Uae Visa Request Form Page 2

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21.
City
22.
Country
23.
Telephone
24.
Email ID
ACCOMPANIED (IN THE SAME PASSPORT)
25.
Name
26.
Gender
27.
Date of Birth
28.
Place of Birth
29.
Relation
RADISSON BLU HOTEL YAS ISLAND (BOOKING DETAILS)
30.
Number of Nights
1 Night
2 Nights
3 Nights
31.
Check-in Date
32.
Check-out Date
33.
Room
Single
Double
34.
Name of the 2
nd
person if double room
has been requested
I am responsible for all the information mentioned above and agree to comply with immigration rules. I am aware that the
application is subject to immigration approval.
Signature:
Date:
REQUIRED DOCUMENTS CHECK LIST
Please enclose colour copy of your Passport pages containing details of Full name, Nationality, Date
1
and Place of birth, Passport number, Date of issue & Expiry. Your Passport must be valid for a minimum
Passport Copy
period of 6 months at the time of travel.
1
Size 4.3 * 5.5 cms, only colour photograph with white background will be accepted & 80% of your face
should be visible. Please enclose your latest photograph with clear image.
Photograph
1
Please enclose confirmed Etihad Airways ticket & only round trip ticket will be accepted.
Etihad Airways
confirmed ticket

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