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1 Personal and Travel Information
2 Confirm your details
3 Payment method
Please provide all responses in English

General Information

Permanent Home Address ?

This field is required.
City ?

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State / Province / Region ?

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Zip / Postal Code ?

This field is required.
Please indicate the country of your citizenship, the country of the passport you will use to travel. If you do not find your country on this list, it means that your country is not eligible to apply for an online visa. ?
Select one option
Arrival or Return ?
Select one option
Do you make stops in other countries? ?
Select one option
Are you travelling with anyone else? ?
Select one option
Enter the e-mail address at which you can be contacted. The e-mail address is required to complete the application. If you do not have an e-mail address, you may provide an alternative third-party e-mail address belonging to a point of contact (e.g. a family member, friend or business associate). ?
The email is not correct
Your email does not match

Passenger Information

Please provide your Given Name(s) (also known as "First Name") exactly as shown on your passport or identity document. ?

Enter your First Name as shown on your passport This field is required.
In the Family Name field, enter your family name as the family name appears on your passport under the Family Name or Surname field. The family name is required to complete the application. ?

Enter your Family Name as shown on your passport This field is required.
In the Birth Date field, chose the day on which you were born. The day of birth is required to complete the application ?
Select a correct date

Select one of the options
This field is required.
In the Country field, choose the country. The country is required to complete the application. ?
Select one option
Choose the country of citizenship, as it appears on your passport. The country of citizenship is required to complete the application. ?
Select one option
This field is required.
Enter your passport number as it appears on your passport. The passport number may contain numbers and/or characters. Please closely distinguish between the number zero and the letter O. The passport number is required to complete the application or to check the status of your application. ?
Enter your passport number as it appears on your passport. The passport number may contain numbers and/or characters. Please closely distinguish between the number zero and the letter O. The passport number is required to complete the application or to check the status of your application. ?
Your passport number do not match
Never Married/Single: Never been married nor in a common-law relationship.
Married: Married means that two people have had a ceremony that legally binds them to each other. This marriage must be recognized under the laws of the country where it was performed and under Canadian law.
Common-law (also know as in Civil Union): A person who has been living with another person in a conjugal relationship for at least one year. The term refers to opposite-sex and same-sex relationships.
Legally separated: Separated means that two people are married but no longer living together, and they do not wish to live together again. They may be waiting for a divorce or have not yet decided to divorce.
Divorced: Divorced means that a court has granted a divorce and that a marriage has ended. The two people are no longer married.
Annulled marriage: A declaration that a marriage is not valid.
Widowed: Widowed means that a person’s spouse has died and that person has not remarried or entered into a common-law relationship. ?
Select one option
Profession / Activity ?

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Travel Information

Name of the departure airport ?

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Flight number ?

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Name of Arrival Airport ?

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Flight number ?

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Hotel name or address at the Dominican Republic ?

This field is required.
Airline ?

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Flight date ?
Select a correct date
Reason for travel ?

Length of stay (in days) ?

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Do you bring with you or in your luggage monetary values ​​greater than 10,000.00 USD or its equivalent in another type of currency? ?

This field is required.
Do you bring live animals, plants or food products with you or in your luggage? ?

This field is required.
EPACKGRUP_FORM_TRANSPORTING_TOOLTIP ?

Select one of the options
Name and first name of the sender
Please provide your Given Name(s) (also known as "First Name") exactly as shown on your passport or identity document. ?

This field is required.
In the Family Name field, enter your family name as the family name appears on your passport under the Family Name or Surname field. The family name is required to complete the application. ?

This field is required.
Name and first name of recipient
Please provide your Given Name(s) (also known as "First Name") exactly as shown on your passport or identity document. ?

This field is required.
In the Family Name field, enter your family name as the family name appears on your passport under the Family Name or Surname field. The family name is required to complete the application. ?

This field is required.
The relationship with the sender or recipient ?

This field is required.
The use or destination of money or goods ?

This field is required.
Do you bring taxable goods with you or in your luggage? ?

*Note: The presentation of this declaration is mandatory for all passengers leaving or entering the Dominican Republic. For minors, this form must be completed and signed by the responsible adult. The declaration of erroneous or incomplete information may lead to sanctions such as the seizure of titles, goods and deprivation of liberty, in accordance with article 200 of law 3489, of the customs regime, and article 4 of the law N °. 155-17 against money laundering. This declaration must be signed by the passenger when indicated.
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Approximate value ?

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Currency ?

Note: The passenger may bring goods or gift items with a total value of up to $ 500 (five hundred dollars). This solution can only be used and applied once every 3 months
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Description of the goods ?

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Value ?

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Public Health

Transit country before arriving in the Dominican Republic ?
Select one option
List the Countries visited in the Past 30 days ?

This field is required.
Declaration of signs and symptoms ?

Specify Symptom, onset date, etc. (Tired, Cough, Muscle aches, Headache, Runny nose, Swollen throat, Fever, Chills, Breathing difficulties)*
Select one of the options
Specify Symptom, onset date, etc. (Tired, Cough, Muscle aches, Headache, Runny nose, Swollen throat, Fever, Chills, Breathing difficulties) ?
This field is required.

Declaration of Applicant