EXIT/RE-ENTRY VISA REQUEST FORM
Employee Name Employee ID Position Department EMPLOYEE INFORMATION ALLAN JOSEPH V. BAGAOISAN PMU-07-0192 STUDENT RECORDS COORDINATOR STUDENT AFFAIRS
No 1 2 3 4 5 6
Name Allan Joseph V. Bagaoisan
Visa Type
Single Single Single Single Single Single Multiple Multiple Multiple Multiple Multiple Multiple SR SR SR SR SR SR SR SR SR
Cost
A B C
Total Paid by PMU Net Paid by Employee
Documents Required:
Note: -
Two recent passport size photos. Background must be white. (if dependants in same passport, two group photos) Original Passport(s) Copy of Iqama(s)
Photos must be taken within the past 30 days, older photos will not be accepted. Visa validity cannot exceed the validity of passport or iqama however the cost remains unchanged. Failure to activate or cancel the visa within the allocated time period will result in a SR.1000 fine.
Processing Time: Please allow for up to two weeks. * I authorize Prince Mohammad Bin Fahd University to deduct the amount shown in C above from my salary. Employee Signature Date
Comments Received by Processed By
CC Budget Accounting CC Employee Original to File
[Link]
Date Date
HRF/GR-1/0208