Bahrain e-Visa Application Form

Enter all information in English

Family/last name *

First and middle name *

Full Name in Arabic (if present in Passport or at Birth)

You must provide your full Arabic Name if your Passport has this information.
Or if you had an Arabic name in your Country of Birth.

Gender *

Date of Birth *

Place of Birth *

Country of Birth *

Email Address *

Confirm Email Address *

Marital Status *

Fathers Name *

Have a current valid Residence Permit or Visit Visa for a GCC country? *

Passport / Travel Document Type *

Country of Passport / Travel Document *

Passport / Travel Document Number *

Confirm Passport / Travel Document Number *

Passport Date of Issue *

Passport Expiry Date *

Street no, name and address *

Town or City of residence *

Home Country or Country of residence *

Postal / ZIP Code *

State or Province or District *

Mobile/Phone Number *

Visa Name *

Date of Flight to Bahrain *

Purpose of Visit *

Occupation *

Job Title *

Work Address *