1Application2Medical Insurane3Review4Payment Saudi Arabia Visa Application Form In order to successfully complete the Saudi Arabia eVisa Application form you will need a valid passport and a credit card. Each member of your travel group will need to complete its own Application. The fields marked in red * are mandatory.Personal InformationName* First Middle Last Email* Enter Email Confirm Email Phone number*Country of nationality*SelectAndorraAustraliaAustriaBelgiumBruneiBulgariaCanadaChinaCroatiaCyprusCzech RepublicDenmarkEstoniaFinlandFranceGermanyGreeceHungaryIcelandIrelandItalyJapanKazakhstanSouth KoreaLatviaLiechtensteinLithuaniaLuxembourgMacau ChinaMalaysiaMaltaMonacoMontenegroNetherlandsNew ZealandNorwayPolandPortugalRomaniaRussian FederationSan MarinoSingaporeSlovak RepublicSloveniaSpainSwedenSwitzerlandTaiwanUkraineUnited KingdomUnited StatesGender* Male Female Marital Status*SelectSingleMarriedDivorcedWidowOtherDate of birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Country of birth*SelectAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweCity of Birth* Profession* Passport & Travel InformationPassport Type*Diplomatic PassportRegular PassportSpecial PassportPassport No.* Passport Issue Place (Country or City)* Passport Issue Date*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Passport Expiry Date*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Expected Date of Arrival*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Expected Date of Departure*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Additional Purpose of Visit* Select All Event Family & Relatives Leisure Umrah Current Residence AddressCountry*SelectAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweCity* Address* ZIP/Postal Code* Residence Address in Saudi ArabiaResidence Address in Saudi Arabia* Residential or Relative Commercial Accommodation Name of Person* City*SelectAbhaAbqiqAbu ArishAD DayirAfifAhad RafidahAl AflajAl AhsaAl AqiqAl ArdahAl AsyahAl BadayaAl BahaAl BikiryahAl DarbAl DwadmiAl EdabyAl GhatAl GhazalahAl HanakyahAl HariqAl HartAl JamomAl JubilAl KahkairAl KhafjiAl KhamilAl KhurmahAl LeethAl MadinahAl MadnabAl MahdAl MajardahAl Majma'ahAl MandaqAl MandaqAl MasarhaAl MukhwahAl MuzahmyahAl NabhanyahAl NamasAl NuayryahAl OlaAl QatifAl QiyasAl QunfodahAl QuraAl QurayatAl QuwayiyahAl RasAl ShamasyahAl ShananAl ShqeqAl TayifAl WajhAl ZulfyAlsulaylAmlojAr ArAraytAyon al JuoaBadrBadr al JanubBaishBajurashiBalquranBaqaBeshahBuriydahDamadDammamDarmaDawmat al JandalDereyahDubaFarasanHabunaHafr al BatinHailHaqilHoraymilahHotat Bany TamimJazanJiddahKhabashKharjKhaybarKhmis MushitKhobarKhulisMahaylMakkahNajranOnayzaQariyat al OlyaQulwahRabigRafhaRanyahRas TanorahRijal al MaRiyadhRiyadh al KhabraRomahSabyaSakakaSamtahSarat AbidahShaqraSharorahTaboukTathlithTaymaThadiqThahran al JanubTharTurbahTurifWadi AdwasirYadamahYanbuAddress 1* Address 2 Name of Hotel* Primary Contact Phone Number*Primary Contact Email* Additional InformationUpload your personal photo* Photo Specification Format - jpg, gif, png; Size: - Minimum 10KB - Maximum 1MB The height and width of the Photo must be equal. Photo should present Full face, front view, eyes open. Center head within frame and present full head from top of hair to bottom of chin. Background should be plain light colored or white background. No shadows on the face or on the background. Without borders. The application is liable to be rejected if the uploaded photograph are not clear and as per specification.* Select All I accept the Terms and Conditions I agree to receive emails regarding my E-VISA application and my travel permit's renewal invitation By passing to the next page, I confirm that I have read all the questions and statement of this application form and have understood them. The information provided by me on the above application form is true and correct to the best of my knowledge and belief. MEDICAL INSURANCE Medical insurance covers only emergency cases. All of the companies are approved and certified in Saudi Arabia. The insurance policy is mandatory and it is required by the Government of Saudi Arabia.* By checking this box I agree to the insurance coverage listed above with a fee of 140 SAR PLEASE CONFIRM YOUR DETAILS Please review the information you have provided and press NEXT to proceed to the last step. Personal Information Your Name/s {Name(First):1.3} {Name(Middle):1.4} {Name(Last):1.6} Email Address {Email:2} Phone number {Phone number:26} Country of nationality {Country of nationality:4} Gender {Gender:5} Marital Status {Marital Status:6} Date of birth {Date of birth:7} Country of birth {Country of birth:8} City of Birth {City of Birth:9} Profession {Profession:10} Passport & travel information Passport Type {Passport Type:17} Passport No. {Passport No.:18} Passport Issue Place (Country or City) {Passport Issue Place (Country or City):19} Passport Issue Date {Passport Issue Date:20} Passport Expiry Date {Passport Expiry Date:21} Expected Date of Arrival {Expected Date of Arrival:22} Expected Date of Departure {Expected Date of Departure:23} Additional Purpose of Visit {Additional Purpose of Visit:49} Current Residence Address Country {Country:12} City {City:13} Address {Address:15} ZIP/Postal Code {ZIP/Postal Code:14} Residence Address in Saudi Arabia Residence Address in Saudi Arabia {Residence Address in Saudi Arabia:28} Name of Person {Name of Person:29} City {City:30} Address 1 {Address 1:31} Address 2 {Address 2:32} Name of Hotel {Name of Hotel:35} Primary Contact Number {Primary Contact Number:33} Email {Email:34} Payment informationE-Visa Application Document Price: Choose the payment method* Credit card Paypal Credit Card* MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name
