Visa / Labor Card Request Form

Please Name: Marital status: Religion: Branch: Type of visa required: where applicable in boxes provided. Visa/Labor Card required for

Y Y
Single

Married

Divorced/Widow

Y Y Y Y
Company Employment

Y Y Y

Personal Visit Urgent

Y Y Y

Labor Transit Normal No

If personal Visa, is cash enclosed: If yes, please state amount: AED Cash given to (Please state name): Acknowledged receipt by : Visa required by (date) : Fathers name : Mothers name: Home country address:

Yes

UAE address:

Y Y Y Y Y Y Y Y Y Y Y Y Y
Employment

BACKGROUND INFORMATION: What type of Visa is applicant currently on? Expiry date of current visa: Is transfer of sponsorship possible? Transfer Papers enclosed?

Visit

Transit

Y Y Y

Visa / Labor Card Request Form

If no, please provide the details: Applicants telephone number: Residence: Office: Mobile: Email: Please submit this form along with: Employment visa documentation: card applicants: Additional documentation for labor Clear photocopy of Spouses passport No Objection Letter from Spouse 15 passport size photographs If on Financing - NOC from Spouse If on Financing - Original Passport

Y Y Y Y Y

Y Clear passport photocopy with visa page Y 15 passport size photographs Y Fully attested Education Certificate(s)Y M.E. Medical Insurance Copy (if any) Y
Visa Request Form Requested by: Signature Date:

Y Y Y Y Y

If ex-employed in UAE please provide Health Card and Labor Card cancellation Copy.

Y Y YY YY YYYY Y Y YY YY YYYY

Approved by: Signature: Date: