(Fresh /Renewal)
Program & Semester of Study:
1. Name of Student:
2. Contact details of Student:
3. Gender:
4. Nationality:
5. Passport No:
6. Mothers Name :
7. Mobile/Phone Number in Home Country(as per the passport):
8. Permanent Address :
9. Country of Domicile:
10. Did you have UAE residence visa earlier : Yes/No
If yes, was there a visa ban on you : Yes/No
11. Contact details of parent/guardian
(authorized by student to collect visa &
deposit at airport) :
I am aware that on completion of my studies at the institution or before leaving this country I should
get my visa cancelled by paying the cancellation fee. I am aware that failure to do so will result in
serious consequences as per Institution rules and UAE laws. I understand that the visa and related
services fee is subject to change as per amendment in UAE immigration rules from time to time. I am
prepared to make the payment every year a month before the visa expiry date. I am aware that any
delay in submission of the visa renewal documents will result in delay in stamping of visa and am
prepared to bear the fines incurred and the institution will not be responsible for the consequences, if
any.
I have read and understood the procedure to apply for visa sponsorship from RAK MHSU and agree to
abide by the rules and regulations of the university regarding visa procedures mentioned and will be
providing the required documents & paying the required fees to process/renew the visa.
Signature of Applicant