T.C.
Dışişleri Bakanlığı
Republic of Turkey, Ministry of Foreign Affairs Visa Application Form
Personal information
Name : GHEMATI Date of birth : 17.4.1990
Surname : YOUSSOUF Marital status : Married
Gender : Male Present occupation : Unemployed
Current citizenship : Algeria Mother’s full name : Nahila GHEMATI ABBAD
Town/City of birth : SIDI MOUSSA Father’s full name : Mohamed GHEMATI
Country of birth : Algeria Reference Number : 294150715244740
Passport information
Type of travel document : Ordinary Passport Issue date : 10.8.2014
Passport number : 143609402 Expiry date :
Issuing authority : BARAKI Place of issue : Cezayir
Contact information
Personal Address: Professional Address:
2 rue des meuniers
City: Paris Country: France City: Country: France
Telephone number : 0621710387 Telephone number :
E-mail address : yasminecherchour75@gmail.com E-mail address :
About your travel
Type of visa : Tourist / Businessperson Number of entries requested: Multiple entry
Purpose of travel : Touristic Visit Duration of stay : 10 days
Date of entry : 16.10.2023
Means of transport : Air
Date of departure : 26.10.2023
Who is covering the costs of your travel to Turkey? Myself
Name: Email:
Name of host person or
host company:
Address: Telephone:
Do you have any travel and/or health insurance for your travel to Turkey? Yes Valid until: 25.10.2023
I certify that I have read and understood all the questions set forth in this application form and the answers I have furnished on this form are true and correct to the best
of my knowledge and belief. I understand that possession of a visa does not automatically entitle me to enter the Republic of Turkey upon arrival at a port of entry.
If I fail to comply with the relevant provisions of the Turkish Passport Law No: 5682 and Law on Foreigners and International Protection No:6458, my entry will be refused and in
case of refusal, I will not claim any compensation.
Place and date Signature
5.9.2023 GHEMATI YOUSSOUF