UAE Visa Request Form

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UAE Visa Request Form [PLEASE FILL IN BLOCK LETTERS] PERSONAL DATA (ALL INFORMATION SHOULD BE ACCORDING TO PASSPORT). Name 2. Father s Name 3. Mother s Name 4. Gender Male Female 5. Marital Status Married Unmarried Divorcee Widow 6. Husband s Name 7 Date of Birth 8 Present Nationality 9 Place of Birth 0 Birth Country Religion 2 Profession 3. First Language 4. Educational Qualifications 5. Visa Type 96 Hours PASSPORT INFORMATION 6. Passport No. 7. Country of Issue 8. Date of Issue (DD/MM/YYYY) 9. Date of Expiry (DD/MM/YYYY) 20. Home Address GUEST ADDRESS (COUNTRY OF RESIDENCE)

2. City 22. Country 23. Telephone 24. Email ID ACCOMPANIED (IN THE SAME PASSPORT) 25. Name 26. Gender 27. Date of Birth 28. Place of Birth 29. Relation YOUR HOTEL CHOICE (PLEASE TICK) 30. 3. 32. 33. 34. 35. Ibis Abu Dhabi Gate *** Radisson Blu Abu Dhabi Yas Island **** Novotel Abu Dhabi Gate **** Southern Sun Abu Dhabi **** Grand Millennium Al Wahda Abu Dhabi ***** Hyatt Capital Gate ***** HOTEL BOOKING DETAILS 36. Number of Nights 2 Nights 3 Nights 37. Check-in Date 38. Check-out date 39. Room Single Double 40. Name of the 2 nd person if double room has been requested.

2 FOR ACTIVITIES (BOOKING DETAILS) Activity Number of Paid Guests Date Hala s Story of Abu Dhabi Hala s Morning Desert Drive Ferrari World Abu Dhabi Yas Waterworld Yas Park Pass Yellow Boat Abu Dhabi I am responsible for all the information mentioned above and agree to comply with immigration rules. I am aware that the application is subject to immigration approval. Signature: Date: Passport Copy Photograph Etihad Airways confirmed ticket REQUIRED DOCUMENTS CHECK LIST Please enclose colour copy of your Passport pages containing details of Full name, Nationality, Date and Place of birth, Passport number, Date of issue & Expiry. Your Passport must be valid for a minimum period of 6 months at the time of travel. Size 4.3 * 5.5 cms, only colour photograph with white background will be accepted & 80% of your face should be visible. Please enclose your latest photograph with clear image. Please enclose confirmed Etihad Airways ticket & only round trip ticket will be accepted. IMPORTANT Dependants of Applicants: Dependants are defined as Spouse/ Children below 2 years of age / Parents above 60 years of age. Supporting Documents proving the relation status has to be enclosed by guest. Etihad Airways reserve the rights about sponsorship. Etihad Airways will not sponsor unaccompanied minor and students. Please note the immigration department will consider applications from minors or students only if they are traveling with parents. Any overstay beyond duration of Visa invites heavy fines and penal action by UAE Immigration Authorities. Please note as per the current immigration laws there will be no waiver on any grounds. At the time of collecting visa kindly produce the photocopy of the applicants st Page of passport. TERMS AND CONDITIONS TT Services is providing this facility for Etihad Airways Guests. TT Services do hereby dec lare that they have no role whatsoever in the assessment of a visa application, which is the sole prerogative of the Government of UAE/Immigration Department. Therefore, neither TT Services nor Etihad Airwayswill in any manner be liable or responsible for any delay in the processing or rejection of any visa applications.

This facility is open for guests visiting UAE travelling on the Etihad Airways and fulfilling the eligibility conditions announced from time to time by the UAE Authorities. Issuance and approval of a visa is solely regulated by Government of UAE and governed by their rules and regulations that may be amended from time to time. Etihad Airways will sponsor the guest application subject to guest fulfilling the eligibility conditions. The facility of applying through UAE Visa Application Centre is open only to Etihad Airways guest. Guests desirous of being sponsored for a visa by Etihad Airways should be holding a valid ticket travelling into Abu Dhabi and onwards from Abu Dhabi issued by Etihad Airways and booked to travel on Etihad Airways. TT Services will not be responsible for and will not be liable for Guests not been able to travel due to denied boarding offloading, cancellation of flight, delays or and any other cause or circumstances beyond TT Services control. Neither Etihad Airways nor TT Services shall be liable in the case of any change in the date of travel not being communicated to us. The Guest will be required to fill in a Visa Application Form accurately and submit the same with the applicable visa fees, valid passport and necessary documentation as specified in the Visa Application Form. Guests must hold valid travel documents and comply with the requirements of the Government of UAE/ Immigration Authorities. The decision to grant or refuse a visa is the sole prerogative of the Immigration Authorities and it is final. In case of rej ection of visa application, the applicant will be informed of such, no correspondence will be entertained, no reasons will be required to be given. It is understood that whenever the processing of the visa application is prevented, delayed, restricted or interfered with for any reasons whatsoever by UAE Immigration Authorities to process Guest visa application, then Etihad Airways or TT Services shall not be liable to any Guest for any loss or damage which may be suffered as result of such causes and Etihad Airways and TT Services shall be discharged of all its obligations hereunder. Issuance of a visa or approval on the visa application does not in any way guarantee the Guest the right to enter UAE. The entry is at the sole discretion of the Immigration officer at the Airport. In case of denial of visa or entry into UAE by the Government, Etihad Airways or TT Services shall in no way be liable to Guest in any manner whatsoever. Etihad Airways or TT Services shall not be liable for any losses or damages, which the Guest may suffer arising from delay in processing or receiving the visa. The visa is valid as per the Government of UAE/Issuing authority s rules and regulations as amended from time to time. The visa must be availed within its period of validity. Neither Etihad Airways nor TT Services will be liable to a guest for any changes or cancellations to government regulations that should result in a Guest not being able to travel to or enter the UAE. Guests will be solely responsible to ensure they fulfil UAE Government requirements for travel which may include Police clearances, medical insurance etc. Etihad Airways and TT Services shall take all reasonable measures to ensure that information provided by the Guest in its application form shall remain confidential. However Etihad Airways or TTS shall n o t be liable for any unauthorized access by any means to that information. Etihad Airways or TT Services reserves the right to add, alter or vary these terms and conditions at any time without notice or liability and all Guests availing themselves of this facility shall be bound by the same. Guest expressly declares that they have read and understand these terms & conditions and that they are in compliance thereof. The processed visa will be sent to you by email with JPEG or PDF format in attached files. Please ensure correctness of your email ID. After receiving your visa, you must print your visa for boarding the airplane and collect your original visa at Abu Dhabi airport visa delivery unit (original visa needs to be collected for 96 Hrs visa only for all other categories guest are advised to carry clear print of visa forwarded by us). Guest are requested to check the correctness of your visa and in case of any discrepancy bring to our notice immediately. Guest are advised to carefully go through the Note printed on your visa for validity of permit and duration of stay. 96 Hour visas are valid only for a period of 4 days from the date of issue so please check the validity of your visa. You need to enter Abu Dhabi before your visa expires. Only machine readable Passports will be accepted. Hand written Passport will not be accepted. Guest are advised to refer Document Checklist page for further information about documents to be enclosed and to know more about Visa Type.

I confirm that the above terms and conditions have been read and understood by me and I agree to abide by them (please circle) Yes No Signature of applicant (or guardian if below 8 years) Date Once completed, please email this form to compvisas@etihad.ae For any enquiries please call Hala Abu Dhabi on + 97 2 5990 700.