Visa Application Form

Fax back to Arabian Exhibition Management: +973 17553

+973 17 55 072
32 88

Return with clear copies of passport pages.

For multiple applications please photocopy this form.

1. YOUR CONTACT DETAILS

Name (in full)

Company name

Address 1

Address 2 City Country

Tel Fax

Nationality Religion

Date of birth Place of birth

2. PASSPORT DETAILS
Passport number Date of issue

Date of expiry Place of issue

Please debit my account in the amount of BD21 (US$56)

3. METHOD OF PAYMENT (please tick as appropriate)

Crossed cheque in BAHRAIN DINARS

Bank draft enclosed (Note: Bank drafts in US$ must be drawn on a New York bank only
and made payable to Arabian Exhibition Management WLL)

Please charge my credit/charge card: Visa Mastercard American Express

Card Number Expiry date

Name on card

Signature

Cardholder billing address (if different to above)

E-mail

Amount payable

Contact us for more details:

Arabian Exhibition Management, PO Box 20200, Manama, Bahrain,
Tel: +973 17 550033, Fax: +973 17553
+973 17 553288,
072 E-mail: farishta@aeminfo.com.bh