Request for Visa Invitation Letter for Int'l Travel

Visa Invitation Letter Request Form
If you require an invitation letter to support your visa application for travel to an ISSWSH meeting or event, please complete the form below. Please provide all requested information accurately and as it appears on your passport. Your personalized invitation letter will be prepared using the information you provide and may be submitted as supporting documentation with your visa application. Please note that ISSWSH cannot guarantee visa approval or entry into the destination country.
Applicant Information
Full Name (as shown on passport):

First NameMiddle NameLast Name
Preferred Name (optional):

First NameLast Name
Date of Birth:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Country of Citizenship:
Country of Citizenship:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Country of Residence:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Passport Number:
Passport Expiration Date:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Contact Information
Email Address:
example@example.com
Mailing Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Meeting Information
Meeting/Event Invitation Needed For:
If other, name of meeting:
Are you registered for the meeting?
Registration ID/Confirmation Number:
Participation Details
Will you be presenting?
Presentation Title:
Visa Information
Country Where You Will Apply for Your Visa:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeSelect the country from which you will submit your visa application.
City Where You Will Apply for Your Visa:
Enter the city where you will submit your visa application.
Invitation Letter Details
Does your visa application require the invitation letter to be addressed to a specific office or authority?
Name to Appear on Invitation Letter:

PrefixFirst NameMiddle NameLast NameSuffix
Name of Visa/Immigration Office or Authority:
Please enter the official name exactly as provided in your visa application instructions (for example, Embassy, High Commission, Consulate General, Visa Office, or Immigration Authority).
Visa/Immigration Office Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Name to Appear on Invitation Letter:
Please enter your name exactly as you would like it displayed on your invitation letter, including your preferred title (Dr., Mr., Ms., etc.).
Additional Requests
Are there any additional details or specific wording required for your visa application?
If your visa office has provided specific requirements for your invitation letter, please enter them here. You may leave this field blank if none apply.
Disclaimer/Agreement
Acknowledgment:
Signature

By signing below, I acknowledge and agree to the statement above.
Should be Empty:

Visa Invitation Letter Request Form

Applicant Information

Contact Information

Meeting Information

Participation Details

Visa Information

Invitation Letter Details

Additional Requests

Disclaimer/Agreement