Application

Given name(s)

Surname(s)

Email address

Re-enter Email Address

Date of Birth

Gender

Male Female

Guardian (For Minor)

Given name(s)

Surname(s)

Country of Birth

Place of Birth (Town/City)

Nationality (on Passport)

Do you have a GCC Visa?

Yes No

Do you have permanent residence to USA, UK or EU country?

Yes No

Do you have an entry visa to USA/UK/Schengen country used at least once?

Yes No

Marital Status

Profession

Date of arrival

Expected date of departure

Purpose of visit

Passport Number

Country of Birth

Date of issue

Date of expiry

Home Address

Country

City/town

Postal code

House number/street address

Phone number

Travel Accomodation

Type

Hotel Residential / relative

Name of person/hotel

City/town

Address

I acknowledge that all information provided is correct and truthful. I also pledge to abide by the laws of the kingdom of Saudi Arabia and respect customs and traditions of its people during my stay. I acknowledge that my right to entry may be denied and can be sent back should I not comply with laws and rules or if any information provided is incorrect. I am aware that all intoxicating substances, narcotic drugs, indecent materials and content as well as publications related to an religious beliefs or political leanings that contradict those of Islam are prohibited.