Date of Birth
Expiration Date
Date of Issue
Sex :
 Female Male
Martial Status :
 Married Single

Purpose of Travel:

 Employment Residence Student Umrah Hajj Diplomat Special Personnel Re-Entry Transit Tourism Commerce Businessmen Government Work Visit Family Visit Companion Others

Method of Payment: By enjaz Only

Date of arrival in Saudi Arabia :

This application must be completed in its entirety

I, the undersigned, hereby certify that :
  • I agree to have my fingerprints taken and my Iris scanned.
  • All the information provided is correct. I will abide by the laws of the Kingdom during the period of my residence.
Name
Date