Radisson Blu Hotel, Dubai Deira Creek Baniyas Road P.O.

Box 476, Dubai United Arab Emirates Tel: 00971 4 205 7105 Fax: 00971 4 223 4698

Reservations.dxbza@radisso nblu.com

VISA APPLICATION FORM

Please completed all fields clearly and attach clear copy of the relevant pages from the passport of the traveller together with the clear copy of the credit card, both front and back sides. **Arrival Airport Should be Dubai Only Arrival Date: Flight No. & Time: Departure Date: Flight No. & Time:

Personal Information: Full Name: Nationality: Please tick Male Female Occupation: Fathers Full Name: Mothers Full Name: If married, Spouses Full Name: Spouses Occupation

Contact Details: Permanent Address: Telephone: Fax: Email: Address of Local Company: Telephone: Fax: Email:

deiracreek.dubai.radissonblu.com

Radisson Blu Hotel, Dubai Deira Creek Baniyas Road P.O. Box 476, Dubai United Arab Emirates Tel: 00971 4 205 7105 Fax: 00971 4 223 4698

Reservations.dxbza@radisso nblu.com
Passport Details: Date of Birth:

Passport No.: Country/Place of Birth: Date of Issue: Place of Issue Date of Expiry:

Credit Card Guarantee: Type of Card: Card Number: Expiry of the Card: Name on the Card: Billing Address: I authorize Radisson Blu Hotel, Dubai Deira Creek to charge the Credit Card Accoount detailed herein for the service fees associated with processing UAE Visa Application and for any fines that may result from Visa Violation.

Signature (as appearing in the credit card)

Guaranteed by the Traveller: I, hereby confirm that the above details are correct and agree to exit the country within the visa validity period and also to submit the Exit Stamp after my departure from the country, in order for the Hotel to process the refund of the deposit of AED 5,000.00

deiracreek.dubai.radissonblu.com

Radisson Blu Hotel, Dubai Deira Creek Baniyas Road P.O. Box 476, Dubai United Arab Emirates Tel: 00971 4 205 7105 Fax: 00971 4 223 4698

Reservations.dxbza@radisso nblu.com
The Hotel does not hold any liability if the money is refunded less due to the difference in exchange rates.

Travellers Signature

Important Note: As per the new immigration rules, attachment of clear personal picture is mandatory for all visa applications. The specifications are as below: Dimensions: File size: File type: Picture: 4.3 cm x 5.5 cm 40 KB JPG in color

deiracreek.dubai.radissonblu.com