Registration Form
All Ugandans Living and Working in the UAE
Official Document – Confidential
Section A: Personal Information
Name
(Required)
First Name
Last Name
Email
(Required)
Phone
(Required)
Emirate
(Required)
Abu Dhabi
Dubai
Sharja
Fujairah
Umm Al Quwain
Ajman
Ras Al Khaimah
Residential Address
(Required)
Company Accommodation / Villa / Apartment / Hotel / Domestic Residence
Section B: Travel Information
Passport Number
Entry Date into UAE
(Required)
MM slash DD slash YYYY
Attach Passport Copy
(Required)
Accepted file types: jpg, gif, png, pdf, Max. file size: 3 MB.
Section C: Immigration Status in UAE
Immigration Status
(Required)
Employment Visa
Own Visa (Business/Investor
Cancellation
Overstay
Other
Current Job Title
(Required)
Company / Employer Name
(Required)
Business Name / Activity
(Required)
Duration of Overstay (Months)
(Required)
Cancellation Date
(Required)
MM slash DD slash YYYY
Please Specify
(Required)
Section D: Next of Kin
Name
(Required)
First
Last
Relationship
(Required)
e.g. Mother, Brother, Sister, etc
Contact Number
(Required)
Section E: Declaration
Agree
(Required)
I Agree
I hereby declare that the information provided in this registration form is true, accurate, and complete to the best of my knowledge. I understand that my information is only intended for official use.
Phone
This field is for validation purposes and should be left unchanged.