Visa Application
Visa Application

Particulars of the Visa Applicant

Dependent Details

Dependents (Details of Dependents Who Will Stay With You in Sri Lanka)

**Only three dependents will be permitted to accompany one expatriate at any given time. However, all the children below 18 years of age will be considered**

Name with Initials*




Date of Birth*




Nationality*




Relationship to Main Applicant*






Certificates to Prove Dependency(Please Attach Certified Copies of Marriage Certificate/Birth Certificates/Letter from Embassy etc.)

Marriage Certificate
Birth Certificate
Embassy Letter


Family Income Other than Income from Employment *
US $

Visa Particulars of Expatriate

Visa Particulars of Expatriate

Type of Visa Presently Available to Stay in Sri Lanka
(Note: Tourist Visa Will Not be Considered for Work Permit)

Entry Visa
Resident Visa

Date of Issue
Date of Expire

Certification of Expatriate

I certify that the particulars given above are true and correct to the best of my knowledge. I understand that my work permit will be canceled in an event where it is proved to the Sri Lankan Government that the above particulars are incorrect. I also hearby undertake to stay and work within the legal and socio-cultural framework of Sri Lanka during the period of stay

Name of the Expatriate


Step 4

Organizational Information (To Be Filled by Head of Department)

 Paid Employment
 Volunteer
US $
US $