Please print and mail to:                            Contact Information:
Belize Tourism Board                              Tel: +501-223-1913
P.O. Box 325                                                  +501-223-1910
3 ½ Miles Northern Highway                          +501-223-1825
New Horizon Bldg.                                   Fax: +501-223-1943          
Belize City, BELIZE                                  Toll Free: 1-800-624-0686


  1. Please read all the instructions carefully before completing this form.
  2. All particulars must be fully stated in block letters
  3. Incorrect or incomplete statements may result in delay or refusal of the application. If any  error is discovered after status has been granted the applicant’s status may be revoked.
  4. Applicants may use the services of a local attorney or accountant when processing the application.


1. Full Name:

2. Name at Birth: (if different from above)

3. Date of Birth:




4. Place and Country of Birth:

 5. Nationality:

6. Permanent Address: (In Full)

7. Intended Address in Belize: (In Full)

8. Passport Number:

9. Place of Issue:

10. Date Issued:

11. Expiration Date:

12. Telephone:

13. Fax:

14. Email:

15. Marital Status: (Circle One)

   Single                        Divorced  

   Married                     Widowed  

16. Sex: (Circle One)

     Male                       Female 


17. Contact information if application is processed by an agent:


18. Details of dependents accompanying applicant to Belize. (Attach color copy of all passport pages)



Date of Birth

Place of Birth



19. Will you or your dependants import any personal effects into Belize? (Circle One)

        Yes                    No

20. If YES, state the estimated value:


21. Will you or your dependants import a means of transportation into Belize? (Circle One)

        Yes                    No

22. If YES, state:

TYPE ____________________________ MAKE ____________________________

YEAR ____________________________ MODEL _______________________________

23. Education of Applicant (Number of Years Completed)

PRIMARY           _______________     YEARS  ________

SECONDARY     _______________     YEARS  ________

TERTIARY         _______________      YEARS  ________

24. Languages Spoken: (State Proficiency) ___________________________




I certify that to the best of my knowledge and belief, the particulars given in this application are correct.

Signature of Applicant:


Name in Block Letters:



Director of Product Development: ___________________________

Date Received: _____________________________________

Approved Disapproved

Director of Tourism: ____________________________________________

Date: _________________________________________________________

Comments: _____________________________________________________





  1. All Qualified Retired Persons must adhere to the general procedures cited by the Customs Department for the clearing of all personal and household effects including “Mode of Transportation”.
  2. Qualified Retired Persons are not allowed to seek employment or work for pay while in this program or in Belize.
  3. Qualified Retired Persons within this program must inform the Belize Tourism Board regarding any changes stated on the application form.  Failure to do so may result in the revocation of applicant’s status.
  4. Qualified Retired Persons must adhere to all existing laws of Belize, in addition to the Retired Persons (Incentives) (Amendment) Act, 2001.
  5. All benefits provided by this program will be exclusively used by the Qualified Retired Persons and his or her dependents.
  6. The Belize Tourism Board has the authority to carry out any investigation with respect to the validity of any document provided by the applicant under this program.
  7. Participants within this program must inform the Belize Tourism Board prior to leaving the country indefinitely so that the assets purchased under this program can be liquidated.
  8. All documents presented to the Belize Tourism Board become the property of the Board.
  9. The applicant must not have any criminal matters with the law at the time of application.
  10. Applicants must present a listing with all the necessary information with regards to his or her dependents.  If the applicant has a dependent over eighteen and in school, then he or she must present a proof of enrollment from that institution.
  11. Qualified Retired Persons must submit a yearly bank statement showing compliance with the financial requirements of the program.
  12. Qualified Retired Persons must spend an equivalent of one month in Belize annually to maintain their status as a Retiree Resident.

Acceptance of these terms and conditions must be endorsed with the signature of the applicant in the presence of a witness.

SIGNATURE: ________________________            WITNESS: ____________________

NAME: _____________________________             NAME: ______________________

DATE: _______________________________          DATE: ______________________



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