VISA SERVICES CANADAWWW.VISASERVICESCANADA.CA

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

TOURIST VISASingle Entry Tourist Visa US$35

BUSINESS VISASingle Entry Business Visa US$40

Processing: 7 working days

SERVICE CHARGE (per person per visa) $160.

SPECIFIC VISA REQUIREMENTS FOR CAMBODIA

BUSINESS VISAG - original signed passport, valid for at least 6 months after departure from Cambodia,G - one (1) fully completed and signed visa application form,G - one (1) recent passport-style photograph.G - letter of invitation from Cambodian business

TOURIST VISAG - original signed passport, valid for at least 6 months after departure from Cambodia,G - one (1) fully completed and signed visa application form,G - one (1) recent passport-style photograph.

VISA-ON-ARRIVAL: Canadians visiting Cambodia can buy a visa at either of Cambodia’s twointernational airports (Phnom Penh & Siem Reap), or at the Poi Pet crossing from Thailand, or theBavet & Moc Bai crossing from Sai Gon, Viet Nam, upon arrival for US$35 (business US$40.)

MEKONG RIVER CRUISE WARNING: If you are entering Cambodia by boat on the MekongRiver you must have a regular Cambodian visa issued directly into your passport prior to travel. The E-VISA cannot be used to enter Cambodia by river boat (such as a cruise up the Mekong River). A) persons sailing up the Mekong from Viet Nam into Cambodia must have a visa glued into theirpassports prior to travel from Canada.B) persons sailing down the Mekong River from Cambodia to Viet Nam who flew into Cambodia fromabroad can either get a paper visa prior to travel from Canada; or can get a paper visa upon arrival ateither of Cambodia’s two international airports (Phnom Penh & Siem Reap); or can get a Cambodian e-visa prior to travel.Please check with your river boat cruise line to see if they will handle visas at the border if sailing intoCambodia.You have two visa options:1) buy a real paper visa at the airport upon arrival.2) buy an e-visa prior to travel.

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.

VISA SERVICES CANADAWWW.VISASERVICESCANADA.CA

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

TOURIST E-VISASingle Entry Tourist E-Visa US$40

SERVICE CHARGE (per person per visa) $50.Processing: 3-5 working days

SPECIFIC TOURIST E-VISA REQUIREMENTS FOR CAMBODIA

TOURIST E-VISA- COPY of signed passport, valid for 6 months at least after departure from Cambodia,- one (1) fully completed and signed visa application form,- one (1) recent passport-style photograph, or,.- one (1) digital passport-style photograph in JPG format emailed to our office

The E-Visa can only be used to enter Cambodia at these five border or entry points: (Please check box of point of entry)G Phnom Penh International Airport, in the capital city.G Siem Reap International Airport, beside Angkor Wat.G Cham Yeam (Koh Kong) Thailand, on Highway 48 in Cambodia and Highway 318 in Thailand.G Poi Pet (Banteay Meanchey) Thailand, on the highway from Battambang or Siem Reap to Bangkok.G Bavet (Svay Rieng), on the main highway between Sai Gon to Phnom Penh.

The E-Visa can only be used to exit Cambodia at these border points: (Please check box of point of exit)

G Phnom Penh International Airport - G Siem Reap International Airport - G Cham Yeam (Koh Kong) Thailand G Chorm (Oddar Meanchey) Thailand G Daung (Kamrieng Battambang) Thailand G Poi Pet (Banteay Meanchey) Thailand G Prom (Pailin) Thailand G O Smach (Oddar Meanchey) Thailand G Bavet (Svay Rieng) Vietnam G Kaoam Samnor (Kandal Mekong) Vietnam (for riverboat cruises to Viet Nam)G Phnom Den (Takeo) Vietnam G Trapaing Sre (Kratie) Vietnam G Dong Kralo (Stung Treng) Laos G Sihanoukville (cruise terminal).

MEKONG RIVER CRUISE WARNING: The E-VISA cannot be used to enter Cambodia by riverboat (such as a cruise up the Mekong River). Persons on boat must have a regular Cambodian visaissued directly into their passport prior to travel. Please check with your river boat cruise line to see ifthey will handle visas at the border if sailing into Cambodia.

ROYAL EMBASSY OF CAMBODIA IN : Washington D.C.

KINGDOM OF CAMBODIA Nation Religion King

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VISA APPLICATION FORM

Photograph

2 x 2

Please submit 1 copy with 1 photo and your passport Surname:

Present occupation:

First name:

Sex: Male □ Female □ Date of birth: Day..…..Month………Year…...... Place of birth: ……………………………………

Place of residence: Fax: /Phone:

Birth nationality: Present nationality: Work Place:

Passport of traveling document is valid for (country) Date of entry to Cambodia: Day.….Month……Year……. Date of departure (length of stay)

Purpose of visit □ Diplomatic □ Tourist □ Official □Business □Others (Please Specify)

Point of entry: Means of Transportation:

Point of exit: Means of Transportation:

Address during the visit: Organization, Persons to be visited : First trip to Cambodia □ Yes

□ No

Passport No: Place of issue: Date of issue: Date of Expiration:

Traveling on group tour □ Yes □ No

Sex Surname First name Patronymic M F

Date of birth Permanent Address

Children under 12 years traveling with you

Relatives in the

Kingdom of Cambodia I hereby declare that the information

on this form is true and correct Place, (Date)………..……………. (Signature of the applicant)

For official use

éf¶pþl; …………........... Tidæakarelx ……………… elxsMKal;……………… RbePT ………………… éf¶ …… Ex …… qñaM …… htßelxam®nþITTYlbnÞúkkic©karkugs‘ul

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

------------------------------------------------------------------------------------------------------------------------------------------

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

Please consider a charity donationVisa Services Canada is pleased to be able to help people in Cambodia build better livesthrough education, skills training, emergency food provision, and basic housing.

You can be part of the solution, not just a bystander.

Since 2005 we have donated several tonnes of rice and foodstuffs to the LIFE AND HOPEASSOCIATION of Siem Reap, Cambodia, to help support orphans and the poorest and mostvulnerable children and families. Through our assistance, many children have been able to goto school, as they do not have to spend the day begging for money to buy food.

Photo: Mothers & Children who lost housing during 2013 floods receiving LHA aid 28/10/2013.

The LHA is an education-focussed NGO run by the buddhist monks of Wat Damnak. A full100% of your donation is spent on the provision of charity, not on overhead or administration.

The monk who runs LHA, the Venerable Somnieng Hoeurn, visited Ottawa in June 2010,where he met many potential donors, visited Rideau Hall, and saw the Governor General.

You can see the LHA at work on their website: http://lifeandhopeangkor.org

Yes! I want to donate to a good causeI want to donate to the Life and Hope Association in Cambodia.

Q $20 Q $50 Q $100 Q $250 (one tonne of rice) Q US$1100 (a house)

Date: ___________ Name (print or type):__________________________________

Signature: _________________________________