APPLICATION FORM FOR A DUBAI VISA

DUBAI VISA APPLICATION FORM -UAE

(PLEASE FILL IN BLOCK LETTERS)

1. Type of visa being applied for (Tick one): 14Days / Service Visa Tourist / 30Days 90Days / Visit

Multi Entry Short Term: 30 Days Multi Entry Long Term: 90 Days Express Service

Emirates PNR Ticket No

Travel Date

* Express Service: This is an optional service available to Visa Applicants, who will receive priority in processing Visa applications.

The Visa Applications will be processed and sent to EK on a priority basis. (Please see terms and conditions).

2. Full name of Applicant: _________________________________________________________

3. Skyward membership number, if any Blue Silver Gold

4. Current residential address (Mandatory Information for Correspondence)

Line -1

Line - 2

City, Country

Mobile

Land Line

Fax No.

Email ID

5. Are you applying as a dependent of Principal Applicant?

Yes: Write name of the Principal Applicant: ________________________________________

6. If applying as Principal Applicant, complete the following:-

7. Personal details

a. Nationality

b. Previous nationality if any

c. Full name (Name, middle name, surname)

d. Father’s name (Name, middle name, surname)

e. Mother’s name (Name, middle name, surname)

f. Gender

Male Female

g. Marital Status

h. Married female applicants – husband’s name

i. Occupation

j. Religion

k. Educational qualifications

l. Main language spoken

m. Date of birth (dd-mm-yyyy)

n. Place of birth

Country Place

Name of Business/Employer

Address of Business/Employer

Designation

IMPORTANT: unemployed or retired persons should indicate above the details of last employment, and indicate

date of cessation of last employment here: _____________________________

8. Passport details

a. Passport Type

b. Passport number c. Issuing Government

d. Place and date of issue E. Expiry date

Ordinary Diplomatic/Official

9. Purpose of Visit

Tourist Business Family Visit

10. Names of family members accompanying you on this trip

Name

Passport no.

Relation

11. Contact in UAE (Mandatory Information)

Name / Relationship with host

Address / Hotel Confirmation Voucher

Area - City

Phone No.

E-mail ID

12. Mandatory documents to be submitted with the Visa Application form:

List of documents

Applicant

Application

Centre

1. Completed visa application form

2. Applicants colour photograph with white background

3. Photocopy of Emirates and/or Fly Dubai Airline confirmed ticket

4. Applicant's clear colored passport copy (Bio Pages & Observation Page if any).

The passport must be valid for at least 6 months.

5. Guarantor’s passport with a photocopy of Bio Pages, UAE residence visa page

Copy showing validity of the residency for 6 months at least.

6 Emirates ID, Labor contract, along with original for verification and service letter

original OR If self-employed then trade license copy with original copy for

Verification.

7. Security Deposit of AED 1000 paid in cash, which is refundable once the applicant

Exits out of UAE.

13. Have you applied for a Dubai Visa through VFS in the past? Yes No

If you have ticked Yes, then kindly provide date of last travel in the space:-

*** Visa Fees are subject to change without prior notice.

IMPORTANT: You are recommended not to travel to Dubai if your flights out of Dubai do not get confirmed. Any

overstay beyond duration of Visa invites heavy fines and penal action - there will be no waiver on any grounds.

Please note and strictly comply - All applicants should read the conditions mentioned below before signing the

application form. Incomplete and unsigned applications will not be accepted.

TERMS AND CONDITIONS

1. The facility is open only to a valid passport holder and Nationals of countries requiring a prearranged UAE visa visiting Dubai traveling on Emirates Airline

(herein referred to “EK”) and Fly Dubai Airlines (herein referred to “FZ”)fulfilling the eligibility conditions announced from time to time by the Government of

Dubai / Dubai Naturalization and Residency Department (“DNRD”). Issuance and approval of a visa is solely regulated by Government of Dubai / and

governed by their rules and regulations that are amended from time to time. Subject to the applicant/passenger fulfilling the eligibility conditions EK will

sponsor the applicant to Dubai.

2. The facility of applying through VFS (GCC) LLC. Herein referred to as (“VFS (GCC) LLC”) is open only to valid passport holders a valid passport holder

and Nationals of countries requiring a prearranged UAE visa visiting Dubai traveling on Emirates Airline (herein referred to “EK”) and Fly Dubai Airlines

(herein referred to “FZ”) EK and FZ has outsourced the administrative process of facilitating Visa applications to VFS (GCC) LLC. VFS (GCC) LLC has setup

and is managing the Dubai Visa Processing Centre (herein after referred to as “DVPC”) for this purpose. VFS (GCC) LLC role is limited to accepting the visa

application and required documentation, forwarding the application to Government of Dubai / DNRD for consideration of visa issue and communicating the

Government of Dubai’s / DNRD’s Decision on the application for visa to the applicant. We have contracted elements of our services to our authorized sub-

contracted agents Vasco Worldwide

3. Visa fees are non-refundable under any circumstances whatsoever.

4. Each visa applicant desirous of being sponsored for a visa by EK OR FZ should be holding a valid ticket issued by EK OR FZ and booked to travel on

EK/FZ. VFS (GCC) LLC/EK/FZ will not responsible for and will not be liable for the applicant not been able to travel due to denied boarding offloading,

cancellation of flight, delays or and any other cause or circumstances beyond their control. VFS (GCC) LLC shall also not be liable in the case of any change

in the date of travel not being communicated to VFS (GCC) LLC.

5. The Applicant/passenger 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. Applicants must hold valid travel documents and comply with the requirements of

Government of Dubai / DNRD and requirements specified on the Visa Application Form.

6. VFS (GCC) LLC does not accept any responsibility for late, lost or misplaced applications and / or the veracity of the contents of the application.

Incomplete and double applications will be disregarded.

7. The decision to grant or refuse a visa is the sole prerogative of the Government of Dubai / DNRD. VFS (GCC) LLC merely forwards the application and the

issuance or pendency or refusal of the visa is the prerogative of the Government of Dubai / DNRD. The decision of the Government of Dubai / DNRD is final.

In case of rejection of visa application, no correspondence will be entertained and no visa fees will be refunded and no reasons will be required to be given. It

is clarified that processing of the visa application is prevented, delayed or restricted or interfered with for any reasons whatsoever resulting in delay by

Government of Dubai / DNRD to process the applicants visa application, then VFS (GCC) LLC/EK/FZ shall not be liable to the applicant for any loss or

damage which may be suffered as result of such causes and VFS (GCC) LLC/EK/FZ shall be discharged of all its obligations hereunder.

8. Issuance of a visa or approval on the visa application does not in any way give the applicant/passenger a right to enter Dubai. The entry is at the sole

discretion of the Immigration officer at Dubai Airport who is a representative of Government of Dubai / DNRD. In case of denial of visa or entry into Dubai by

the Government of Dubai / DNRD, VFS (GCC) LLC /EK/FZ shall in no way be liable to the applicant in any manner whatsoever.

9. The visa must be accepted as offered and is non – transferable.

10. When the Visa application of the Applicants is approved by the Government of Dubai / DNRD, it is the applicant’s sole responsibility to ensure that they

have received copy of the approved visa from the respective Visa Application Centre on email and the same is required to be submitted to the Dubai

authorities on arrival in Dubai.

11. VFS (GCC) LLC /EK/FZ shall not be liable for any losses or damages, which the applicant may suffer arising from delay in processing or receiving the

visa.

12. The visa is valid as per the Government of Dubai / DNRD rules and regulations as amended from time to time. The visa must be availed within its period

of validity.

13. Applicants understand and agree that forwarding Visa application to Government of Dubai / DNRD is at the sole discretion of EK/FZ as the sponsor and

VFS (GCC) LLC will not be liable in any manner for the same including for any delay and or rejection.

14. Respective Countries and Dubai Government regulations apply and in case this facility is deemed invalid or cancelled due to any countries / Dubai

Government regulation or order, VFS (GCC) LLC shall not be liable in any manner whatsoever to the applicant.

15. Applicants will be solely responsible to ensure they fulfill their respective country and Dubai Government requirements for travel which may include Police

Clearance, etc.

16. VFS (GCC) LLC shall take all reasonable measures to ensure that information provided by the Applicants in its application form shall remain Confidential.

However VFS (GCC) LLC shall not be liable for any unauthorized access by any means to that information.

17. Express Service Facility: is meant to give priority to Applicants in processing of their Visa applications and sending the same for processing

such applications to EK and/or FZ on a priority basis. VFS/ EK and/or FZ do not assure any time frame by which the Government of Dubai/DNRD

will process the Visa application. The Applicant understands and agrees that fulfillment of the Express service facility within the stipulated time

depends solely on the approval of the Government of Dubai / DNRD and VFS shall not be liable in case of refusal or delay by Government of

Dubai / DNRD in providing the Visa. Express Service Facility is expected to quicken the processing of the Visa application at VFS/EK and/or FZ.

18. The Applicant agrees to indemnify and hold VFS (GCC) LLC, its officers, directors, agents, subsidiaries, clients, joint venture partners and employees,

harmless from any Claim, expense, loss, damages or demand, including reasonable attorney’s fees, incurred or sustained by VFS (GCC) LLC and / or its

officers, directors, agents, subsidiaries, clients, joint venture partners and employees arising out of the breach of these terms & conditions by the Applicant

and / or any act of omission or Commission attributable to the Applicant (or) violation by the Applicant of any law of any country or the rights of a third party.

19. In no event and under no circumstances shall VFS (GCC) LLC, and/or its representatives be liable for any direct, indirect, punitive, incidental, special,

consequential Damages or any damages whatsoever to anyone.

20. VFS (GCC) LLC / EK/FZ reserves the right to add, alter or vary these terms and conditions at any time without notice or liability and all applicants availing

of this facility shall be bound by the same.

21. Security Deposit refundable on return (hereinafter referred to as “Security deposit”) in the form of a Cash shall be paid by the sponsor applying for Visa.

The Security deposit is returned to the sponsor once the applicant exits from Dubai, & the photocopy of the entry & exit stamp from Dubai is submitted in the

respective VAC. However in the event the Applicant does not collect the security deposit within a period of 30 days from the date of expiry of his/her visa, the

said security deposit will be banked.

22. These terms and conditions shall be governed by and construed in accordance with the laws of UAE. Any claims or disputes arising in relation to the

services provided by VFS (GCC) LLC for the applicant shall be subject to the exclusive jurisdiction of the court of Dubai UAE, territorial jurisdiction.

23. If you have not opted out of receiving marketing materials, we may also use your personal information to identify other products and services that might

be of interest to you and to market additional goods, services and special offers from us, our affiliates or our third party business associates. You can choose

not to allow VFS (GCC) LLC to use or disclose your personal information for marketing purposes by indicating your preference on the visa application form.

24. Applicants expressly declare that they do understand these terms & conditions and are individuals and not a company or any professional and or

commercial entity.

I confirm that the above terms and conditions have been read and understood by me and I agree to abide by them.

I hereby give my consent to VFS to use my personal information to identify other products and services that might be

of interest to me and to market additional goods, services and special offers from VFS, its affiliates, or VFS’s third

party business associates.

I do not wish to have my personal information used to identify other products and services that might be of interest to

me and to market additional goods, services and special offers from VFS, its affiliates, or VFS’s third party business

associates.

STRICTLY FOR OFFICE USE

ASSESSMENT

Pending Comments:

Forward to Appraisal Team

Sign: __________ Date: __________Time:______

Pending cleared: Sign: __________ Date: __________Time:______

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APPRAISAL

Approved

Refused

Sign: ___________ Date: _________ Time:______

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CONFIRMATION

SRN: ___________

Application # ___________

Sign: ___________ Date: _________Time:______

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DNRD

Approved VCN: ________________________ Issued on: _______

Refused

Sign: ___________ Date: _______ Time: ________

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AUDIT

Comments, if any: Sign: ___________ Date: ________Time: ______

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