eVisa Online - ELECTRONIC VISA

Enter your Family (last) name as it appears in your passport in the Last name field. Last name is required to complete the application.

Family Name *

Enter your first name here as it appears in your passport in the First Name field. The first name is required to complete the application.

First (Given) Name *

Please check yes or no

Do you have former names? (surname at birth) *

Yes No

Please enter your old last name

Former last name

Please choose one of the following options

Reason for name change

Please indicate your gender. Required to complete the application.

Gender *

Please indicate your marital status

Marital Status *

Enter the email address at which you can be contacted. The email address is required to complete the request. If you don't have an e-mail address, you may provide the e-mail address of a third party (for example, a family member, friend or colleague).

Email address *

Confirm here the email address you entered in the first Email field

Email confirmation *

Indicate your date of birth. Date of birth is required to complete the request.

Date of birth *

Indicate here the town, chief town, village or hamlet where you were born. The city, town, village or hamlet where you were born is required to complete the request. If you don't know the city where you were born, type UNKNOWN.

Place of birth *

Choose the country where you were born. Country of birth is required to complete the request.

Country of birth *

Address

In this Line 1 Address field, enter your home address number and street. Don't include city and state in this field. Line 1 address is required to complete the application.

Address line 1 *

Enter the postal code of your city

Postcode *

Indicate here the city, the chief town, the village or the hamlet. The city, town, village or hamlet is required to complete the application.

Town or city *

Indicate your country of residence. The country is required to complete the application.

Country *

Please enter the requested information

State/province/region

At least one telephone number is required to complete the application. If you don't have a telephone number, you can give an alternative telephone number of a third party belonging to a contact point (for example a family member, friend or colleague). The telephone number is required to complete the application.

Mobile phone *

Enter your profession

Occupation *

Enter this information in numeric characters

Monthly income in local currency *

Passport information

Enter your passport number as it appears on your passport. The passport number may contain numbers and/or letters (9 maximum). Make a clear distinction between the number 0 and the letter O. The passport number is required to complete the application.

Passport Number *

Indicate the date your passport was issued, as it appears in your passport in the Date of Issue field. The date of issue of the passport is required to complete the application.

Date of issue *

Indicate the expiry date of your passport, as it appears in your passport in the Expiry Date field. The expiry date of the passport is required to complete the application.

Expiration date *

Choose the country of which you are a national, as it appears in your passport. The country of which you are a national is required to complete the application

Nationality *

Purpose of Travel

Purpose of Travel *

Please check yes or no

Do you have Brazilian nationality? *

Yes No

General information

Family Name :
First (Given) Name :
Do you have former names? (surname at birth) :
Former last name :
Reason for name change :
Gender :
Marital Status :
Email address :
Email confirmation :
Date of birth :
Place of birth :
Country of birth :
Address line 1 :
Postcode :
Town or city :
Country :
State/province/region :
Mobile phone :
Occupation :
Monthly income in local currency :
Passport Number :
Date of issue :
Expiration date :
Nationality :
Purpose of Travel :
Do you have Brazilian nationality? :

Specific information

Date of birth of parent 1 :
Date of birth of parent 2 :
Have you ever had a Brazilian visa refused? :
Were you expelled or deported from Brazil? :
Have you ever been accused of committing terrorist acts, genocide, crimes against humanity, war crimes or crimes of aggression in the terms established by the Rome Statute of the International Criminal Court? :
Have you ever been arrested or convicted of an impulsive or deliberate offence, even if it has been the subject of a pardon, amnesty or other similar action? :
Have you ever had your name included in a sanctions list by the Brazilian government or by an international organization? :
Have you ever violated the principles or objectives of the Brazilian Federal Constitution? :
Have you ever had a restraining order or protection order against you related to a person who is in Brazil? :
Do you have a communicable disease of public health significance? :
Have you ever been in an irregular situation, exceeded the time allowed by an immigration officer or otherwise violated the conditions of the Brazilian Visa? :
Date of departure :
Could you please confirm the Documents Requirements :
Passport (Bio-Information Page) :
Recent Passport-size Photo :
Information required only in case of a minor's application :
The minor's two legal guardians approve the minor's visa application. :
The minor's only legal guardian accepts the minor's visa application. :
Letter of authorization :
Long Form Birth certificate :
Letter of justification :
Biometric passport of the legal guardian 1 :
Biometric passport of legal guardian 2 :

I fully accept the terms and conditions.
I certify the accuracy of all the information provided on this e-Visa application, any error or omission may result in the rejection of my application.
I take note that any false statement will automatically result in the cancellation of my e-Visa application without any possibility of refund.
I accept that in the case of services immediately executed after my order, the 14-day right of withdrawal does not apply.
In case of cancellation request before processing, my order will be refunded except for the processing fee.

e-Visa Brazil - Electronic visa for travel authorization

Form to complete to obtain, your e-Visa - Authorization required to visit Brazil !

Form to complete to get eVisa Brazil

Please enter the name, first name (s) and passport number exactly as they appear on your passport information page.

Address

Passport information

Security Check

Documents to upload: Passport and Photo must be scanned in clear colors. The photo background should be white.

Information required only in case of a minor's application

General information

Specific information