12/3/2018 ‫طﺑﺎﻋﺔ ﻣﻌﻠوﻣﺎت اﻹﻗﺎﻣﺔ‬

Application No : 8153467/2018 :‫رﻗﻢ اﻟﻄﻠﺐ‬ Visa Number : 382018615258 :‫رﻗﻢ اﻟﺴﻤﺔ‬

Date Of Entry : 23/11/2018 :‫ﺗﺎرﻳﺦ اﻟﺪﺧﻮل‬
Complete the fingerprint procedures before visiting the Expatriates affair dept.
.‫ﯾﺮﺟﻰ اﺳﺘﻜﻤﺎل إﺟﺮاءات اﻟﺒﺼﻤﺔ ﻗﺒﻞ ﻣﺮاﺟﻌﺔ إدارة ﺷﺆون اﻟﻮاﻓﺪﯾﻦ‬
ID.No if available ......................................................... :‫ إن وﺟﺪ‬- ‫ اﻟﺮﻗﻢ اﻟﺸﺨﺼﻲ‬ 
http://www.moi.gov.qa/ :‫ ﻣﺮاﺟﻌﺔ ﺧﺪﻣﺔ طﺒﺎﻋﺔ طﻠﺐ اﻹﻗﺎﻣﺔ ﺑﺰﯾﺎرة اﻟﻤﻮﻗﻊ اﻟﺘﺎﻟﻲ‬- ‫ﻟﻠﻤﺘﺎﺑﻌﺔ‬

Visa Details:- -:‫ﺑﻴﺎﻧﺎت اﻟﺴﻤﺔ‬

‫ ﻧﻴﺮ ﺑﻬﺎدور ﻣﺎﺟﺮ ﻣﺎﺟﺮ‬:‫اﻹﺳﻢ ﻃﺒﻘﺎ ﻟﻤﺴﺘﻨﺪ اﻟﺴﻔﺮ‬
Name as per passport: NIR BAHADUR MAGAR MAGAR
Date of Birth : 29/09/1995 :‫ﺗﺎرﻳﺦ اﻟﻤﻴﻼد‬ Occupation : ‫ ﺑـﺎﺋﻊ‬:‫اﻟﻮﻇﻴﻔﺔ‬ Sex : ‫ذﻛﺮ‬ :‫اﻟﺠﻨﺲ‬
Passport details:- -:‫ﺑﻴﺎﻧﺎت اﻟﺠﻮاز‬
Date of Expiry : 13/05/2025 :‫ﺗﺎرﻳﺦ اﻹﻧﺘﻬﺎء‬ Passport No : 08786577 :‫رﻗﻢ ﻣﺴﺘﻨﺪ اﻟﺴﻔﺮ‬ Passport Type : ‫ﻋﺎدي‬ :‫ﻧﻮﻋﻪ‬
Extra Data:- -:‫اﻟﺒﻴﺎﻧﺎت اﻟﺘﻜﻤﻴﻠﻴﺔ‬
Country of birth: ‫ﻧﻴﺒﺎل‬ :‫ ﺑﻠﺪ اﻟﻤﻴﻼد‬Doc.Issue Date: 14/05/2015 :‫ﺗﺎرﻳﺦ إﺻﺪارﻣﺴﺘﻨﺪاﻟﺴﻔﺮ‬
Blood Group: O+ :‫ ﻓﺼﻴﻠﺔ اﻟﺪم‬Education Level:  ‫ ﺛﺎﻧﻮي‬/ ‫إﻋﺪادي‬ :‫اﻟﻤﺆﻫﻞ اﻟﺘﻌﻠﻴﻤﻲ‬
Previous Nationality: ‫ﻧﻴﺒﺎل‬ :‫ اﻟﺠﻨﺴﻴﺔ اﻟﺴﺎﺑﻘﺔ‬Residence Duration By Year :    ‫ ﺳﻨﺔ‬ 3 :‫ﻣﺪة اﻹﻗﺎﻣﺔ اﻟﻤﻄﻠﻮﺑﺔ ﺑﺎﻟﺴﻨﺔ‬
Address:- -:‫اﻟﻌﻨﻮان‬
Area Name : ‫اﻟﻤﺮﻗﺎب‬ :‫اﻟﻤﻨﻄﻘﺔ‬ City Name: ‫اﻟﺪوﺣﺔ‬ :‫اﻟﻤﺪﻳﻨﺔ‬
P.O.Box: 908 :‫ب‬.‫ص‬ Street:  ‫اﻟﻨﺼﺮ‬ :‫إﺳﻢ اﻟﺸﺎرع‬
Phone No/Mobile : 55568820 :‫اﻟﺠﻮال‬/‫اﻟﻬﺎﺗﻒ‬
Employer Details:-  -:‫ﺑﻴﺎﻧﺎت اﻟﻤﺴﺘﻘﺪم‬
‫ﺧﺘﻢ و ﺗﻮﻗﻴﻊ اﻟﻤﺴﺘﻘﺪم‬ Employer's Name: ‫ﻫﺘﻤﻜﺲ ﻟﻠﺘﺠﺎرة‬ :‫إﺳﻢ اﻟﻤﺴﺘﻘﺪم‬
Stamp and Employer Signature Company's ID.  17-1660-06 :‫رﻗﻢ ﻗﻴﺪ اﻟﻤﻨﺸﺄة‬
Relation to Employer : ‫ﻋﻤﻞ‬ :‫اﻟﻌﻼﻗﺔ ﺑﺎﻟﻤﺴﺘﻘﺪم‬

.‫إﻗﺮار ﺑﺼﺤﺔ اﻟﺒﻴﺎﻧﺎت اﻟﺴﺎﺑﻘﺔ و اﻹﻟﺘﺰام ﺑﺄﺣﻜﺎم ﻗﻮاﻧﻴﻦ ﺗﻨﻈﻴﻢ دﺧﻮل و ﺧﺮوج و إﻗﺎﻣﺔ اﻟﻮاﻓﺪﻳﻦ ﻓﻲ اﻟﺪوﻟﺔ‬
Declare all the above information is correct and indicate my commitment to entry and out for Expatriates' residence Law in Qatar.
Applicant ....................................................................................... ‫ﻣﻘﺪم اﻟﻄﻠﺐ‬

Official Use: ................................................................... ................................................................... :‫ﻟﻺﺳﺘﻌﻤﺎل اﻟﺮﺳﻤﻲ واﻟﺮﺳﻮم‬

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