Application Form – ‫ﺑﻴﺎﻧﺎﺕ ﺍﻟﻄﻠﺐ‬

New Tourism Entry Permit ‫ﺇﺫﻥ ﺩﺧﻮﻝ ﺟﺪﻳﺪ ﻟﻠﺴﻴﺎﺣﺔ‬

Applicant: EBOSEREMEN AIMIENDE ASAGWARA ‫ﺍﺑﻮﺳﻴﺮﻳﻤﻦ ﺇﻳﻤﻴﻨﺪ ﺃﺳﺎﺟﻮﺍﺭﺍ‬ :‫ﺍﻟﻤﻌﻨﻲ ﺑﺎﻟﻄﻠﺐ‬

File Number: :‫ﺭﻗﻢ ﺍﻟﻤﻠﻒ‬ Application No.: 22320147839845 :‫ﺭﻗﻢ ﺍﻟﻄﻠﺐ‬
Application Status: Rejected ‫ﻣﺮﻓﻮﺽ‬ :‫ﻭﺿﻌﻴﺔ ﺍﻟﻄﻠﺐ‬
Created Date: 2023-03-02T16:35:31 :‫ﺗﺎﺭﻳﺦ ﺍﻟﻄﻠﺐ‬ Print Date: 2023-03-06 :‫ﺗﺎﺭﻳﺦ ﺍﻟﻄﺒﺎﻋﺔ‬

Sponsor/Submitter
Establishment Name ‫ﺍﺳﻢ ﺍﻟﻤﻨﺸﺄﺓ‬
ARABIAN ORYX TRAVEL & TOURISM L.L.C ‫ﻡ‬.‫ﻡ‬.‫ﺫ‬.‫ﺍﺭﺍﺑﻴﺎﻥ ﺍﻭﺭﻳﻜﺲ ﺗﺮﺍﻓﻴﻞ ﺍﻧﺪ ﺗﻮﺭﺯﻡ ﺵ‬
Client Reference No. ‫ﺍﻟﺮﻗﻢ ﺍﻟﻤﺮﺟﻌﻲ ﻟﻠﻌﻤﻴﻞ‬
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Visit Details
Visit Purpose Tourism ‫ﺳﻴﺎﺣﺔ‬ ‫ﺍﻟﻐﺮﺽ ﻣﻦ ﺍﻟﺰﻳﺎﺭﺓ‬
Duration 30 Days 30 ‫ﻳﻮﻡ‬ ‫ﺍﻟﻤﺪﺓ‬
Entry Single Entry ‫ﺳﻔﺮﺓ ﻭﺍﺣﺪﺓ‬ ‫ﺍﻟﺪﺧﻮﻝ‬

Passport Details
Passport Type Normal ‫ﻋﺎﺩﻱ‬ ‫ﻧﻮﻉ ﺟﻮﺍﺯ ﺍﻟﺴﻔﺮ‬
Passport Number A10010484 A10010484
Current Nationality Nigeria ‫ﻧﻴﺠﻴﺮﻳﺎ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ ﺍﻟﺤﺎﻟﻴﺔ‬
Previous Nationality Nigeria ‫ﻧﻴﺠﻴﺮﻳﺎ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ ﺍﻟﺴﺎﺑﻘﺔ‬
Full Name in English EBOSEREMEN AIMIENDE ‫ﺍﻻﺳﻢ ﺍﻟﻜﺎﻣﻞ ﺑﺎﻹﻧﺠﻠﻴﺰﻳﺔ‬
ASAGWARA
Full Name in Arabic ‫ﺍﺑﻮﺳﻴﺮﻳﻤﻦ ﺇﻳﻤﻴﻨﺪ ﺃﺳﺎﺟﻮﺍﺭﺍ‬ ‫ﺍﻻﺳﻢ ﺍﻟﻜﺎﻣﻞ ﺑﺎﻟﻌﺮﺑﻴﺔ‬
Date of Birth 1983-04-15 1983-04-15 ‫ﺗﺎﺭﻳﺦ ﺍﻟﻤﻴﻼﺩ‬
Birth Country Nigeria ‫ﻧﻴﺠﻴﺮﻳﺎ‬ ‫ﺑﻠﺪ ﺍﻟﻤﻴﻼﺩ‬
Birth Place PORT HARCOURT ‫ﺑﻮﺭﺕ ﻫﺎﺭﻛﻮﺭﺕ‬ ‫ﻣﻜﺎﻥ ﺍﻟﻤﻴﻼﺩ ﺑﺎﻟﻌﺮﺑﻴﺔ‬
Gender Female ‫ﺃﻧﺜﻰ‬ ‫ﺍﻟﺠﻨﺲ‬
Passport Issue Country Nigeria ‫ﻧﻴﺠﻴﺮﻳﺎ‬ ‫ﺑﻠﺪ ﺍﺻﺪﺍﺭ ﺟﻮﺍﺯ ﺍﻟﺴﻔﺮ‬
Passport Issue 2019-01-02 ‫ﺗﺎﺭﻳﺦ ﺇﺻﺪﺍﺭ ﺟﻮﺍﺯ ﺍﻟﺴﻔﺮ‬ Passport 2024-01-01 ‫ﺗﺎﺭﻳﺦ ﺍﻧﺘﻬﺎﺀ ﺟﻮﺍﺯ‬
Date Expiry Date ‫ﺍﻟﺴﻔﺮ‬
Passport Place of Nigeria ‫ﻧﻴﺠﻴﺮﻳﺎ‬ ‫ﻣﻜﺎﻥ ﺍﺻﺪﺍﺭ ﺟﻮﺍﺯ‬
Issue ‫ﺍﻟﺴﻔﺮ‬

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