Passport size portrait

photograph:
only required for a visit of
more than 3 days and/ or if the
visitor or contractor only has a
tourist visa.

)PORT ACCESS APPLICATION (P.A.A.) (3 DAYS TO 3 MONTHS

:
Date: / /2014

:
Serial Number of form:001
1-
1. Names of Individual Visitor or Contractor and Company

Name of Visitor or Contractor

Nationality

Occupation

Name of Company of Visitor or Contractor

2-

2. Personal Data of Visitor or Contractor

National ID

Passport

Labour Card

Visa Number

Visa Type

Driving License

3-
3. Vehicle Details of Visitor or Contractor

Plate Number

Model

Colour

Cargo

Country of Origin

4-

4. Access and Contract Validity

Valid from Date

Expiry Date

Purpose of Visit

Contract Start Date

Contract End Date

5-
5. Authorisations

**

* ) (

**Official Stamp of Tenant or SIPC

*)Coastguard HQ (Sohar Port Security Station

I, the undersigned, declare that the information submitted herewith is accurate
and true.

Name of Tenant or SIPC Manager

) (

Signature of Tenant or SIPC Manager

6-
6. Important Contact Details

Contractor Telephone Number

Tenant or SIPC Telephone Number

ROP Fax Number

Contractor Fax Number

Tenant or SIPC Fax Number

Emergency Telephone Number

Contractor Email

Tenant or SIPC Email

ROP Telephone Number

26762679
26762541
9991
:
* 3
* )( ) + +
(
**
Notes:
* Only required for visits of more than 3 days
* Only required if the visitor has a tourist visa: attach copy of passport + copy of visa + letter from the
company specifying duration of the visit.
** This form must be signed by an authorized signatory whose signature is registered in the specimen
signature list that is held by the ROP