Brazil E-Visa Form – EzVisaNow

Brazil E Visa

Identification Data

Applicant Full Name

First

Middle

Last

Date of Birth

Contact Email Accommodation

Gender

Male
Female

Nationality

Place of Birth

Parents

Mother's Full Name

Mother’s Family Names

Country of Birth

Date of Birth

Current Nationality

Father's Full Name

Father’s Family Names

Country of Birth

Date of Birth

Current Nationality

Travel Document & Trip Details

Passport Number

Passport Issuing Country

Passport Issue Date

Passport Expiry Date

Travel Date (Arrival in Brazil)

Travel Date (Departure from Brazil)

Contact Information

Profession

Email Address

Phone Number

Current Residential Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Contact Person in Brazil (Full Name)

First

Last

Contact Person in Brazil Phone Number

Contact Person in Brazil Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Accommodation & Contact Details

Please provide the details of where you will be staying in your destination country.

Accommodation Status

I have a hotel/host address
I have not booked yet (Tentative)

"Note: If you have not finalized your bookings yet, please provide the details of your intended hotel or a tentative accommodation."

Document Uploads.

Applicant Headshot (Passport-Style Photo)

Drag & Drop Files, Choose Files to Upload

Upload a recent, professional-quality photo of your face with a solid white background. Please look straight at the camera. No glasses, hats, or casual selfies. Max File Size 5 MB

Passport Bio-Data Page (Digital Scan)

Drag & Drop Files, Choose Files to Upload

Please upload a clear picture of the page in your passport that shows your face and personal details. Make sure all text is easy to read and not blurry. Max File Size 5 MB

Supporting Documents

Drag & Drop Files, Choose Files to Upload You can upload up to 5 files.

Hotel booking, itenirary, etc.

EzVisaNow Service Fee

Price: $120.00

Includes VIP processing, strict document formatting, and manual error-checking.

Official Consular Fee

Price: $80.00

Brazilian Government Consular Fee

Total Package Price (per applicant)

$0.00

Payment Authorization

🛡️ Secure Payment Processing

Please Note: EzVisaNow is a specialized digital division of World Visa Travel (WVT). With over 30 years of trusted experience, all our billing and payment authorizations are securely processed through our parent company.

Your credit card statement will reflect a charge from "World Visa Travel". We guarantee that your credit card will not be charged more than US $200 for this application.

Step 1: Download & Sign

Please download our official WVT Work Order Form. Fill out the "Payment Details" section completely and sign it.

📄 Download WVT Work Order Form

Step 2: Upload the Completed Form

Scan or take a clear photo of the signed form and upload it below to finalize your application.

Upload Signed Authorization Form

Drag & Drop Files, Choose Files to Upload