Application visa

Information for Visa Application

*Course Name and Dates:

*First Name:

Middle Name:

*Surname:

*Previous Family Name:

*Father's Name:

*Mother's Name:

*Religion

*Date of Birth (dd/mm/yyyy):

*Nationality:

*Country of Birth:

*Gender:

*Family Status:

Single

Married

Widowed

Divorced

*e-mail address

Previous Visa Information:

Country visited:

Date of Issue:

Country visited:

Date of Issue:

Country visited:

Date of Issue:

****IMPORTANT****

Passport Details:

*Number:

*Issued at:

*Valid until:

As per the requirements of the Israeli Ministry of Interior; in order to process the entry visa the passport MUST be valid for a minimum of 7 months from the date of the participants’ entry

Please send a photocopy of the pertinent pages of your passport – (photograph, personal information, issue/expiry dates, visa stamps and dates)