{"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 wpforms-ajax-form\" data-formid=\"872\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/fr\/visa-application-form\/?wpforms_form_id=872\" data-token=\"a84e915f2852ae46ccb593edd9de1eb3\" data-token-time=\"1793283776\"><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\"><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 role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Effacer la date\" 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: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-872-field_9\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][9]\" required><\/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 role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Effacer la date\" 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\"  class=\"choice-1 depth-1\"  >Male<\/option><option value=\"Female\"  class=\"choice-2 depth-1\"  >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\"  class=\"choice-1 depth-1\"  >C\u00e9libataire\/Single<\/option><option value=\"Mari\u00e9\/Married\"  class=\"choice-2 depth-1\"  >Mari\u00e9\/Married<\/option><option value=\"Divorc\u00e9\/Divorced\"  class=\"choice-4 depth-1\"  >Divorc\u00e9\/Divorced<\/option><option value=\"Veuf\/Widow(er\"  class=\"choice-5 depth-1\"  >Veuf\/Widow(er<\/option><option value=\"Autre\/Other\"  class=\"choice-6 depth-1\"  >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]\" aria-label=\"Num\u00e9ros de t\u00e9l\u00e9phone\/Phone Number:\" ><\/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\">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\"><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 role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Effacer la date\" 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 role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Effacer la date\" 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 role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Effacer la date\" 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\"  class=\"choice-1 depth-1\"  >Visite familiale\/Family and friends visit<\/option><option value=\"Affaires\/Business \"  class=\"choice-2 depth-1\"  >Affaires\/Business<\/option><option value=\"Tourisme\/Torism\"  class=\"choice-3 depth-1\"  >Tourisme\/Torism<\/option><option value=\"Journaliste\/Journalist\"  class=\"choice-4 depth-1\"  >Journaliste\/Journalist<\/option><option value=\"Mission Officielle\/Official Visit\"  class=\"choice-5 depth-1\"  >Mission Officielle\/Official Visit<\/option><option value=\"Etude\/Studies \"  class=\"choice-6 depth-1\"  >Etude\/Studies<\/option><option value=\"ONG\/NGO \"  class=\"choice-7 depth-1\"  >ONG\/NGO<\/option><option value=\"Personnel scientifique\/Medical and research staff\"  class=\"choice-8 depth-1\"  >Personnel scientifique\/Medical and research staff<\/option><option value=\"Op\u00e9rateur culturel\/Cultural operator\"  class=\"choice-9 depth-1\"  >Op\u00e9rateur culturel\/Cultural operator<\/option><option value=\"Op\u00e9rateur sportif\/Sport Organization\"  class=\"choice-10 depth-1\"  >Op\u00e9rateur sportif\/Sport Organization<\/option><option value=\"Membre d\u2019une confession religieuse\/Clergyman (Priest, Pastor etc\u2026)\"  class=\"choice-11 depth-1\"  >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\"  class=\"choice-1 depth-1\"  >Transit a. Aller du\/Depart<\/option><option value=\"Une seule entr\u00e9e (point d\u2019acc\u00e8s)\/One entry (entry point)\"  class=\"choice-2 depth-1\"  >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)\"  class=\"choice-3 depth-1\"  >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)\"  class=\"choice-4 depth-1\"  >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 role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Effacer la date\" 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 role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Effacer la date\" 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 role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Effacer la date\" 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 role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Effacer la date\" 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 role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Effacer la date\" 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 role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Effacer la date\" 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 role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Effacer la date\" 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 role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Effacer la date\" 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 role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Effacer la date\" 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 role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Effacer la date\" 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 role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Effacer la date\" 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 role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Effacer la date\" 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 role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Effacer la date\" 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 role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Effacer la date\" 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 0 640 640\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M352 173.3L352 384C352 401.7 337.7 416 320 416C302.3 416 288 401.7 288 384L288 173.3L246.6 214.7C234.1 227.2 213.8 227.2 201.3 214.7C188.8 202.2 188.8 181.9 201.3 169.4L297.3 73.4C309.8 60.9 330.1 60.9 342.6 73.4L438.6 169.4C451.1 181.9 451.1 202.2 438.6 214.7C426.1 227.2 405.8 227.2 393.3 214.7L352 173.3zM320 464C364.2 464 400 428.2 400 384L480 384C515.3 384 544 412.7 544 448L544 480C544 515.3 515.3 544 480 544L160 544C124.7 544 96 515.3 96 480L96 448C96 412.7 124.7 384 160 384L240 384C240 428.2 275.8 464 320 464zM464 488C477.3 488 488 477.3 488 464C488 450.7 477.3 440 464 440C450.7 440 440 450.7 440 464C440 477.3 450.7 488 464 488z\"\/>\n\t\t<\/svg>\n\n\t\t<span class=\"modern-title\">\n\t\t\t\t\t\t\tDrag &amp; Drop Files, \t\t\t\t<span>Choose Files to Upload<\/span>\n\t\t\t\t\t<\/span>\n\n\t\t\t<\/div>\n<\/div>\n\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\treadonly\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 role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Effacer la date\" 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 role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Effacer la date\" 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]\" aria-label=\" Num\u00e9ros de t\u00e9l\u00e9phone\/Phone Number:\" ><\/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\"><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\">Comment<\/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=\"page_title\" value=\"VISA APPLICATION FORM\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/drcinqatar.org\/fr\/visa-application-form\/\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><input type=\"hidden\" name=\"page_id\" value=\"5085\"><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><img decoding=\"async\" src=\"https:\/\/drcinqatar.org\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Chargement en cours\"><\/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}]}}