TECOM Government Services

TECOM

TECOM GOVERNMENT SERVICES DEPARTMENT
Application for Dependant and House Maid Visa Cancellation

Instructions

1. To ensure you get an updated version of the form, please Press Ctrl + F5.
2. Please fill out all fields.
3. Click on `Print` button to generate a PDF file.
4. Print the PDF with high quality laser printer.
5. Submit it in hard copy, along with all required attachments, to TECOM Government Services.

Frequently Asked Questions
Note that you need Adobe Reader to generate the PDF file. Click here to download the free Adobe Reader.
If you are having any difficulties to generate the PDF file, click here for more instructions.

Visa and Services Details

Cancelling for: Child Wife House Maid
Residence Permit Entry Permit
Service Type:

Express Service Urgent
Residence File Number:

/ /
Is the applicant currently inside UAE? Yes No
Date of exiting UAE: DD-MM-YYYY
Residency Expiry Date: DD-MM-YYYY
Service Fee: AED 0
Fine: AED 0 as of 11-Mar-2010
Penalty: AED 5,000

Personal Details

* All details must be as per passport.
Title: Mr Mrs Ms
Name:
Current Nationality:
Previous Nationality:
Date of Birth: DD-MM-YYYY
Place of Birth:
Country of Birth:
Passport Number:
Passport Type: Normal Private Travel Doc Diplomatic
Passport Issue Date: DD-MM-YYYY
Passport Expiry Date: DD-MM-YYYY
Passport Place of Issue:
Passport Country of Issue:
Mother's Name:
Religion:
Marital Status:
Educational Qualification:
Languages Spoken:
Number of childs endorsed in passport:
Name Date of Birth Place of Birth Gender
Child 1
Child 2
Child 3
Child 4
Child 5
Child 6
Child 7
Child 8
Child 9

Sponsor Details

* All details must be as per passport.
Title: Mr Mrs Ms
Name:
Current Nationality:
Residence File Number:

/ /
Residency Expiry Date: DD-MM-YYYY
Passport Number:
Passport Expiry Date: DD-MM-YYYY
Employee ID Number:
Sponsor Mobile #: 05xxxxxxxx

Company Details

Company Name:
License Number:
Email ID:
Date: DD-MM-YYYY

Requirements

Original Passport
Sponsor's Passport Copy
Applicant's Passport Copy (Incase of no passport copy, additional charges of AED 250 will be applicable).
Original Entry Permit

Notes

Only Cash, Advanced Deposit, or Credit Card Payments are accepted
Violation of TECOM regulations will result in imposition of penalties
For further queries please email us on GSOenquiry@tecom.ae
For after arrival and GSO Tariff list, please refer to www.dic-communityguide.com

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