protocol/Defence* or specify)

09. Present designation and the place of Work : ……………………………………………………………………………………………

10. Previous Places of Work during the past 5 years : ……………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………………

11. Whether Replacement or New position : ** …………………………………………………………………………….......................

If replacement, Name & Rank of the person to be replaced : ……………………………………………………………...

Date on which he/she will be leaving : ……………………………………………………………………………………………..

In case of a new position, the area of work, to be handled in the Mission : …………………………......................

(Political/Economic/Cultural/Media/Consular, Protocol or specify)

(2)

12. Expected period of assignment in Sri Lanka : …………………………………………………………………………………………..

13. Sri Lanka Mission to which the visa clearance is to be sent : **………………………………………………………………….

14. Details of the other household/family members accompanying the Officer

Name PPT No. Relationship to the Officer

(*Indicate Military Rank)

(**) No. 11 & 13 should be clearly mentioned)

Date Signature of the Applicant

Annexture II

Details required for clearance of visa through Electronic Travel Authorization

Applicant’s information

1. Surname/Family Name :

Other given name : Title : Date of Birth : Gender : Nationality : Country of Birth : Occupation : Passport Number : Date of Issue : Date of Expiry : E-Mail Address : Travel information of the Applicant:

a. Purpose of visit :

b. Duration of stay in Sri Lanka :

c. Name of the Sri Lanka Mission where applicant could collect the visa

Mode of Travel of the Applicant :

a. Proposed Travel Itinerary

Details of the Host Organization in Sri Lanka :

a. Name of the Organization :

b. Address of the Organization :

c. Details of the Coordinator of the Organization (including telephone, fax and e-mail

coordinates)

Contacts details of Applicant’s Organization

a. Name of the Organization :

b. Address of the Organization :

c. Telephone, Fax, and E-mail Coordinates