Umrah Visa Application Form
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1ود
ا
ا ر
ا
Royal Embassy of Saudi Arabia
أو وا
Ottawa
BARCODE
م ا
ا
Consular Section
Umra application form رة
رة
ط ب
E #: _____________
Canadian and Saudi Agent Stamp
ا رة
رة
Umra Visa is GRATIS
ل ا
For official Use
ة
ر ا
_______________
:
Photo
ة
ا
ر
_______________
:
رة
ا
First Name
Middle Name
Last Name
ا ول
ا
ا و
ا
ا
ا
Mother’s name
Father’s Name
Name of Spouse
ا م
إ
ا ب
إ
ا وج أو ا و
إ
Date of Birth
Place of Birth
دة
ا
ر
دة
ن ا
Present Nationality
Passport No
ا
ا
از
ر ا
Date of Issue
Place of Issue
ار
ا
ر
ار
ا
Expiration Date
Previous Nationality
از
ا
ء
إ
ر
ا
ا
اMale ذ
أ
Sex
Female
ا
ا
Marital Status
Married وج
أر
widow
Religion
Divorced ّ
Single أ ب
ا
E-mail Address
Profession
ا
و
ا
ا
ا
ن
ل ور ا
ان ا
Home Address and Telephone No in Canada
ن
ور ا
ان ا
ا
Business Address and Telephone no in Canada
Name of Muhram for women and Children and Relationship ا را
دات وا ط ل و
رم أو ا را ق
إ م ا
؟
ا
رة د ول إ
ت
ق و
ھل
Have you previously been issued a visa to Saudi Arabia?Yesم
NO
Where دار
ن ا
و
ر
Type
When
Arrival into Saudi Arabia
Duration of Stay
City of Embarkation
Port of Entry in Saudi
Date of arrival
Arabia
Airline
Flight
I, the undersigned, hereby certify that:
•
ا ن
و ز
ا
أ ذ
أد ه أوا ق
أ ا و
.
I agree to have my fingerprints taken and my Iris scanned
ً ز
ون
و
دو
و ت ا
أ ر ن ل ا
•
All the information provided is correct. I will abide by the laws of the Kingdom during
أ ء رة و ودي
وا ن ا
.
the period of my stay
•
I fully understand that alcohol, narcotics, pornographic materials and all types of
religious and political activities are prohibited. I accept that if I violate the laws and
regulations of the Kingdom of Saudi Arabia, I shall be subject to capital punishment.
Name:
Signature:
Date:
Deadline for applying, issuing Umra visas
The consulate will start issuing Umra visas Rabih Awal of Hijri year
The last day to enter Saudi Arabia: End of Ramada of Hijri year
The last day to issue Umra visas: Ramadan 15 of Hijri year
The last day to leave Saudi Arabia: Shawwal 15 of Hijri year
201 Sussex Dr. Ottawa, ON, K1N 1K6 Canada. Telephone (613) 237-4100. Fax: (613) 237-0567.
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