Name and surname:
Date of birth:
Passport issuing country:
Country of residence:
Travel destination / country:
Date of travel:

Purpose of travel:

touristbusinessstudywork & travelmigrationother

Have you previously applied for a visa in one of the following countries?
AustraliaCanadaNew ZealandUnited KingdomUSA
If yes, what was the outcome of your application:
Number of your passport:
Date of issue:
Expiration Date:
Telephone number:
E-mail address:

Comments and Questions:

Please indicate what type of visa you need and any additional questions regarding it:


Wood & Müller Consulting and Visas will use the personal information you provide in this form to evaluate your situation, communicate with you and provide you with relevant services. By clicking "Accept" you agree that we will use your information in accordance with our Terms and Conditions and Privacy Policy.
* I agree with Wood & Müller Consulting and Visas evaluation and Terms and Conditions.
* I agree that Wood & Müller Consulting and Visas may use the information provided to contact me by e-mail, solely with respect to the information given and the further steps required to obtain the appropriate travel visa.

I confirm that the information I have provided is true and correct and I consent to Wood & Müller Consulting and Visas conducting all necessary inquiries for the purpose of determining eligibility for a visa, including performing any visa verification with the immigration authorities.