Category

Date Issued

Valid For

VISA FOR BELIZE

No. HK 0000

Applications of Entry

Expires

If Passport is Valid

Issued To

LAWRENCE M. LAI

Honorary Consul

Signature & Seal

*r:Ph་་་་ -** ་ ་་་4"

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SAMPLE

Category

Date Issued

Valid For

Expires

Issued To

VISA FOR BELIZE

No. BZ 0000 of 19

SAMPLE

Applications of Entry

If Passport is Valid

Immigration and Nationality

SAMPLE

2

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