A 33x48 mm visa photo (landscape) is 48 x 33 mm. The sheet is Letter, 216 x 279 mm, a built-in preset in FitPrint. The layout below is what FitPrint produces with its defaults: Fit most packing, Original size scaling, a 5 mm gap between items and a 5 mm side margin. Nothing is scaled: each item is placed at 48 x 33 mm, its true size.

Where each item lands

Positions are millimetres on the Letter sheet as FitPrint wrote them, with y measured from the bottom edge.

x (mm)	y from bottom (mm)	Width (mm)	Height (mm)
18	240	48	33
84	240	48	33
150	240	48	33
18	201	48	33
84	201	48	33
150	201	48	33
18	162	48	33
84	162	48	33
150	162	48	33
18	123	48	33
84	123	48	33
150	123	48	33
18	84	48	33
84	84	48	33
150	84	48	33
18	45	48	33
84	45	48	33
150	45	48	33
18	6	48	33
84	6	48	33
150	6	48	33

What other settings place

Settings	Items per sheet	Placed size
Fit most, 5 mm gap and 5 mm margin (default)	21	48 x 33 mm
Stack, 5 mm gap and 5 mm margin	7	48 x 33 mm
Fit most, no gap or margin	32	48 x 33 mm
Fit most, 10 mm gap and 10 mm margin	18	48 x 33 mm
Stack, no gap or margin	8	48 x 33 mm

Turned portrait, 30 fit: Chinese visa photos (33x48 mm) on Letter (fit most, no gap or margin).

What the status line says

With 21 Chinese visa photos (33x48 mm) (landscape) in the list, FitPrint's status line reads exactly "21 items · 1 Letter sheet". Add one more and it reads "22 items · 2 Letter sheets": the extra item starts a new sheet rather than shrinking anything.

How to lay this out in FitPrint

Drag your files in. Open FitPrint and drag your 33x48 mm visa photo (landscape) files onto the window. Each file appears in the list with its size in the caption.
Choose the Letter sheet. Click Letter in the sheet preset grid. FitPrint then lays the items out on a 216 x 279 mm sheet.
Keep scaling on Original size. Original size places every item at 100 percent, so a printed item measures exactly what the file says it measures.
Leave packing on Fit most. Fit most packs as many items per sheet as fit. With the default 5 mm gap and 5 mm side margin that is 21 Chinese visa photos (33x48 mm) (landscape) per Letter sheet.
Change the gap or side margin only if you need to. The defaults are a 5 mm gap and a 5 mm side margin. The settings table on this page shows what every other recorded setting places on this sheet.
Export and print at actual size. Click Export PDF, then set Scale to 100 percent and Pages per Sheet to 1 in the print dialog so nothing re-scales the exported file.

21 Chinese visa photos (33x48 mm) (landscape) fit on one Letter sheet at actual size

Where each item lands

What other settings place

What the status line says

How to lay this out in FitPrint

Related layouts

x (mm)	y from bottom (mm)	Width (mm)	Height (mm)
18	240	48	33
84	240	48	33
150	240	48	33
18	201	48	33
84	201	48	33
150	201	48	33
18	162	48	33
84	162	48	33
150	162	48	33
18	123	48	33
84	123	48	33
150	123	48	33
18	84	48	33
84	84	48	33
150	84	48	33
18	45	48	33
84	45	48	33
150	45	48	33
18	6	48	33
84	6	48	33
150	6	48	33

x (mm)	y from bottom (mm)	Width (mm)	Height (mm)
18	240	48	33
84	240	48	33
150	240	48	33
18	201	48	33
84	201	48	33
150	201	48	33
18	162	48	33
84	162	48	33
150	162	48	33
18	123	48	33
84	123	48	33
150	123	48	33
18	84	48	33
84	84	48	33
150	84	48	33
18	45	48	33
84	45	48	33
150	45	48	33
18	6	48	33
84	6	48	33
150	6	48	33

x (mm)	y from bottom (mm)	Width (mm)	Height (mm)
18	240	48	33
84	240	48	33
150	240	48	33
18	201	48	33
84	201	48	33
150	201	48	33
18	162	48	33
84	162	48	33
150	162	48	33
18	123	48	33
84	123	48	33
150	123	48	33
18	84	48	33
84	84	48	33
150	84	48	33
18	45	48	33
84	45	48	33
150	45	48	33
18	6	48	33
84	6	48	33
150	6	48	33