VISA SERVICES CANADAWWW.VISASERVICESCANADA.CA

VISA APPLICATION FEES FOR MADAGASCAR*** Visa fees and times are subject to change by embassies without notice ***

BUSINESS VISA - TOURIST VISA� - Single Entry Visa, valid up to thirty days $45� - Single Entry Visa, valid for 30-60 days $57� - Single Entry Visa, valid for 60-90 days $80� - Multiple Entry Visa $80

PROCESSING: 5-10-15 working days

� - REGULAR SERVICE FEE (per person per visa) $75.� - EXPRESS SERVICE FEE (per person per visa) $115.� - URGENT SERVICE FEE (per person per visa) $150.

VISA APPLICATION REQUIREMENTS FOR MADAGASCAR

BUSINESS VISAG original passport, valid for at least 6 months after return to Canada, with at least two blank pages.G two (2) fully completed and signed visa application forms,G two (2) recent passport-style photographs,G a return air ticket or an itinerary and letter from your travel agent,G a letter from the company you work for, stating the purpose of your visit,G a photocopy of your record of vaccination against yellow fever (required for visitors who will havespent the last 6 days in yellow fever-infested areas prior to their visit to Madagascar).

TOURIST VISAG original passport, valid for at least 6 months after return to Canada, with at least two blank pages.G two (2) fully completed and signed visa application forms,G two (2) recent passport-style photographs,G a return air ticket or an itinerary and letter from your travel agent,G a photocopy of your record of vaccination against yellow fever (required for visitors who will havespent the last 6 days in yellow fever-infested areas prior to their visit to Madagascar).

Once you have typed and printed out and signed all the forms, ship everything, including your passportand photos, by trackable courier (Puro or FedEx) or Canada Post trackable courier, to:

Visa Services Canada, Inc.275 Slater Street, Suite 900Ottawa ON K1P 5H9ph. (613) 231-7054

VISA SERVICES CANADAWWW.VISASERVICESCANADA.CA

SECURE PAYMENT FORTOURIST & VISIT VISAS

Visa Services Canada, Inc. is pleased to offer the most secure means of payment available inCanada for the processing of your tourist or your visit visa. This is the mandatory payment form.As of January 2017 tourist/visit clients must pay by e-transfer. Credit card is no longer accepted.

INTERAC e-Transfer ®

Interac e-Transfer is a funds transfer service between personal and businessaccounts at Canadian banks and other financial institutions. You do not have toprovide any account details or even a credit card number to our company. Our staff never see any of your account details when you use an e-transfer methodof payment. You deal only with your bank or financial institutions to makepayment in a totally secure environment right from your home or office.

HOW IT WORKS

1. Fill in the entire visa application form, including the VSC cover page above, and send itto our office by courier or e-mail as applicable.

2. Our professional staff review your application and determine the total payment (includingtaxes and shipping) to be made by you.

3. Our staff send you an e-mail detailing the full and final charges. This email willcontain all the instructions for making the e-transfer. It will include the e-mail andsecurity codes, and step-by-step instructions for you.

4. You, or a friend or relative acting on your behalf, make the e-transfer to VSC for all thevisa processing charges and fees.

5. It takes about 30 minutes for the bank to send the e-transfer notification to our office. We then receive the funds and can then pay the embassy on your behalf. Payment must bereceived before the embassy can be approached with your application.

YOUR E-MAIL ADDRESS

Applicants MUST provide at least one (1) working and monitored e-mail address on the VSCcover page so that our staff can contact you with details of the payment. Please provide two.

An application form without a typed correct and monitored e-mail address cannot be processed.

Applicants who respond immediately are assisted first. Applicants who do not respond withinthree days (72 hours) will have their applications cancelled and their passports prepared forreturn. Failure to respond promptly may result in you missing your journey.

Ambassade de Madagascar au Canada VISA SOLLICITE ( Visa Requested )

COURT SEJOUR DE (Short stay for): LONG SEJOUR (Long stay for more than 90 days):

NOMBRE D'ENTREES (Number of entries):

VALABLE DU (Valid from): Au (to)

REQUERANTAPPLICANT

MEMBRES DE VOTRE FAMILLE QUI VOUS ACCOMPAGNENTRELATIVES WHO WILL ACCOMPANY YOU

Nom (Name)

Nom de jeune fille(Maiden name)

Prénom(s) (First and middle names)

Date de naissance (Date of birth)

Lieu de naissance(Place of birth)

Nationalité actuelle (Present Nationality)

Nationalité d'origine(Previous Nationality)

Lien de parenté(Relationship)

Lui-même(Self)

Sexe(Sex)

N° Passeport (Passport N°)Passeport délivré le(Date of issue)

Autorité de délivrance(Issuing Authority)

Date d'Expiration(Date of expiry)

Situation de famille(Family status)

Adresse actuelle (Present Address) Ville (city) Province Pays (Country) Code postal (Postal code)

Courriel (Email) Téléphone Domicile (Home phone) Téléphone Bureau (Business phone) Télécopie (Fax)

Profession ou Titre (Occupation or Titile):

Motifs du voyage (Purpose of visit) : Si autres, veuillez préciser / If other, please precise :

RESERVE A L'ADMINISTRATION (For Official Use Only)

Visa N° Durée du séjour autorisée AVIS DU CHEF DE POSTE

Délai d'utilisation Droits perçus

Nombre d'entrées autorisées Modalités de paiement

Date de délivrance Quittance N°

60 jours (60 days) 90 jours (90 days) Un mois transformable et prorogeable (One month extendable)

Une (single) Multiple (Multiple)

30 jours (30 days)

S'IL S'AGIT D'UN VOYAGE D'AFFAIRES, INDIQUEZ LES NOMS ET ADRESSES DES COMMERCANTS OU INDUSTRIELS QUE VOUS DESIREZ RENCONTRER (If you are travelling on business, please indicate names and addresses of correspondent or businessmen you wish to contact.)

Nom (Name) Adresse (Address)

Nom (Name) Adresse (Address)

S'IL S'AGIT D'UNE PARTICIPATION A UN CONGRES OU A UNE MANIFESTATION, INDIQUEZ (Should you have to attend a congress or meeting, give):

ORGANISATEUR (Name of the organizing party) LIEU (Place) Du (From) Au (To)

S'IL S'AGIT D'ETUDES UNIVERSITAIRES OU STAGES TECHNIQUES, INDIQUEZ (If you intend to take a study or technical training, indicate):

ETABLISSEMENTS FREQUENTES (Institutions to be attended) LIEUX (Places) Du (From) Au (To)

AVEZ-VOUS DEJA HABITE MADAGASCAR PENDANT PLUS DE 3 MOIS SANS INTERRUPTION? (Have you ever lived in Madagascar for over 3 consecutive months?)

LIEUX (Places) Du (From) Au (To)

REFERENCES DANS VOTRE PAYS DE RESIDENCE (References from your country)

Nom (Name) Adresse (Address)

Nom (Name) Adresse (Address)

ATTACHES FAMILIALES OU REFERENCES A MADAGASCAR (Relatives or references in Madagascar)

Nom (Name) Adresse (Address)

Nom (Name) Adresse (Address)

DURANT VOTRE SEJOUR A MADAGASCAR, VEUILLEZ INDIQUER (During your stay in Madagascar, please indicate):

Adresse (Address) Conditions d'hébergement (Housing conditions)

Adresse (Address) Conditions d'hébergement (Housing conditions)

VEUILLEZ PRECISER (Please, specify):

DATE D'ENTREE A MADAGASCAR (Date of Entry in Madagascar)

DATE DE SORTIE DE MADAGASCAR (Date of Departure from Madagascar)

MOYEN DE TRANSPORT (Means of transportation)

IMPORTANT (Important)JE M'ENGAGE A N'ACCEPTER AUCUN EMPLOI REMUNERE OU AU PAIR DURANT MON SEJOUR A MADAGASCAR, A NE PAS CHERCHER A M'Y INSTALLER DEFINITIVEMENT ET A QUITTER LE TERRITOIRE MALGACHE A L'EXPIRATION DU VISA QUI ME SERA EVENTUELLEMENT ACCORDE.(I agree to comply with laws, not to engage in any activity during my stay in Madagascar, and not to settle down definitely and leave the territory upon the expiration of my visa.)MA SIGNATURE ENGAGE MA RESPONSABILITE ET M'EXPOSE, EN SUS DE POURSUITES PREVUES PAR LA LOI EN CAS DE FAUSSE DECLARATION A ME VOIR REFUSER TOUT VISA A L'AVENIR.(My signature renders me responsible for above statement and in case of any falsification therein in addition to any penalties imposed by law. I understand that I would be unable, in future, to receive any Malagasy Visa.)

DATE (Date): SIGNATURE (Signature): _______________________________________________________________

**N.B.**** Chaque personne doit soumettre une demande de visa dument remplis. Si vous avez moins de 18 ans, un de vos parents ou tuteur doit signer votre formulaire. ** Each individual applicant must submit a completed visa application form. Applicants under the age of 18 must have this form signed by a parent or a guardian.

VISA SERVICES CANADAWWW.VISASERVICESCANADA.CA

EMBASSY REGISTRATION

For your personal safety and security we can register you with the embassy of Canada in the countryor countries to which you will travel on your upcoming business or tourist journey.

During times of national emergency such as natural disasters, war, or bombings, the government ofCanada may seek out all Canadian nationals in a disaster or security zone. Canadians who areregistered are the first ones found and can be the first evacuated in some cases.

This is a fast and efficient way of ensuring the Canadian Government can find you in case of anemergency, and can give your family some security during your travels.

- YES, please register my trip with the government ($20. fee per person)

ABOUT MELast name as in passport

First name as in passport

Date of birth: (DD/MM/YYYY)

Gender as in passport:

Canadian Passport number:

ABOUT MY TRIPDestination country

Region in country if known

Additional information (address or hotel name)

Arrival date at destination (DD/MM/YYYY)

Departure date from country (DD/MM/YYYY)

I do not know my departure date

MY CONTACT DETAILS OUTSIDE CANADAYou must provide at least one way of contacting you outside CanadaEmail address which you check regularly

Telephone number with area code

Mobile telephone number with area codeSend me a text message with destination travel advice and advisories upon arrival

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EMBASSY REGISTRATION continued

MY EMERGENCY CONTACT IN CANADA ISYou must provide at least one means of contacting this person.Emergency contact in Canada’s full name

Emergency contact in Canada’s Email

Emergency contact in Canada’s telephonenumber with area code

Emergency contact in Canada’s mobile numberwith area code

I AM GOING TO A SECOND COUNTRYSecond Destination country

Region in country if known

Additional information (address or hotel name)

Arrival date at destination (DD/MM/YYYY)

Departure date from country (DD/MM/YYYY)

I do not know my departure date

I AM GOING TO A THIRD COUNTRYThird Destination country

Region in country if known

Additional information (address or hotel name)

Arrival date at destination (DD/MM/YYYY)

Departure date from country (DD/MM/YYYY)

I do not know my departure date

PRIVACY STATEMENTThe information collected here will be shared with the Government of Canada in order to register you as aCanadian abroad. The data will not be shared with any other government or with any private company. By fillingout this form you acknowledge that you understand how your data will be used and retained, and that Visa ServicesCanada is not liable for the data after it has been given to the Government of Canada.

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VISA SERVICES CANADASuite 900 - 275 Slater St.

Ottawa, ON, K1P 5H9, CANADAW W W .VISASERVICESCANADA.CA

613-231-7054

I, ___________________________________, authorize Visa Services Canada to act on my behalf in acquiring avisa for my passport. Visa Services Canada is authorized to drop-off and pick-up my passport and any otherpersonal documents from the embassy, high commission, consulate, diplomatic mission of the country of__________________________ while aiding me in acquiring a visa. Visa Services Canada is also authorized toreceive information about my application from the visa office while acting on my behalf.

Signed on this _____ day of the month of _____________ in the year ______, in the city of ___________________ in the province of __________________, in Canada.

Signature_________________________________________

OFFICE COPY

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VISA SERVICES CANADASuite 900 - 275 Slater St.

Ottawa, ON, K1P 5H9, CANADAW W W .VISASERVICESCANADA.CA

info@visaservicescanada.ca613-231-7054 toll-free 866-378-1229

I, ___________________________________, authorize Visa Services Canada to act on my behalf in acquiring avisa for my passport. Visa Services Canada is authorized to drop-off and pick-up my passport and any otherpersonal documents from the embassy, high commission, consulate, diplomatic mission of the country of__________________________ while aiding me in acquiring a visa. Visa Services Canada is also authorized toreceive information about my application from the visa office while acting on my behalf.

Signed on this _____ day of the month of _____________ in the year ______,

in the city of ___________________ in the province of __________________, in Canada.

Signature_________________________________________

EMBASSY COPY