Keresztir Yahrtzeit Visa
for more details email yahrtzeitkeresztir@gmail.com or whatsapp wa.me/18455332753 
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First Name *
Last Name *
City and Country of birth *
Date of birth (Date, Month, Year) *
Mother's First Name *
Mother's Maiden Name *
Phone Number *
E-mail Address *
Date of Entry *
MM
/
DD
/
YYYY
Date of Exit *
MM
/
DD
/
YYYY
Place of Entry (If driving please note which border you will be crossing) *
Nationality *
Address (House number, Street) *
City, State *
Zip Code *
Passport number *
Additional people coming in with you: (Please fill out a  new form for each person separately)
Payment method (200$) *
Name of account used for payment *
I confirm that I transferred the $200 processing fee. *
Required
I confirm that I sent a copy of my passport to yahrtzeitkeresztir@gmail.com *
Required
please conform that your not flying with LOT polish and swiss air *
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