Embassy of The Islamic Republic of Iran

Attachment for Business Visas

 

Applicant

Family name

First name

Date of birth

Place of birth

Type of applicant

Principal owner/Investor/Trader             Supervisor                      Specialist
 
Manager           Executive              Other:

 

Name of company or employer

Position and duties.

Years with present employer

 

Company

Type of business enterprise

Corporation                Branch/Liaison office       Partnership         Privately owned

Joint venture              Subsidiary                      Other:

Nature of Business

General trade            Retail sales                   Exports from Iran       Manufacturing

Imports to Iran           Services/Technology      Other:  .

Full description of services, production, or other activity

 

Address

Phone

E-mail

Web-site

Fax

 

Financial statement for last year

Total liabilities

Total annual operating income

Total assets of Iran business         Current cash

          Historical cost

 

Foreign Parent Business (if any)

Name

Adress

Phone

Fax

Web-site or E-mail

 

Cooperative partner in Iran

Name of partner in Iran

Name of contact person

Position

Phone

Fax

Web-site or E-mail

Address

Type of investment in Iran

Creation of a new business

Purchase of an existing business; Purchase price.

Continuation of an existing business; Fair market value of business

 

 

 

 

 

 

 

 

Investment from abroad made in Iran

 

Initial Investment

Total Cumulative

Cash

Inventory

Equipment

Premises

Other (describe)

Total

Source of Investment Capital (Personal funds, loans, stocks, debentures, bonds, etc)

 

 

 

 

I do affirm that all statements which appear in this application are true and complete to the best of my knowledge.

Printed name and position

Date

Signature

  

 

A person who may be contacted about this application

Name

Adress

Phone

Fax

E-mail

If any contract has already been signed, Please enclose a copy of that contract.