UAE Application Form

ID

Package

Do you already have an account with us?*

Yes

No

Please ensure you are logged into your account before submitting the application.
Login

Username / Email*

To Register your account select a unique username or use your email. (Login if you already have an account.)

Password*

Enter Password Confirm Password

Passport Issuing Country*

Visa Type (a)*

Visa Type (b)*

Entry Type (a)*

30 Days Single Entry

30 Days Double Entry

60 Days Single Entry

60 Days Multiple Entry

30 Days Single Entry

5-6 Working days Processing time
60 Days Validity from the date of issue
30 Days Stay Period from the date of Entry

30 Days Double Entry

5-6 Working days Processing time
60 Days Validity from the date of issue
30 Days Stay Period from the date of Entry

60 Days Single Entry

5-6 Working days Processing time
60 Days Validity from the date of issue
60 Days Stay Period from the date of Entry

60 Days Multiple Entry

5-6 Working days Processing time
60 Days Validity from the date of issue
60 Days Stay Period from the date of Entry

Entry Type (b)*

4 Days Transit Visa

4 Days Transit Visa*

5-6 Working days Processing time
30 Days Validity from the date of issue
96 Hours Stay Period from the date of Entry

*Air ticket copy Required

Total Fees

Expected Arrival Date to Dubai*

Personal Information

Name*

First and Middle Name Last Name

* Please enter the information exactly as shown in your passport, using letters A-Z. Ensure you include your middle name if applicable.

Email*

Mobile No.*

Are you using any Messaging Apps in this Number?*

Viber

Wechat

Imo

Others

Others*

Please let us know how we should contact you in any other number or in any other messaging apps.

Date of Birth*

Gender*

Marital Status*

Residential Address

Street Address City State / Province / Region ZIP / Postal Code Country

Upload Documents

Photograph*

Upload Photograph

I will Upload Later

Upload Your Photograph*

Drop files here or

Accepted file types: pdf, jpg, jpeg, png, Max. file size: 8 MB, Max. files: 1.

Passport*

Upload Passport

I will Upload Later

Upload Your Passport*

Drop files here or

Accepted file types: pdf, jpg, jpeg, png, Max. file size: 8 MB, Max. files: 1.

Checkout

Coupon

I Have a Coupon

Enter your Coupon

Transaction Fees

Price: $0.00

Grand Total

Select Payment Type*

Credit Card

Bank Transfer

Debit or Credit Card*

Payment Instructions

- Please note that you are required to manually transfer the payment to our bank account. We will not be able to process your visa application until the payment is confirmed.

- Kindly ensure that you send the exact USD amount specified in your application grand total or invoice. Please include the application ID number(s) as the reference number so that we can identify the application for which you are sending the payment.

- Once you have completed the payment, please contact our billing department via live chat or email.

Bank Details

Beneficiary Name: Travel Rox, Inc.

SWIFT / BIC Code: CHFGUS44021

ABA Routing Number: 091311229

IBAN / Account Number: 202498906058

Bank Name: Choice Financial Group

Beneficiary Address:

169 Madison Avenue, STE2883
New York, NY 10016
USA

Bank Address:

4501 23rd Avenue S
Fargo, ND 58104
USA

Applicant's Signature*

Please sign here as per the signature on your passport to confirm your agreement and provide full consent to the terms.