

Color Photo

4.8 X 3.8
Signature must be in Black ink

Application No. : : Ö```∏£dG º``bQ Visa Number : : ᪰ùdG ºbQ

Date Of Entry : : ∫ƒNódG ïjQÉJ
You can go to the Expatriates Affair Dept. äÉeÉbE’G ΩÉ°ùbCG ¤G IöTÉÑe ¬LƒàdG øµÁ
ID. No if available ...................................................................................... : óLh ¿EG - »°üî°ûdG ºbôdG

Visa Details :- -: ᪰ùdG äÉfÉ«H

Name as per passport : : ô``Ø°ùdG ó`æà°ùŸ kÉ`≤ÑW º``°SE’G
Date of Birth : : OÓ«ŸG ïjQÉJ Occupation : : áØ«XƒdG Sex : : ¢ùæ÷G
Passport details :- : RGƒ÷G äÉfÉ«H
Date of Expiry : :AÉ¡àfE’G ïjQÉJ Passport No : : ôØ°ùdG óæà°ùe ºbQ Passport Type : : ¬``Yƒf
Extra Data : : á«∏«ªµàdG äÉfÉ«ÑdG
Country of birth : : OÓ`«ŸG ó`∏H Doc. Issue Date : : ôØ°ùdG óæà°ùe QGó°UEG ïjQÉJ
Blood Group : : ΩódG á∏«°üa Education Level : : »ª«∏©àdG πgDƒŸG
Previous Nationality : : á≤HÉ°ùdG á«°ùæ÷G Residence Duration By Year : áæ°ùdÉH áHƒ∏£ŸG áeÉbE’G Ióe
Address : : ¿Gƒ``````````æ©dG
Area Name : : á````≤£æŸG City Name : : á````æjóŸG
P.O. Box : : Ü . ¢U Street: : ´QÉ``°ûdG º``°SEG
Phone No / Mobile : : ∫Gƒ÷G ∞JÉ¡dG
Employer Details : : Ωó≤à°ùŸG äÉfÉ«H
Ωó≤à°ùŸG ™«bƒJh ºàN Employer's Name : : Ωó```≤à°ùŸG º``°SEG
Stamp and Employer's Signature
ID. NO. : : »`°üî°ûdG ºbôdG
Relation to Employer : : Ωó≤à°ùŸÉH ábÓ©dG

. OÓÑdÉH ÖfÉLC’G áeÉbEG ÚfGƒbh ΩɵMCÉH ΩGõàd’Gh á≤HÉ°ùdG äÉfÉ«ÑdG áë°üH QGôbEG
Declare all the above information is correct and indicate my commitment to Expatriates' residence Law in Qatar.
Applicant ............................................................................................ Ö∏£dG Ωó≤e

Official Use ............................................................................................ ............................................................................................... : Ωƒ°SôdGh »ª°SôdG ∫ɪ©à°SEÓd