evisa.gov.az Open in urlscan Pro
31.170.232.100  Public Scan

Form analysis
1 forms found in the DOM

POST /cop29/en/get-visa?gse=1640342854&ptr=1009015740&rct=2YB5CAJHV

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      <div id="upModal">
        <div class="modal-content">
          <div class="modal-header">
            <button type="button" class="close" data-dismiss="modal" aria-hidden="true">×</button>
            <h1 class="modal-title"><span class="glyphicon glyphicon-info-sign" aria-hidden="true"></span></h1>
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    <span id="lblTest"></span>
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    <div class="container" style="min-height: 500px;">
      <div class="row">
        <div class="col-md-9">
          <div role="form" class="visa">
            <h4 class="page-header"><i class="fa fa-file-text-o" aria-hidden="true"></i> Single entry visa application <span class="hidden-sm"> / Download visa</span></h4>
            <div class="visa-steps">
              <div class="visa-progress">
                <div class="visa-progress-line" data-now-value="165" data-number-of-steps="6" style="width:165%"></div>
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                <p class="hidden-xs">Nationality / Citizenship </p>
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              <div class="visa-step text-center active">
                <div class="visa-step-icon"><i class="fa fa-clock-o" aria-hidden="true"></i></div>
                <p class="hidden-xs">Arrival date to the country</p>
              </div>
              <div class="visa-step text-center active">
                <div class="visa-step-icon"><i class="fa fa-user" aria-hidden="true"></i></div>
                <p class="hidden-xs">Personal Information</p>
              </div>
              <div class="visa-step text-center active">
                <div class="visa-step-icon"><i class="fa fa-check-circle-o" aria-hidden="true"></i></div>
                <p class="hidden-xs">Data Control</p>
              </div>
            </div>
            <div class="panel panel-visa">
              <div class="panel-body">
                <div class="form-horizontal">
                  <div class="form-group">
                    <div class="col-sm-4 col-sm-offset-4">
                      <h3 class="text-center"> DOWNLOAD VISA</h3>
                      <hr>
                    </div>
                  </div>
                  <div class="col-md-12 col-sm-12">
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                      <tbody>
                        <tr>
                          <th style="width: 55px">#</th>
                          <th style="vertical-align: middle;"> Full name</th>
                          <th> E-visa number</th>
                          <th></th>
                          <th></th>
                        </tr>
                        <tr>
                          <td class="vcenter text-center" style="font-weight: bold;"> 1 </td>
                          <td style="padding-left: 5px;
                                                            font-weight: bold;
                                                            vertical-align: middle;" class="text-left"> KOMETANI YOICHI </td>
                          <td style="vertical-align: middle" class="litVisaNumber"> AE104561605 </td>
                          <td id="MainContent_rptDownloadList_tdCorrection_0" class="text-right">
                          </td>
                          <td class="text-right">
                            <a href="../visa/download?ptr=459187499&amp;gse=1640342854&amp;rct=2YB5CAJHV&amp;der=4561605" id="MainContent_rptDownloadList_hlkDownload_0" class="btn btn-success">Download<i class="fa fa-download fa-fix" style="padding-left: 2px" aria-hidden="true"></i></a>
                            <label for="litNotGivenVisa" style="text-align: left; font-weight: normal">
                            </label>
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            </div>
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        </div>
        <div class="col-md-3" style="padding: 15px;">
          <div class="panel panel-note">
            <div class="panel-heading text-center">
              <h3 class="panel-title"> PAY ATTENTION!</h3>
            </div>
            <div class="panel-body">
              <p class="text-justify"> The submission of the application and documents on registration upon place of stay of foreigners and stateless persons temporarily staying in the Republic of Azerbaijan more than 15 days. :
                <a target="_blank" href="https://e-regv2.migration.gov.az/Security/SignIn?lang=en">Click HERE</a>
              </p>
              <p class="text-justify">
              </p>
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="modal fade warninpanel" id="warninpanel" role="dialog">
      <div class="modal-dialog">
        <div class="modal-content">
          <div class="modal-header">
            <button type="button" class="close" data-dismiss="modal">×</button>
            <h1 class="modal-title"><span class="glyphicon glyphicon-warning-sign" aria-hidden="true"></span></h1>
          </div>
          <div class="modal-body" style="text-align: center;">
            <p style="font-weight: bold;"> If there is any discrepancy between your passport data and e-visa has been found during border control or by yourself, you may correct them by clicking "Modify" button. </p>
            <a id="lnkModify" class="btn btn-danger">
                        Modify</a>
            <button type="button" class="btn btn-default" data-dismiss="modal"> Cancel</button>
          </div>
        </div>
      </div>
    </div>
    <div class="modal fade agreementModal" id="agreementModal" role="dialog" data-backdrop="false" style="opacity: 1 !important;">
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        <div class="modal-content">
          <div class="modal-header">
            <button type="button" class="close" style="color: gray!important" data-dismiss="modal">×</button>
          </div>
          <div class="modal-body">
            <p style="font-weight: bold;" class="text-primary"> PASHA Insurance OJSC will automatically collect the following information to proceed with Visitors’ Medical Insurance: <br></p>
            <ul class="text-primary">
              <li> E-visa validity, Full Name, Date of Birth, E-mail, Passport ID, E-Visa number, nationality, and purpose of travel</li>
            </ul>
            <p></p>
          </div>
          <div class="modal-footer">
            <div style="margin: auto; max-width: fit-content;">
              <input type="submit" name="ctl00$MainContent$btnAgree" value="Agree" id="MainContent_btnAgree" class="btn btn-sm btn-success">
            </div>
          </div>
        </div>
      </div>
    </div>
    <div class="modal fade insuranceInfoModal" id="insuranceInfoModal" role="dialog">
      <div class="modal-dialog modal-sm">
        <div class="modal-content">
          <div class="modal-header">
            <button type="button" class="close" data-dismiss="modal" style="color: gray!important">×</button>
          </div>
          <div class="modal-body">
            <p class="text-primary text-center"> Please select the person (s) to be insured </p>
          </div>
        </div>
      </div>
    </div>
    <div class="container" style="min-height: 500px;">
      <!-- Feedback modal -->
      <div class="modal fade feedback-modal" tabindex="-1" role="dialog" aria-labelledby="feedback=modal-label">
        <div class="modal-dialog modal-fb" role="document">
          <div class="modal-content feedback-modal">
            <div class="modal-header">
              <button type="button" class="close" data-dismiss="modal" aria-label="Close"><span aria-hidden="true">×</span></button>
              <h4 class="modal-title"> Assess web site evisa.gov.az </h4>
            </div>
            <div class="modal-body">
            </div>
            <div class="modal-footer">
              <input type="submit" name="ctl00$MainContent$btnSubmitFeedback" value="Send" id="MainContent_btnSubmitFeedback" class="btn btn-primary btn-sm btn-block">
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</form>

Text Content

Languages

REPUBLIC OF AZERBAIJAN

OFFICIAL ELECTRONIC VISA PORTAL

 * Azərbaycan
 * Deutsch
 * English
 * Español
 * Français
 * Hebrew
 * Italian
 * Русский
 * العربية
 * فارسی
 * 한국어
 * 中文

Azərbaycan Deutsch English Español Français Hebrew Italian Русский العربية فارسی
한국어 中文
Loading...
×







Ok

SINGLE ENTRY VISA APPLICATION / DOWNLOAD VISA

Nationality / Citizenship

Arrival date to the country

Personal Information

Data Control


DOWNLOAD VISA

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

# Full name E-visa number 1 KOMETANI YOICHI AE104561605 Download


PAY ATTENTION!

The submission of the application and documents on registration upon place of
stay of foreigners and stateless persons temporarily staying in the Republic of
Azerbaijan more than 15 days. : Click HERE



×




If there is any discrepancy between your passport data and e-visa has been found
during border control or by yourself, you may correct them by clicking "Modify"
button.

Modify Cancel
×

PASHA Insurance OJSC will automatically collect the following information to
proceed with Visitors’ Medical Insurance:


 * E-visa validity, Full Name, Date of Birth, E-mail, Passport ID, E-Visa
   number, nationality, and purpose of travel




×

Please select the person (s) to be insured

×

ASSESS WEB SITE EVISA.GOV.AZ



×





Ok

ABOUT E-VISA

Check visa status
Visa guideline



© 2024 ASAN Visa