Medical Insurance Attestation for French Polynesia Visa
This file is an attestation of honor declaring that a person has medical insurance covering their stay in French Polynesia. It also certifies sufficient financial resources for the duration of the stay and releases the Délégation à la Recherche de la Polynésie française from any liability. This form is necessary for obtaining a Protocole d'Accueil permit in French Polynesia.
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How do I fill this out?
To fill out this form, you'll need to provide personal identification details, insurance information, and financial certification. Make sure to sign and date the form before submission. Detailed instructions are provided below.
How to fill out the Medical Insurance Attestation for French Polynesia Visa?
1
Enter your last name in capital letters.
2
Provide your first name(s) and date of birth.
3
Fill in your place of birth and home address.
4
Enter the insurance details and certify your financial resources.
5
Sign and date the form.
Who needs the Medical Insurance Attestation for French Polynesia Visa?
1
Tourists visiting French Polynesia who require a Protocole d'Accueil permit.
2
Researchers or professionals participating in projects in French Polynesia.
3
Students attending educational institutions in French Polynesia.
4
Temporary workers or employees on assignments in French Polynesia.
5
Individuals visiting family or friends in French Polynesia for an extended period.
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What are the instructions for submitting this form?
Submit the completed form to the relevant French Polynesian authorities. You may contact them via email at [official email], fax the form to [fax number], use the online submission portal at [submission URL], or mail it to the address provided in the guidelines. Ensure all required fields are filled accurately and the form is signed appropriately. For a seamless experience, use PrintFriendly's PDF editing tools.
What are the important dates for this form in 2024 and 2025?
Ensure to submit the form before your intended travel date. Keep track of your permit validity from the start to the end date mentioned in the document.
What is the purpose of this form?
This form serves to attest that the individual has adequate medical insurance covering their stay in French Polynesia. It also certifies that the individual has sufficient financial resources to cover expenses during their stay. The form is required for obtaining a Protocole d'Accueil permit and releases the local authorities from any liability.
Tell me about this form and its components and fields line-by-line.
- 1. Last NAME: Enter your last name in capital letters.
- 2. First name(s): Enter your first name(s).
- 3. Date of birth: Provide your date of birth in DD/MONTH/YYYY format.
- 4. Place of birth: Enter the city, state, and country of your birth.
- 5. Address: Provide your home address.
- 6. Insurance details: Certify that you have medical insurance covering your stay in French Polynesia.
- 7. Financial resources: Certify that you have sufficient financial resources for the duration of your stay.
- 8. Date: Enter the current date in DD/MONTH/YYYY format.
- 9. Signature: Sign the document. The signature file should be less than 100KB.
What happens if I fail to submit this form?
Failure to submit this form can result in denial of entry or legal issues. Ensure timely submission to avoid complications.
- Denial of Entry: You may be denied entry into French Polynesia if you fail to submit the required form.
- Legal Issues: You could face legal complications arising from non-compliance with local regulations.
How do I know when to use this form?
- 1. Tourist Visa: For tourists who need the permit for an extended stay.
- 2. Research Projects: For researchers participating in projects requiring long-term residency.
- 3. Student Visa: For students attending institutions in French Polynesia.
- 4. Temporary Work: For temporary workers or employees on assignments.
- 5. Family Visits: For individuals visiting family or friends for an extended period.
Frequently Asked Question
How do I fill out the Medical Insurance Attestation?
Enter your personal details, insurance information, and financial certification. Sign and date the form before submission.
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Yes, use the signature tool on PrintFriendly to place your electronic signature.
How do I save my edited PDF?
After editing, use the save option to download your updated PDF to your device.
Who needs to fill out this form?
Tourists, researchers, students, and temporary workers planning an extended stay in French Polynesia.
What information do I need to provide?
You need to provide your personal details, insurance information, and financial certification.
Is this form required for all visitors to French Polynesia?
This form is required for those needing a Protocole d'Accueil permit for an extended stay.
Can I share my edited PDF with others?
Yes, use the share option on PrintFriendly to send it via email or generate a shareable link.
What happens if I do not submit this form?
You may be denied entry or face legal issues. Ensure you complete and submit the form as required.
Where do I submit this form?
Submit the form to the appropriate authorities in French Polynesia as instructed in the guidelines.
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