VISA APPLICATION FORM
VALID TO TRAVEL ON EMIRATES ONLY
Visa type:
96 hours
Tourist visa (30 days)
Visit visa (90 days)
PASSENGER DETAILS
Photo
Marital Status:
Single
Married
Divorced
Widow
Gender:
Male
Female
Has He/She used Emirates visa
Yes
No
Full name
____________________________________________________________________________________________________________
(As per passport)
Husband’s name
Father’s name
Mother’s name
Date of birth
Birth city
Birth country
Nationality
Profession
Religion
Passport no.
Passport type
Date of issue
(Normal/Diplomatic)
Date of expiry
Issuing country
Language
PNR
Emirates ticket number
(Emirates booking reference)
SPONSOR DETAILS
Sponsor’s name
Nationality
Relationship
(to sponsor)
Business
address
Tel no.
Mobile
E-mail
___________________________________________________________________________________________________________
ACCOMPANIED BY (Children added on the visitor’s passport)
Name
Gender
Birth year
Birth place
Relationship
I confirm that the printed terms & conditions on the back of the application have been read and understood by me.
Sponsor signature:
Date:
For Official Use Only