---------E-VISA入力フォーム---------------
Surname →姓
Given Name →名
Passport Expiry Date (DD/MM/YYYY) →2018年5月18日なら「18/05/2018」
Entry Date to Cambodia (DD/MM/YYYY)→ 07/07/2010
Country / Region of Birth→japan
Nationality→japan
Point of Entry→ Siem Reap International Airport
Applicant's Photo→写真をDL
No of Children Travel with this Passport →「0」
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Sex→ Male
Date of Birth (DD/MM/YYYY) →11/01/1971
Passport No
Country of Issue →japan
Passport Issue Date (DD/MM/YYYY) → 2008年5月15日の場合「15/05/2008」
Residential Address → 日本の現住所
Travel Information
Mode of Travelling→ Flight
Arrival Vehicle No →VN9884
Arrival Time → 08:30 PM
Address During Visit →ホテル名
Organization, Persons to →空欄で
First Trip to Cambodia →チェック
Traveling on Group Tour →チェックなし
Apply this travel information to every applicant. →チェック
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Surname 姓
Given Name 名
Country 日本
Phone No 日本の電話番号 81-90-XXXX-XXXX
Primary Email → PCのアドレス
Retype Primary Email →確認の為もう一度入力
Secondary Email → 携帯またはPCサブアド
Retype Secondary Email →確認の為もう一度入力
Heard about us from? →このサイトを何で知ったか?
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I have read and agreed to the Terms & Conditions and I understand that I may be asked to provide additional information and documentation, prior receipt of which is needed before the e-Visa application can be accepted for processing. →チェック
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ここまで入力でカード決済の画面に行くはず・・