Date: ........................

Paste your passport

Consular Section size photograph here

Visa Application Form

(For Diplomatic & Official Passport)

Full Name (As in Passport) : ...........................................................................................

Sex : Male / Female

Father’s Name : ...........................................................................................

Mother’s Name : ...........................................................................................

Nationality : ...........................................................................................

Educational Qualification : ...........................................................................................

Date & Place of Birth : ...........................................................................................

Category of Passport & No. : ...........................................................................................

Date & Place of Issue : ...........................................................................................

Date of Expiry : ...........................................................................................

Place of Work : ...........................................................................................

Profession / Designation : ...........................................................................................

Local Telephone Number : ...........................................................................................

Purpose of Entry in Detail : ...........................................................................................

...........................................................................................

Sponsor in UAE & Full Address : ...........................................................................................

...........................................................................................

Place of Stay & Tel. No. in UAE : ...........................................................................................

...........................................................................................

Expected Date of Departure from India : ...........................................................................................

Previous (Last) Date of Entry to UAE (if any) : ...........................................................................................

Signature of Applicant Signature of UAE Counsellor

Please attach photocopy of the Passport, and clip

Note: Please type or write in Block letters.
one additional passport size Photograph with the form.