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Reach & Build Iraq Exhibition
20– 22 of March, 2004 – Gulf hotel, Bahrain




Full Name
Title

Email
Father's Name
Mother's Name
Date of Birth
Place of Birth

Nationality
Passport Number
Place of Issue
Date of Issue
Date of Expiry Validity Passport Minimum 6 Months
Profession
Children accompanying on same passport
Arrival Airport
Arrival Date
Flight Number
Arrival Time
   
Departure To
Departure Date
Flight Number
Departure Time
   
Permanent Address
Tel. :
Fax :
Address in Bahrain
(Hotel or Other)
Tel. :
Fax :
   
   

The following nationalities do not require visa:
Germany, Holland, Italy, Denmark, New Zealand, Iceland, San Marino, Singapore, Spain, Norway, Greek, Japan, China, Australia, America, Monacco, Andura, Belgium, Ireland, Finland, Vatican, Lakshtheen, Malaysia, France, Britain, Sweeden, Switzerland, Canada, Brunei, Portugal, Luxumberg & Austria

Important note:
- This form is per visa, per person only.
- The visa charges are US$ 42.00 per person
- This form should be recieved along with the fees before March 10th 2004.
- Please fax a clear copy of passport to (+973) 712 088

- We are unable to submit your request without all sections completed.
- Visas only will be processed accompanied by a hotel booking request.
- Visas once applied for are non-refundable. 100% charges (cancellation fees) apply once application submitted.

Herewith I authorize Gulf Hotel
To charge the amount of US$ from my credit card

  Card No:
Visa
Master Card
Amex

Cardholder's Name:

Exp. Date:
Date of Signature:

Credit card payments must be accompanied by a photocopy of the credit card (front and back)


   

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