{"id":5085,"date":"2023-05-01T12:25:41","date_gmt":"2023-05-01T12:25:41","guid":{"rendered":"https:\/\/drcinqatar.org\/visa-application-form\/"},"modified":"2026-03-03T12:28:18","modified_gmt":"2026-03-03T12:28:18","slug":"visa-application-form","status":"publish","type":"page","link":"https:\/\/drcinqatar.org\/fr\/visa-application-form\/","title":{"rendered":"VISA APPLICATION FORM"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"5085\" class=\"elementor elementor-5085 elementor-873\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1595b49 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1595b49\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-60a027f\" data-id=\"60a027f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-aea26fb elementor-widget elementor-widget-heading\" data-id=\"aea26fb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">FORMULAIRE DE DEMANDE DE VISA<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e28620d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e28620d\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e3e1c84\" data-id=\"e3e1c84\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-14686a2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"14686a2\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-75de7f6\" data-id=\"75de7f6\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-b14bdab\" data-id=\"b14bdab\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0b37d8d elementor-widget__width-auto elementor-view-default elementor-widget elementor-widget-icon\" data-id=\"0b37d8d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-wrapper\">\n\t\t\t<div class=\"elementor-icon\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"1200pt\" height=\"1200pt\" viewBox=\"0 0 1200 1200\"><g fill=\"#ea1c33\" fill-rule=\"evenodd\"><path d=\"m598.14 338.08 59.445 185.76h196.9l-159.75 111.45 63.156 185.76-159.75-115.17-156.04 115.17 59.441-185.76-156.04-111.45h193.19z\"><\/path><path d=\"m995.66 475.54 48.297 148.61h156.04l-126.32 89.164 48.297 148.61-126.32-92.879-126.31 92.879 48.297-148.61-126.32-89.164h156.04z\"><\/path><path d=\"m204.34 475.54-48.297 148.61h-156.04l126.32 89.164-48.297 148.61 126.32-92.879 126.31 92.879-48.297-148.61 126.32-89.164h-156.04z\"><\/path><\/g><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a0b0143 elementor-widget elementor-widget-heading\" data-id=\"a0b0143\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">FORMULAIRE DE DEMANDE DE VISA I VISA APPLICATION FORM<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6505539 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"6505539\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e3df3b9 pp-wpforms-labels-yes pp-wpforms-form-button-custom elementor-widget elementor-widget-pp-wpforms\" data-id=\"e3df3b9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"pp-wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"pp-contact-form pp-wpforms\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-872\"><form id=\"wpforms-form-872\" class=\"wpforms-validate wpforms-form\" data-formid=\"872\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/fr\/visa-application-form\/?wpforms_form_id=872\" data-token=\"35e4f20ca192ffab9dec83180626a682\"><div class=\"wpforms-head-container\"><\/div><noscript class=\"wpforms-error-noscript\">Veuillez activer JavaScript dans votre navigateur pour remplir ce formulaire.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-872-field_93-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"93\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-872-field_93\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-872-field_64-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"64\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_64\">Date <\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-872-field_64\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][64][date]\" ><a title=\"Effacer la date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><\/div><\/div><\/div><div id=\"wpforms-872-field_2-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"2\"><div id=\"wpforms-872-field_2\"><h4> <b> A. JOINDRE AU PRESENT FORMULAIRE \/ PLEASE ATTACH TO THIS FORM:\r\n<\/b><\/h4><\/div><\/div><div id=\"wpforms-872-field_3-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"3\"><ul id=\"wpforms-872-field_3\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-872-field_3_1\" name=\"wpforms[fields][3][]\" value=\"Passeport en cours de validit\u00e9 (plus de six mois)\/A valid passport (more than six months)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-872-field_3_1\">Passeport en cours de validit\u00e9 (plus de six mois)\/A valid passport (more than six months)<\/label><\/li><\/ul><\/div><div id=\"wpforms-872-field_4-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"4\"><ul id=\"wpforms-872-field_4\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-872-field_4_1\" name=\"wpforms[fields][4][]\" value=\"1 photo d\u2019identit\u00e9 (\u00e9crire les noms derri\u00e8re la photo)\/1 Passport photo (write name on the back of the photo\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-872-field_4_1\">1 photo d\u2019identit\u00e9 (\u00e9crire les noms derri\u00e8re la photo)\/1 Passport photo (write name on the back of the photo<\/label><\/li><\/ul><\/div><div id=\"wpforms-872-field_5-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"5\"><div id=\"wpforms-872-field_5\"><h4> <b> B. RENSEIGNEMENTS A COMMUNIQUER \/ INFORMATION TO BE PROVIDED\r\n<\/b><\/h4><\/div><\/div><div id=\"wpforms-872-field_6-container\" class=\"wpforms-field wpforms-field-name wpforms-one-third wpforms-first\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_6\">Nom \/ Name<\/label><input type=\"text\" id=\"wpforms-872-field_6\" class=\"wpforms-field-large\" name=\"wpforms[fields][6]\" ><\/div><div id=\"wpforms-872-field_9-container\" class=\"wpforms-field wpforms-field-name wpforms-one-third\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_9\">Pr\u00e9nom \/ First Name:<\/label><input type=\"text\" id=\"wpforms-872-field_9\" class=\"wpforms-field-large\" name=\"wpforms[fields][9]\" ><\/div><div id=\"wpforms-872-field_8-container\" class=\"wpforms-field wpforms-field-name wpforms-one-third\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_8\">Post nom(s) \/ Middle Name (s):<\/label><input type=\"text\" id=\"wpforms-872-field_8\" class=\"wpforms-field-large\" name=\"wpforms[fields][8]\" ><\/div><div id=\"wpforms-872-field_7-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_7\">Nom de jeune fille (Maiden Name):<\/label><input type=\"text\" id=\"wpforms-872-field_7\" class=\"wpforms-field-large\" name=\"wpforms[fields][7]\" ><\/div><div id=\"wpforms-872-field_90-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"90\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_90\">Lieu de naissance (ville)\/Place of Birth (city):<\/label><input type=\"text\" id=\"wpforms-872-field_90\" class=\"wpforms-field-large\" name=\"wpforms[fields][90]\" ><\/div><div id=\"wpforms-872-field_11-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_11\">Pays\/Country:<\/label><input type=\"text\" id=\"wpforms-872-field_11\" class=\"wpforms-field-large\" name=\"wpforms[fields][11]\" ><\/div><div id=\"wpforms-872-field_12-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half wpforms-first\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_12\">Date de naissance\/Date of Birth:<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-872-field_12\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][12][date]\" ><a title=\"Effacer la date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-872-field_13-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_13\">Nationalit\u00e9 \u00e0 la naissance\/Nationality at Birth: <\/label><input type=\"text\" id=\"wpforms-872-field_13\" class=\"wpforms-field-large\" name=\"wpforms[fields][13]\" ><\/div><div id=\"wpforms-872-field_14-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third wpforms-first\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_14\">Nationalit\u00e9 actuelle\/Current Nationality:<\/label><input type=\"text\" id=\"wpforms-872-field_14\" class=\"wpforms-field-large\" name=\"wpforms[fields][14]\" ><\/div><div id=\"wpforms-872-field_15-container\" class=\"wpforms-field wpforms-field-select wpforms-one-third wpforms-field-select-style-classic\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_15\">Sexe\/Gender :<\/label><select id=\"wpforms-872-field_15\" class=\"wpforms-field-large\" name=\"wpforms[fields][15]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Select One<\/option><option value=\"Male\" >Male<\/option><option value=\"Female\" >Female<\/option><\/select><\/div><div id=\"wpforms-872-field_17-container\" class=\"wpforms-field wpforms-field-select wpforms-one-third wpforms-field-select-style-classic\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_17\">Etat Civil (*1) \/Marital Status:<\/label><select id=\"wpforms-872-field_17\" class=\"wpforms-field-large\" name=\"wpforms[fields][17]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Select One<\/option><option value=\"C\u00e9libataire\/Single\" >C\u00e9libataire\/Single<\/option><option value=\"Mari\u00e9\/Married\" >Mari\u00e9\/Married<\/option><option value=\"Divorc\u00e9\/Divorced\" >Divorc\u00e9\/Divorced<\/option><option value=\"Veuf\/Widow(er\" >Veuf\/Widow(er<\/option><option value=\"Autre\/Other\" >Autre\/Other<\/option><\/select><\/div><div id=\"wpforms-872-field_20-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_20\">Nom du (ou de la) conjoint(e)\/Spouse\u2019s Name:<\/label><input type=\"text\" id=\"wpforms-872-field_20\" class=\"wpforms-field-large\" name=\"wpforms[fields][20]\" ><\/div><div id=\"wpforms-872-field_21-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_21\">Nationalit\u00e9 du (ou de la) conjoint(e)\/Spouse\u2019s Nationality: <\/label><input type=\"text\" id=\"wpforms-872-field_21\" class=\"wpforms-field-large\" name=\"wpforms[fields][21]\" ><\/div><div id=\"wpforms-872-field_22-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_22\">Profession\/Profession:<\/label><input type=\"text\" id=\"wpforms-872-field_22\" class=\"wpforms-field-large\" name=\"wpforms[fields][22]\" ><\/div><div id=\"wpforms-872-field_24-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_24\">Adresse\/Address: <\/label><input type=\"text\" id=\"wpforms-872-field_24\" class=\"wpforms-field-large\" name=\"wpforms[fields][24]\" ><\/div><div id=\"wpforms-872-field_25-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-half wpforms-first\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_25\">Num\u00e9ros de t\u00e9l\u00e9phone\/Phone Number:<\/label><input type=\"tel\" id=\"wpforms-872-field_25\" class=\"wpforms-field-large\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][25]\" ><\/div><div id=\"wpforms-872-field_26-container\" class=\"wpforms-field wpforms-field-email wpforms-one-half\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_26\">Adresse email\/Email Address : <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-872-field_26\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][26]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-872-field_27-container\" class=\"wpforms-field wpforms-field-name wpforms-one-half wpforms-first\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_27\">Noms du p\u00e8re\/Father\u2019s Name: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-872-field_27\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][27]\" required><\/div><div id=\"wpforms-872-field_28-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_28\">Nationalit\u00e9 du p\u00e8re\/Father\u2019s Nationality:<\/label><input type=\"text\" id=\"wpforms-872-field_28\" class=\"wpforms-field-large\" name=\"wpforms[fields][28]\" ><\/div><div id=\"wpforms-872-field_29-container\" class=\"wpforms-field wpforms-field-name wpforms-one-half wpforms-first\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_29\">Nom de la m\u00e8re\/Mother\u2019s Name: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-872-field_29\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][29]\" required><\/div><div id=\"wpforms-872-field_30-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_30\">Nationalit\u00e9 de la m\u00e8re\/Mother\u2019s Nationality: <\/label><input type=\"text\" id=\"wpforms-872-field_30\" class=\"wpforms-field-large\" name=\"wpforms[fields][30]\" ><\/div><div id=\"wpforms-872-field_31-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-2-columns\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_31\">Type de Passeport\/Type of Passport:<\/label><ul id=\"wpforms-872-field_31\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-872-field_31_1\" name=\"wpforms[fields][31]\" value=\"Passeport Ordinaire\/Ordinary Passport\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-872-field_31_1\">Passeport Ordinaire\/Ordinary Passport<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-872-field_31_2\" name=\"wpforms[fields][31]\" value=\"Passeport Diplomatique\/Diplomatic Passport\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-872-field_31_2\">Passeport Diplomatique\/Diplomatic Passport<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-872-field_31_3\" name=\"wpforms[fields][31]\" value=\"Passeport de Service\/Service Passport\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-872-field_31_3\">Passeport de Service\/Service Passport<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-872-field_31_4\" name=\"wpforms[fields][31]\" value=\"Autres types de titre de voyage \u00e0 sp\u00e9cifier\/Other types of travel\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-872-field_31_4\">Autres types de titre de voyage \u00e0 sp\u00e9cifier\/Other types of travel<\/label><\/li><\/ul><\/div><div id=\"wpforms-872-field_32-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_32\">document, to be specified<\/label><input type=\"text\" id=\"wpforms-872-field_32\" class=\"wpforms-field-large\" name=\"wpforms[fields][32]\" ><\/div><div id=\"wpforms-872-field_33-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_33\">Num\u00e9ro du passeport\/Passport Number:<\/label><input type=\"text\" id=\"wpforms-872-field_33\" class=\"wpforms-field-large\" name=\"wpforms[fields][33]\" ><\/div><div id=\"wpforms-872-field_91-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"91\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-872-field_91\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-872-field_36-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half wpforms-first\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_36\">Date de d\u00e9livrance\/Date of Issue:<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-872-field_36\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][36][date]\" placeholder=\"Select Date\" ><a title=\"Effacer la date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-872-field_38-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_38\">D\u00e9livr\u00e9 par\/Issued by:<\/label><input type=\"text\" id=\"wpforms-872-field_38\" class=\"wpforms-field-large\" name=\"wpforms[fields][38]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-872-field_37-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_37\">Date d\u2019expiration\/Date of expiration:<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-872-field_37\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][37][date]\" placeholder=\"Select Date\" ><a title=\"Effacer la date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-872-field_41-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"41\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_41\">Date d\u2019expiration\/Date of expiration:<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-872-field_41\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][41][date]\" placeholder=\"Select Date\" ><a title=\"Effacer la date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-872-field_39-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"39\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_39\">Num\u00e9ro de la carte de s\u00e9jour (*2) \/Residency card number (If Applicable):<\/label><input type=\"text\" id=\"wpforms-872-field_39\" class=\"wpforms-field-large\" name=\"wpforms[fields][39]\" ><\/div><div id=\"wpforms-872-field_43-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-id=\"43\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_43\">Motif du voyage\/Purpose of travel:<\/label><select id=\"wpforms-872-field_43\" class=\"wpforms-field-large\" name=\"wpforms[fields][43]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Select One<\/option><option value=\"Visite familiale\/Family and friends visit\" >Visite familiale\/Family and friends visit<\/option><option value=\"Affaires\/Business \" >Affaires\/Business <\/option><option value=\"Tourisme\/Torism\" >Tourisme\/Torism<\/option><option value=\"Journaliste\/Journalist\" >Journaliste\/Journalist<\/option><option value=\"Mission Officielle\/Official Visit\" >Mission Officielle\/Official Visit<\/option><option value=\"Etude\/Studies \" >Etude\/Studies <\/option><option value=\"ONG\/NGO \" >ONG\/NGO <\/option><option value=\"Personnel scientifique\/Medical and research staff\" >Personnel scientifique\/Medical and research staff<\/option><option value=\"Op\u00e9rateur culturel\/Cultural operator\" >Op\u00e9rateur culturel\/Cultural operator<\/option><option value=\"Op\u00e9rateur sportif\/Sport Organization\" >Op\u00e9rateur sportif\/Sport Organization<\/option><option value=\"Membre d\u2019une confession religieuse\/Clergyman (Priest, Pastor etc\u2026)\" >Membre d\u2019une confession religieuse\/Clergyman (Priest, Pastor etc\u2026)<\/option><\/select><\/div><div id=\"wpforms-872-field_94-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"94\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_94\">Motif du voyage \/ Purpose of travel ( max. 500 mots \/ words)\u00a0\u00a0<\/label><textarea id=\"wpforms-872-field_94\" class=\"wpforms-field-medium\" name=\"wpforms[fields][94]\" ><\/textarea><\/div><div id=\"wpforms-872-field_44-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"44\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_44\">R\u00e9f\u00e9rence du document justifiant le voyage \/Travel supporting documents reference<\/label><input type=\"text\" id=\"wpforms-872-field_44\" class=\"wpforms-field-large\" name=\"wpforms[fields][44]\" ><\/div><div id=\"wpforms-872-field_46-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"46\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_46\">D\u00e9livr\u00e9 par\/Issued by:<\/label><input type=\"text\" id=\"wpforms-872-field_46\" class=\"wpforms-field-large\" name=\"wpforms[fields][46]\" ><\/div><div id=\"wpforms-872-field_47-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"47\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_47\">Lieu de la mission\/Place of Mission:<\/label><input type=\"text\" id=\"wpforms-872-field_47\" class=\"wpforms-field-large\" name=\"wpforms[fields][47]\" ><\/div><div id=\"wpforms-872-field_73-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-id=\"73\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_73\">Type de visa\/type of visa:<\/label><select id=\"wpforms-872-field_73\" class=\"wpforms-field-large\" name=\"wpforms[fields][73]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Select One<\/option><option value=\"Transit a. Aller du\/Depart\" >Transit a. Aller du\/Depart<\/option><option value=\"Une seule entr\u00e9e (point d\u2019acc\u00e8s)\/One entry (entry point)\" >Une seule entr\u00e9e (point d\u2019acc\u00e8s)\/One entry (entry point)<\/option><option value=\"eux entr\u00e9es (point d\u2019acc\u00e8s)\/Two entries (entry point)\" >eux entr\u00e9es (point d\u2019acc\u00e8s)\/Two entries (entry point)<\/option><option value=\"ultiples entr\u00e9es (*4) (point d\u2019acc\u00e8s)\/Multiple entries (entry point)\" >ultiples entr\u00e9es (*4) (point d\u2019acc\u00e8s)\/Multiple entries (entry point)<\/option><\/select><\/div><div id=\"wpforms-872-field_75-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"75\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_75\">Aller du\/Depart<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-872-field_75\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][75][date]\" ><a title=\"Effacer la date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><div class=\"wpforms-field-description\">Transit<\/div><\/div><div id=\"wpforms-872-field_76-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"76\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_76\">au\/to<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-872-field_76\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][76][date]\" ><a title=\"Effacer la date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><div class=\"wpforms-field-description\">Transit<\/div><\/div><div id=\"wpforms-872-field_77-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"77\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_77\">Retour du\/Return from<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-872-field_77\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][77][date]\" ><a title=\"Effacer la date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><div class=\"wpforms-field-description\">Transit<\/div><\/div><div id=\"wpforms-872-field_78-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"78\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_78\">au\/to<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-872-field_78\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][78][date]\" ><a title=\"Effacer la date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><div class=\"wpforms-field-description\">Transit<\/div><\/div><div id=\"wpforms-872-field_79-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"79\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_79\">du\/from<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-872-field_79\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][79][date]\" ><a title=\"Effacer la date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><div class=\"wpforms-field-description\">One entry<\/div><\/div><div id=\"wpforms-872-field_80-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"80\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_80\">au\/to<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-872-field_80\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][80][date]\" ><a title=\"Effacer la date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><div class=\"wpforms-field-description\">One entry<\/div><\/div><div id=\"wpforms-872-field_81-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"81\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_81\">du\/from<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-872-field_81\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][81][date]\" ><a title=\"Effacer la date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><div class=\"wpforms-field-description\">Two entry<\/div><\/div><div id=\"wpforms-872-field_82-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"82\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_82\">au\/to<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-872-field_82\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][82][date]\" ><a title=\"Effacer la date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><div class=\"wpforms-field-description\">Two entry<\/div><\/div><div id=\"wpforms-872-field_83-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"83\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_83\">du\/from<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-872-field_83\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][83][date]\" ><a title=\"Effacer la date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><div class=\"wpforms-field-description\">Two entry<\/div><\/div><div id=\"wpforms-872-field_84-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"84\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_84\">au\/to<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-872-field_84\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][84][date]\" ><a title=\"Effacer la date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><div class=\"wpforms-field-description\">Two entry<\/div><\/div><div id=\"wpforms-872-field_85-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"85\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_85\">du\/from<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-872-field_85\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][85][date]\" ><a title=\"Effacer la date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><div class=\"wpforms-field-description\">Multiple entries<\/div><\/div><div id=\"wpforms-872-field_86-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"86\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_86\">au\/to<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-872-field_86\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][86][date]\" ><a title=\"Effacer la date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><div class=\"wpforms-field-description\">Multiple entries<\/div><\/div><div id=\"wpforms-872-field_87-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"87\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_87\">du\/from<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-872-field_87\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][87][date]\" ><a title=\"Effacer la date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><div class=\"wpforms-field-description\">Multiple entries<\/div><\/div><div id=\"wpforms-872-field_88-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"88\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_88\">au\/to<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-872-field_88\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][88][date]\" ><a title=\"Effacer la date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><div class=\"wpforms-field-description\">Multiple entries<\/div><\/div><div id=\"wpforms-872-field_89-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"89\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_89\">Photo d\u2019identit\u00e9\/Passport Photo <\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"89\"\n\t\tdata-form-id=\"872\"\n\t\tdata-input-name=\"wpforms_872_89\"\n\t\tdata-extensions=\"png,jpg,jpeg\"\n\t\tdata-max-size=\"5242880\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"1073741824\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Cliquez ou d\u00e9placez un fichier dans cette zone pour le t\u00e9l\u00e9verser.<\/span>\n\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-872-field_89\"\n\t\tname=\"wpforms_872_89\" \t\tvalue=\"\">\n<div class=\"wpforms-field-description\">Attach jpg photo to email\r\nor bring photos with you\r\nwhen applying.<\/div><\/div><div id=\"wpforms-872-field_49-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"49\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_49\">N\u00b0 du dernier visa congolais\/ Number of last DRC Visa granted:<\/label><input type=\"text\" id=\"wpforms-872-field_49\" class=\"wpforms-field-large\" name=\"wpforms[fields][49]\" ><\/div><div id=\"wpforms-872-field_52-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half wpforms-first\" data-field-id=\"52\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_52\">Date de d\u00e9livrance\/Date of Issuance:<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-872-field_52\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][52][date]\" placeholder=\"Select Date\" ><a title=\"Effacer la date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-872-field_53-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half\" data-field-id=\"53\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_53\">Date d\u2019expiration\/Date of expiration:<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-872-field_53\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-large\" data-date-format=\"d\/m\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][53][date]\" placeholder=\"Select Date\" ><a title=\"Effacer la date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-872-field_54-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"54\"><div id=\"wpforms-872-field_54\"><h4> <b> Noms post noms et prenom des personnes (morales ou physiques qui invitent et qui prennent en charge l'invit\u00e9\/\r\nFull name of persons (individuals or legal entities) inviting or sponsoring the guest\r\n<\/b><\/h4><\/div><\/div><div id=\"wpforms-872-field_55-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"55\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_55\">Noms\/Names:<\/label><input type=\"text\" id=\"wpforms-872-field_55\" class=\"wpforms-field-large\" name=\"wpforms[fields][55]\" ><\/div><div id=\"wpforms-872-field_56-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"56\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_56\">Adresse\/Address:<\/label><input type=\"text\" id=\"wpforms-872-field_56\" class=\"wpforms-field-large\" name=\"wpforms[fields][56]\" ><\/div><div id=\"wpforms-872-field_57-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-half\" data-field-id=\"57\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_57\"> Num\u00e9ros de t\u00e9l\u00e9phone\/Phone Number:<\/label><input type=\"tel\" id=\"wpforms-872-field_57\" class=\"wpforms-field-large\" data-rule-int-phone-field=\"true\" name=\"wpforms[fields][57]\" ><\/div><div id=\"wpforms-872-field_58-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"58\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_58\">Garantie de la prise en charge (*5)\/Sponsorship Guarantee<\/label><input type=\"text\" id=\"wpforms-872-field_58\" class=\"wpforms-field-large\" name=\"wpforms[fields][58]\" ><\/div><div id=\"wpforms-872-field_59-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"59\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_59\">Preuves des moyens de subsistances pour la dur\u00e9e du s\u00e9jour en RDC pour les personnes qui ne sont pas prises en charge par une personne morale ou physique\/Proofs of financial means to cover expenses during stay in the DRC for travellers that are not sponsored by an individual or legal entity<\/label><input type=\"text\" id=\"wpforms-872-field_59\" class=\"wpforms-field-large\" name=\"wpforms[fields][59]\" ><\/div><div id=\"wpforms-872-field_60-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"60\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_60\">La dur\u00e9e d\u2019attente du visa est de (*6)\/Visa processing period is<\/label><input type=\"text\" id=\"wpforms-872-field_60\" class=\"wpforms-field-large\" name=\"wpforms[fields][60]\" ><\/div><div id=\"wpforms-872-field_61-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"61\"><ul id=\"wpforms-872-field_61\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-872-field_61_1\" name=\"wpforms[fields][61][]\" value=\"Je reconnais que les renseignements communiqu\u00e9s ci-dessus sont exacts et v\u00e9ridiques. J\u2019accepte qu&#039;en cas de refus de visa pour une raison quelconque, les frais pay\u00e9s ne sont-pas remboursables\/ \/ hereby acknowledge that the above information is true and I agree that in case of visa refusal for any reason, the fees paid are not refundable\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-872-field_61_1\">Je reconnais que les renseignements communiqu\u00e9s ci-dessus sont exacts et v\u00e9ridiques. J\u2019accepte qu'en cas de refus de visa pour une raison quelconque, les frais pay\u00e9s ne sont-pas remboursables\/ \/ hereby acknowledge that the above information is true and I agree that in case of visa refusal for any reason, the fees paid are not refundable<\/label><\/li><\/ul><\/div><div id=\"wpforms-872-field_65-container\" class=\"wpforms-field wpforms-field-html wpforms-two-fourths wpforms-first\" data-field-id=\"65\"><div id=\"wpforms-872-field_65\"><\/div><\/div><div id=\"wpforms-872-field_92-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"92\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-872-field_92\">Layout<\/label><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-872-field_63-container\" class=\"wpforms-field wpforms-field-text wpforms-one-fourth\" data-field-id=\"63\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_63\">Fait \u00e0\/Signed in<\/label><input type=\"text\" id=\"wpforms-872-field_63\" class=\"wpforms-field-large\" name=\"wpforms[fields][63]\" ><\/div><div id=\"wpforms-872-field_67-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"67\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_67\">Signature du r\u00e9qu\u00e9rant \/Applicant Signature<\/label><input type=\"text\" id=\"wpforms-872-field_67\" class=\"wpforms-field-large\" name=\"wpforms[fields][67]\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><\/div><\/div><\/div><div id=\"wpforms-872-field_66-container\" class=\"wpforms-field wpforms-field-html wpforms-one-half wpforms-first\" data-field-id=\"66\"><div id=\"wpforms-872-field_66\"><\/div><\/div><div id=\"wpforms-872-field_68-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"68\"><div id=\"wpforms-872-field_68\"><h4> <b>SECTION \u00c0 REMPLIR PAR LA CHANCELLERIE\/SECTION TO FILLED OUT BY CHANCERY\r\n<\/b><\/h4><\/div><\/div><div id=\"wpforms-872-field_69-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"69\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_69\">N\u00b0 de la demande de visa\/Visa Application Number (*7)<\/label><input type=\"text\" id=\"wpforms-872-field_69\" class=\"wpforms-field-large\" name=\"wpforms[fields][69]\" ><\/div><div id=\"wpforms-872-field_70-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half wpforms-first\" data-field-id=\"70\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_70\">Annotation de l\u2019Agent de la Chancellerie\/Consular Officer\u2019s notes :<\/label><input type=\"text\" id=\"wpforms-872-field_70\" class=\"wpforms-field-large\" name=\"wpforms[fields][70]\" ><\/div><div id=\"wpforms-872-field_71-container\" class=\"wpforms-field wpforms-field-text wpforms-one-half\" data-field-id=\"71\"><label class=\"wpforms-field-label\" for=\"wpforms-872-field_71\">Signature du Chancelier\/Signature of the Chancellor:<\/label><input type=\"text\" id=\"wpforms-872-field_71\" class=\"wpforms-field-large\" name=\"wpforms[fields][71]\" ><\/div><div id=\"wpforms-872-field_72-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"72\"><div id=\"wpforms-872-field_72\"><b>(1):<\/b> cocher dans une case\/select one choice<br>\r\n<b>(2):<\/b> joindre Ia photocopie du document (titre de sejour \u00e0 longue dur\u00e9e)\/Please attach the copy of the document (long stay\r\ndocument)<br>\r\n<b>(3):<\/b> joindre Ia photocopie du visa de voyage dans le pays de la demi\u00e8re destination\/Please attach a copy of the travel visa for the country of final destination<br>\r\n<b>(4):<\/b> mettre les dates envisag\u00e9es des 1\u00e8re et demiere entr\u00e9es comme celles des 1\u00e8re et demi\u00e8res sorties\/Please indicate the planned dates of the 1st and last entries as well as those of 1st and last exits.<br>\r\n<b>(5):<\/b> Garantie comme exig\u00e9e par Ia DGM\/ Guarantee as required by DGM<br>\r\n<b>(6):<\/b> est la meme que celle accord\u00e9e au traitement des dossiers des requ\u00e9rants congolais des visas dans Ia juridiction I Is equal to the one allocated to the handling of files of Congolese visa applicants in the jurisdiction<br>\r\n<b>(7):<\/b> N\u00b0 de Ia demande de visa est \u00e0 transcrire par l'Agent de Ia Chancellerie \/ The number of the visa application is to be transcribed by the Chancery Officer.<br>\r\n<b>(8):<\/b> Indice de l'Ambassade suivi du num\u00e9ro d'enregistrement au niveau de l'Ambassade\/Index of the Embassy followed by the registration number at the Embassy.<br>\r\nLe 3i\u00e8me espace vide sera le numero du visa octroy\u00e9\/The 3rd blank space will be for the number of the visa granted<\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-872-field-hp\" class=\"wpforms-field-label\">Message<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-872-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"872\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><input type=\"hidden\" name=\"wpforms[post_id]\" value=\"5085\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-872\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>FORMULAIRE DE DEMANDE DE VISA FORMULAIRE DE DEMANDE DE VISA I VISA APPLICATION FORM Please enable JavaScript in your browser to complete this form.LayoutDate A. JOINDRE AU PRESENT FORMULAIRE \/ PLEASE ATTACH TO THIS FORM: Passeport en cours de validit\u00e9 (plus de six mois)\/A valid passport (more than six months) 1 photo d\u2019identit\u00e9 (\u00e9crire les [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_view_id":"","footnotes":""},"class_list":["post-5085","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/drcinqatar.org\/fr\/wp-json\/wp\/v2\/pages\/5085","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drcinqatar.org\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drcinqatar.org\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drcinqatar.org\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drcinqatar.org\/fr\/wp-json\/wp\/v2\/comments?post=5085"}],"version-history":[{"count":4,"href":"https:\/\/drcinqatar.org\/fr\/wp-json\/wp\/v2\/pages\/5085\/revisions"}],"predecessor-version":[{"id":5089,"href":"https:\/\/drcinqatar.org\/fr\/wp-json\/wp\/v2\/pages\/5085\/revisions\/5089"}],"wp:attachment":[{"href":"https:\/\/drcinqatar.org\/fr\/wp-json\/wp\/v2\/media?parent=5085"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}