The Syrian Embassy London-UK

Visa Application Form

DO NOT PRINT THIS PAGE. You must click the "Submit" button below and then print the form to complete the process. Your answers must be in English and must use English characters. We are not responsible for any mistake in the form

PLEASE TYPE OR PRINT YOUR ANSWERS IN THE SPACE PROVIDED BELOW EACH ITEM

Name (As in Passport)
   (Max 50 characters)
Surname (As in Passport)
   (Max 50 characters)
Sex Male      
Female
Father's Name
   (Max 50 characters)
Mother's Name
   (Max 50 characters)
Place and Country of Birth
   (Max 50 characters)
Date of Birth (DD,MM,YYYY)
//
Original Nationality
Present Nationality
Type of Passport
If other Please Specify (optional)
  
Passport Number
   (Max 20 characters)
Place of Issue
   (Max 50 characters)
Date of Issue (DD,MM,YYYY)
//
Date of Expiry (DD,MM,YYYY)
//
Address line 1
   (Max 50 characters)
Address line 2 (optional)
   (Max 50 characters)
Post Code
  
Daytime Phone Number
  (Max 20 characters)
Occupation
  (Max 20 characters)
Employer's Name
  (Max 20 characters)
Employer's Address line 1
    (Max 30 characters)
Employer's Address line 2 (optional)                               
    (Max 30 characters)
Have You Visited Occupied Palestine Yes             
No
Purpose of Travel
Approximate Date of Arrival (please note that visas will be valid from the date your application is received not from the date of Arrival)  
//
Address in Syria line 1
Address in Syria line 2 (optional)
Duration of Stay
Day(s)       Month(s)
Point of Entry to Syria
  (Max 20 characters)
Point of Exit from Syria
  (Max 20 characters)
Duration and Type of Visa Required 3 Months (Single)          
6 Months (Multiple)
Email Address (optional)
I hereby declare to be responsible for the above information and realize that obtaining a visa is one of the requirements to enter Syria, therefore issuing a visa does not necessarily mean that the competent Syrian authorities will permit me through the borders. I further realize that I cannot demand any compensation, or any justification for denial of entry.
Signature sign this form after you print it out