Bahrain e-Visa Application Form

Enter all information in English

Family/last name *

First and middle name *

Gender *

Date of Birth *

Place of Birth *

Country of Birth *

Email Address *

Confirm Email Address *

Marital Status *

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 *