‫‪4/4/2020‬‬ ‫طﻠب ﺗﺻرﯾﺢ دﺧول ﻣطﺎر‬

‫طﻠﺐ ﺗﺼﺮﯾﺢ دﺧﻮل اﻟﻤﻄﺎر‬

‫‪2020/‬‬ ‫‪04/‬‬ ‫‪04 :‬‬ ‫ﺗﺎرﯾﺦ ﺗﻘﺪﯾﻢ اﻟﻄﻠﺐ‬
‫‪ -‬ﺗﻮﻗﯿﻊ وﺧﺘﻢ اﻟﻤﻔﻮض ﺑﺎﻟﺘﻮﻗﯿﻊ ﺣﺴﺐ ﺑﻄﺎﻗﺔ اﻟﻤﻨﺸﺄة اﻟﺼﺎدرة ﻣﻦ ﺷﺌﻮن اﻟﻮاﻓﺪﯾﻦ‬
‫‪ -‬ﯾﺘﺤﻤﻞ اﻟﻤﺮاﺟﻊ اﻟﻤﺴﺌﻮﻟﯿﺔ اﻟﻘﺎﻧﻮﻧﯿﺔ وﺗﺄﺧﯿﺮ اﻟﻤﻌﺎﻣﻠﺔ ﻓﻲ ﺣﺎﻟﺔ ﻣﻠﺊ ﺑﯿﺎﻧﺎت ﻏﯿﺮ‬
‫ﺻﺤﯿﺤﺔ‬
‫‪ -‬اﻟﺸﺮﻛﺎت اﻟﻌﺎﻣﻠﺔ ﻓﻲ ﺣﺮم ﻣﻄﺎر ﺣﻤﺪ اﻟﺪوﻟﻲ ﻣﺴﺌﻮﻟﺔ ﻣﺴﺌﻮﻟﯿﺔ ﺗﺎﻣﺔ ﻋﻦ‬
‫اﻟﺘﺼﺎرﯾﺢ اﻷﻣﻨﯿﺔ اﻟﺘﻲ ﺑﺤﻮزة ﻣﻮظﻔﯿﮭﺎ ﻓﻲ ﺣﺎل ﻓﻘﺪاﻧﮭﺎ أو إﺳﺎءة اﺳﺘﺨﺪاﻣﮫ‪.‬‬
‫‪- All companies working in Hamad Airport premises are‬‬
‫‪responsible for their staff’s permits in case they are lost or‬‬
‫‪misused.‬‬
‫رﻗﻢ اﻟﺘﺼﺮﯾﺢ ‪:‬‬

‫(‬ ‫ﯾﻮﻣﻲ اﻟﻤﺪة اﻟﻤﻄﻠﻮﺑﺔ‬ ‫ﺷﮭﺮي اﻟﻤﺪة اﻟﻤﻄﻠﻮﺑﺔ‬ ‫ﻣﺤﺪد )‬ ‫ﺳﻨﻮي )ﺳﻨﺔ واﺣﺪة(‬ ‫ﺗﺠﺪﯾﺪ ﺗﺼﺮﯾﺢ‬ ‫ﺗﺼﺮﯾﺢ ﺟﺪﯾﺪ‬
‫ﺑﻄﺎﻗﺔ أﺟﻨﺒﯿﺔ‬ ‫ﺑﻄﺎﻗﺔ ﺧﻠﯿﺠﯿﺔ‬ ‫ﻣﺴﺘﻨﺪ ﺳﻔﺮ‬ ‫ﻣﺴﺘﻨﺪات أﺧﺮى ‪-:‬‬ ‫ﻣﺮﺟﻊ اﻟﻄﻠﺐ ‪-:‬‬
‫‪/‬‬ ‫‪/‬‬ ‫ﺗﺎرﯾﺦ اﻹﻧﺘﮭﺎء‪:‬‬ ‫‪/‬‬ ‫‪/‬‬ ‫ﺗﺎرﯾﺦ اﻹﺻﺪار‪:‬‬ ‫رﻗﻢ اﻟﻤﺴﺘﻨﺪ‬ ‫رﻗﻢ ﺷﺨﺼﻲ ‪2 7 9 5 8 6 0 3 7 5 1 :‬‬
‫أﻧﺜﻰ‬ ‫ذﻛﺮ‬ ‫اﻟﺠﻨﺲ‪:‬‬ ‫‪/‬‬ ‫‪/‬‬ ‫ﺗﺎرﯾﺦ اﻟﻤﯿﻼد‪:‬‬
‫‪/‬‬ ‫‪/‬‬ ‫ﺗﺎرﯾﺦ اﻟﻨﮭﺎﯾﺔ‪:‬‬ ‫‪/‬‬ ‫‪/‬‬ ‫ﺗﺎرﯾﺦ اﻟﺒﺪاﯾﺔ‪:‬‬ ‫رﻗﻢ ﻋﻘﺪ اﻟﻌﻤﻞ‪:‬‬
‫رﻗﻢ ﺗﺄﺷﯿﺮة ‪:‬‬

‫ﺧﺎن‬ ‫ﻧﺻﯾب‬ ‫اوراﻧﺟوب‬ ‫اﻹﺳﻢ ‪:‬‬

‫‪Name In English : AURANGZEB NASEEB KHAN‬‬
‫ﺳﺎﺋق ﺛﻘﯾل‬ ‫اﻟﻮظﯿﻔﺔ ‪:‬‬ ‫ﺑﺎﻛﺳﺗﺎن‬ ‫اﻟﺠﻨﺴﯿﺔ ‪:‬‬
‫زھور اﻟرﺑﯾﻊ ﻟﻠﺗﺟﺎره واﻟﻣﻘﺎوﻻت‬ ‫رﻗﻢ‬
‫ﺟﮭﺔ اﻟﻌﻤﻞ ‪:‬‬
‫اﺳﻢ اﻟﻤﻨﺸﺄة ‪:‬‬ ‫‪1 2 4 2 6 3 0 0‬‬ ‫اﻟﻤﻨﺸﺄة ‪:‬‬

‫إدارة ﻣﻄﺎر ﺣﻤﺪ‬ ‫اﻟﺘﻮﻗﯿﻊ و ﺧﺘﻢ اﻟﻤﻨﺸﺄة ﻣﻘﺪﻣﺔ اﻟﻄﻠﺐ‬

‫(‬ ‫‪ELIE EL HADY :‬‬ ‫ﻣﻨﺪوب رﻗﻢ ﺷﺨﺼﻲ‪ 2 8 1 4 2 2 0 1 1 8 2 :‬اﻻﺳـﻢ‬ ‫ﻣﻘﺪم اﻟﻄﻠﺐ ‪ :‬ﺻﺎﺣﺐ اﻟﺘﺼﺮﯾﺢ )‬
‫ﺟﻮال ‪66003220:‬‬ ‫ﺗﻠﯿﻔﻮﻧﺎت ‪:‬ھﺎﺗﻒ ‪44647110 :‬‬

‫اﻟﺼﺎﻟﺔ اﻷﻣﯿﺮﯾﺔ )‪(AMIRI‬‬

‫اﻟﺘﺮاﻧﺰﯾﺖ )‪(TR‬‬ ‫اﻟﻤﻨﺎطﻖ اﻟﻤﻄﻠﻮﺑﺔ ‪:‬‬
‫ﻣﻨﻄﻘﺔ اﻟﺸﺤﻦ )‪(CRG‬‬
‫ﺻﺎﻟﺔ اﻟﺠﻤﺎرك )‪(CUSTOMS‬‬
‫اﻟﻤﻨﻄﻘﺔ اﻟﻮﺳﻄﻰ )‪(MIDFLD‬‬
‫اﻟﻤﻌﺎﯾﻨﺔ )‪(CRG-M‬‬
‫ﻣﻄﺎر اﻟﺪوﺣﺔ اﻟﺪوﻟﻲ )‪(DIA‬‬
‫ﻣﻜﺎﺗﺐ اﻟﺴﻔﺮﯾﺎت )‪(TD‬‬
‫اﻟﺼﺎﻻت اﻟﺘﺸﺮﯾﻔﯿﺔ )‪(VIP‬‬
‫ﻣﻄﺎر اﻟﺨﻮر )‪(KHA‬‬ ‫ﺳﺎﺣﺔ اﻟﻄﺎﺋﺮات )‪(AA‬‬
‫ﻛﻤﺒﯿﻮﺗﺮ‬
‫ﻛﺎﻣﯿﺮا‬
‫اﻟﻤﻘﺘﻨﯿﺎت‪:‬‬
‫ﺻﻌﻮد اﻟﻄﺎﺋﺮة‬
‫ﻣﺮﻛﺒﺔ ‪-‬‬

‫اﻹﺳﺘﻌﻤﺎل اﻟﺮﺳﻤﻲ ‪............................................................................................................. :‬‬

‫ﺗﻮﻗﯿﻊ ‪........................‬‬ ‫‪.............................................................................................‬‬

‫‪2020/‬‬ ‫‪04/‬‬ ‫‪04 :‬‬ ‫ﺗﺎرﯾﺦ ﺗﻘﺪﯾﻢ اﻟﻄﻠﺐ‬ ‫اﯾﺼﺎل ﻣﺮاﺟﻌﺔ‬ ‫ﻗﺴﻢ ﺗﺼﺎرﯾﺢ دﺧﻮل اﻟﻤﻄﺎر‬
‫‪NameAURANGZEB NASEEB KHAN‬‬ ‫اوراﻧﺟوب ﻧﺻﯾب ﺧﺎن‬ ‫ﻣﺮﺟﻊ اﻟﻄﻠﺐ اﻻﺳـﻢ‬
‫رﻗﻢ ﻣﺴﺘﻨﺪ‬ ‫ﺗﺄﺷﯿﺮة ‪:‬‬ ‫‪2 7 9 5 8 6 0 3 7 5 1‬‬ ‫رﻗﻢ ﺷﺨﺼﻲ ‪:‬‬

‫)ﺟﻤﯿﻊ اﻟﺒﯿﺎﻧﺎت ﺗﻌﺒﻰء ﺑﻤﻌﺮﻓﺔ ﻣﻘﺪم اﻟﻄﻠﺐ(‬ ‫‪ :‬زھور اﻟرﺑﯾﻊ ﻟﻠﺗﺟﺎره واﻟﻣﻘﺎوﻻت‬‫اﺳﻢ اﻟﻤﻨﺸﺄة‬ ‫ﺟﮭﺔ اﻟﻌﻤﻞ ‪ :‬رﻗﻢ اﻟﻤﻨﺸﺄة ‪:‬‬
‫اﻻﺳـﻢ‬ ‫اﻟﺮﻗﻢ اﻟﺸﺨﺼﻲ ﻟﻤﺴﺘﻠﻢ اﻟﻤﻌﺎﻣﻠﺔ ‪:‬‬

‫‪https://portal.moi.gov.qa/wps/PA_moi_doc_services/eService/forms/airportPermit/airportPermitForm.jsp‬‬ ‫‪1/1‬‬