For office use only:

Dubai/UAE APPLICATION FORM Receipt No _________

VALID TO TRAVEL ON EMIRATES ONLY Date Received _________
Location Code _________
EK PNR _________
 TOURSIT VISA  VISIT VISA Application No _________
(30 DAYS) (90 DAYS)

Full Name of Applicant: _Zulfiqar Ali Hakim_______________________________

Name of Business/ Employer: _Hakimsons (Impex) Pvt. Ltd._____________________
Address of Business/ Employer: Hakimsons Building, 19 West Wharf Road, Karachi-74000
Persons accompanying: Mrs. Anees Fatima Hakim______________
Name with relationship: _Spouse __________________________________________
Purpose of visit/ duration:
Personal__________________________________________
Emirates Skywards No: _123890826________________________________________
PERSONAL DETAILS: (Please note that the name should be same as written on Passport)
Full Name:
First Middle Last
Father’s Name: Muhammad Rafi Hakim
Mother’s Name Alia Hakim
Husband’s Name -
Language Spoken Urdu / English
Gender/Sex  Male  Female
Marital Status  Single  Married  Child  Divorced  Widow
Previous Nationality Present Nationality Pakistani
Birth Date 07/11/65 Birth Place City Karachi
dd/mm/yyyy Country Pakistan
Religion Islam
Profession Business
Education Chemical Engineer

PASSPORT DETAILS:
Passport No AB 6357832 Passport Type P
Passport Issuing govt Govt. of Pakistan Country OF issue Pakistan
Place of Issue Karachi
Passport Issue Date: 28/06/2009 Expiry Date 27/06/2014
dd/mm/yyyy Dd/mm/yyyy
PRESENT RESIDENTIAL ADDRESS:
F-44, Block -8 , Clifton , Karachi , Pakistan
Address

City Karachi Country Pakistan

Tel No: +92 21 35870764 Mobile +92 301 8246801
ADDRESS IN UAE

Residence Address

City Country
Tel No: Mobile

I confirm that the information given in the application and the supporting documents provided are accurate
to the best of my knowledge. During my stay in UAE, I will abide by the residence rules/ regulations of UAE.
I understand and acknowledge that overstay beyond the visa period is illegal and will result into sever
penalties from Immigration Authorities of UAE. The decision of the AETRS representative to accept or refuse
any application is final and binding on the applicant.
I have taken note of the attached terms and conditions.

Signature of Applicant: ………………….……………. Date………...………………………………………

FOR OFFICE USE ONLY:

Documents received

Documents Receipt (Tick) Supporting documents Receipt (Tick)

Original Passport Employment Certificate

Photo Copy of Passport Business Card
EK Tickets and copy Credit Card Statement
Reservation (PNR) Slip Income Tax Return
Bank Statement

Checked by:---------------------- Signature: --------------------Date: ---------------------

Review 1

Comments: --------------------------------------------------------------------------------------

Forward for Approval/ Decision Forward for Review 2

By:----------------------------- Signature:---------------------- Date: -----------------------

Terms and Conditions for the Applicant:

• This visa facility is only for Pakistani Nationals/ foreign nationals residing in Pakistan
intending to visit Dubai on Emirates and meet the eligibility criteria set by the Dubai
Immigration Authority.
• Emirates have outsourced the processes/ visa application handling to American
Express Travel Related Services Pakistan (Pvt) Ltd. (AETRS). AETRS is maintaining
visa processing center to receive applications, forwarding to Dubai Immigration and
communicating the decision about the visa approval/ rejection.
• It is mandatory that each person seeking Dubai visa, requiring sponsorship from
Emirates, should be holding a valid ticket issued by Emirates. This ticket is not
refundable till the expiry of visa.
• The visa issued is only valid for travel on Emirates ticket. Visa is not valid to travel on
any other airline.
• Emirates or AETRS will not be responsible for the inability of the applicant for not being
able to travel due to denied boarding, offloading, cancellation of flight or any delays or
any other circumstances leading to non- utilization of visa.
• The decision to approve or refuse a visa is the sole discretion of the Dubai Immigration
Authority. Role of Emirates and AETRS is limited to only to forward the application and
not to influence in any manner. The decision of the Dubai Government is final and
binding.
• Approval of visa does not, in any way, guarantee or give a right to applicant to enter
UAE/ Dubai. It would be subject to the sole discretion of the representative of
Immigration at Dubai Airport. In case of denial of visa or entry into Dubai for
whatsoever reason AETRS or Emirates will not be held responsible for any losses,
consequential damages, etc.
• It is the responsibility of the applicant to ensure that they have all valid travel
documents and accuracy of the statements made in the application.
• Once visa application is accepted by AETRS for processing, visa fee is not refundable
for whatsoever reason including visa refusal, inability to use visa, refusal to enter
Dubai, etc.
• It is the responsibility of the applicant is to ensure that the stay in Dubai is as per visa
approval. Any overstay will attract legal action and penalties from Dubai Government.
It will be the sole responsibility of the applicant to face legal action and pay the
penalty if any imposed by the Dubai Government. In this respect, if any, penalty is
levied on AETRS then applicant should pay the penalty amount to AETRS on providing
documentary evidence.
• The visa must be accepted as offered and is not transferable.
• AETRS or Emirates are not responsible for the losses/ damages due to delay in
processing/ approval of visa for whatever reason it may be.
• The visa must be availed during the tenure of the visa and is valid subject to the
prevailing rules and regulations and the amended rules of regulations at the time of
the arrival/ departure to/ from Dubai.
• AETRS will take all reasonable measures to ensure protection/ confidentiality of the
personal data/ documents provided by the applicant, and will not be responsible for
any un-authorized access by any means to that information.
• AETRS reserve the right to amend, change, add any terms and conditions at any time
without notice or liability and all applicants availing the facility will be bound by this.
• During the handling of visa application processing AETRS shall not be responsible for
the loss of any document including passports. All necessary measure will be taken for
the safe custody of all the passport/ documents. In case of loss AETRS will provide all
necessary help in issuance of duplicate/ new passport/ documents.

I confirm that the above terms and conditions have been read and understood by me
Name…………………………………………………Signature of Applicant…………………………Date ……..………….

REMITTANCE AUTHORIZATION

Date Location Code

Receipt No

I/We:

Passport Number

Hereby authorize American Express Travel Related Services Pakistan (Pvt) Ltd to transfer Visa
fees

Purpose Dubai Visa Fee USD

Name of beneficiary EMIRATES DUBAI

Signature of Applicant