Emirates Ticket No/Skyward No:____________________________________________

PERSONAL DETAILS: (Please note that the details should be same as written on Passport)
Full Name:
First Middle Last
Fathers Name:
Mothers Name
Husbands Name
Language Spoken
ender!Se" Male Female
Marital Status Single Married #hild $i%or&ed 'idow
Pre%ious Nationalit( Present Nationalit(
)irth $ate
dd!mm!((((
)irth Pla&e #it(
#ountr(
*eligion
Pro+ession
,du&ation
PASSPORT DETAILS:
Passport No Passport -(pe
Passport .ssuing go%t #ountr( o+ .ssue
Pla&e o+ .ssue
Passport .ssue $ate:
dd!mm!((((
,"pir( $ate:
dd!mm!((((
PRESENT RESIDENTIAL ADDRESS:
/ddress
#it(
#ountr(
-el No: Mobile
ADDRESS IN UAE
*esiden&e /ddress
-el No: Mobile
I confirm tat te !rinted terms " conditions on te #ack of te a!!$ication a%e #een read and &nderstood #y me'
Name:_____________________ /ppli&ant Signature: _______________$ate:____________
Reference:__________________________________________________________
Terms and (onditions for te A!!$icant:
For office use only:
*e&eipt No ! $ate: _______________
/ppli&ation No _________________
DU)AI/UAE *ISA APPLI(ATION +OR,
*ALID TO TRA*EL ON E,IRATES ONL-
TOURIST *ISA ./0 DA-S1
-his %isa +a&ilit( is onl( +or Pakistani Nationals! Foreign Nationals residing in Pakistan intending to %isit $ubai on ,mirates and meet the eligibilit(
&riteria set b( the $ubai .mmigration /uthorit(0
,mirates ha%e outsour&ed the pro&esses! %isa appli&ation handling to /, -ra%el Ser%i&es (P%t) Ltd0 /, is maintaining %isa pro&essing &enter to
re&ei%e appli&ations1 +orwarding to $ubai .mmigration and &ommuni&ating the de&ision about the %isa appro%al! re2e&tion0
.t is mandator( that ea&h person seeking $ubai %isa1 re3uiring sponsorship +rom ,mirates1 should be holding a %alid ti&ket issued on ,mirates0
-his ti&ket is not re+undable till the e"pir( o+ %isa0
-he %isa issued is onl( %alid +or tra%el on ,mirates ti&ket0 4isa is not %alid to tra%el on an( other airline0
,mirates or /, will not be responsible +or the inabilit( o+ the appli&ant +or not being able to tra%el due to denied boarding1 o++loading1
&an&ellation o+ +light or an( dela(s or an( other &ir&umstan&es leading to non5 utili6ation o+ %isa0
-he de&ision to appro%e or re+use a %isa is the sole dis&retion o+ the $ubai .mmigration /uthorit(0 *ole o+ ,mirates and /, is limited onl( to
+orward the appli&ation and not to in+luen&e in an( manner0 -he de&ision o+ the $ubai o%ernment is +inal and binding0
/ppro%al o+ %isa does not1 in an( wa(1 guarantee or gi%e a right to appli&ant to enter 7/,! $ubai0 .t would be sub2e&t to the sole dis&retion o+ the
representati%e o+ .mmigration at $ubai /irport0 .n &ase o+ denial o+ %isa or entr( into $ubai +or whatsoe%er reason /, or ,mirates will not be
held responsible +or an( losses1 &onse3uential damages1 et&0
.t is the responsibilit( o+ the appli&ant to ensure that the( ha%e all %alid tra%el do&uments and a&&ura&( o+ the statements made in the appli&ation0
8n&e %isa appli&ation is a&&epted b( /, +or pro&essing1 %isa +ee is not re+undable +or whatsoe%er reason in&luding %isa re+usal1 inabilit( to use
%isa1 re+usal to enter $ubai1 et&0
.t is the responsibilit( o+ the appli&ant is to ensure that the sta( in $ubai is as per %isa appro%al0 /n( o%ersta( will attra&t legal a&tion and
penalties +rom $ubai o%ernment0 .t will be the sole responsibilit( o+ the appli&ant to +a&e legal a&tion and pa( the penalt( i+ an( imposed b( the
$ubai o%ernment0 .n this respe&t1 i+ an(1 penalt( is le%ied on /, then appli&ant should pa( the penalt( amount to /, on pro%iding
do&umentar( e%iden&e0
-he %isa must be a&&epted as o++ered and is not trans+erable0
/, or ,mirates are not responsible +or the losses! damages due to dela( in pro&essing! appro%al o+ %isa +or whate%er reason it ma( be0
-he %isa must be a%ailed during the tenure o+ the %isa and is %alid sub2e&t to the pre%ailing rules and regulations and the amended rules o+
regulations at the time o+ the arri%al! departure to! +rom $ubai0
/, will take all reasonable measures to ensure prote&tion! &on+identialit( o+ the personal data! do&uments pro%ided b( the appli&ant1 and will
not be responsible +or an( un5authori6ed a&&ess b( an( means to that in+ormation0
/, reser%e the right to amend1 &hange1 add an( terms and &onditions at an( time without noti&e or liabilit( and all appli&ants a%ailing the +a&ilit(
will be bound b( this0
$uring the handling o+ %isa appli&ation pro&essing /, shall not be responsible +or the loss o+ an( do&ument in&luding passports0 /ll ne&essar(
measure will be taken +or the sa+e &ustod( o+ the all passport! do&uments0 .n &ase o+ loss /, will pro%ide all ne&essar( help in issuan&e o+
dupli&ate! new passport! do&uments0
REMITTANCE AUTHORIZATION
Date: ____________________ Location Code: ______________________
Receipt No: _______________
I/We:________________________________________________________________________________________________
Passport Number:______________________________________________________________________________________
Hereby authorize A! "ra#e$ %er#ices &P#t' Ltd to trans(er )isa (ees
Purpose: Dubai Visa Fees *%D: ___________________________
Name o( bene(iciary: Emirates Dubai / e-DNRD
_____________
App$icant %i+nature