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Treatment form

Health tourism

  • Accepted file types: jpg, jpeg, zip, png, gif, tif.
  • Be in jpg or jpeg format. Has a volume equal to or less than 500 KB and more than 10 KB. It should be vertical so that its height is greater than its width. Have a resolution of 400 (minimum width) at 600 (minimum height) pixels. Taken in the last 6 months.
    To load more documents, you can compress them all in one zip file.

  • Accepted file types: jpg, jpeg, zip, png, gif, tif.
  • Be in jpg or jpeg format. Has a volume equal to or less than 500 KB and more than 10 KB. Be horizontal so that the width of the image is greater than its height. Have a resolution of 800 (minimum width) at 600 (minimum height) pixels. Only include the front page.
    To load more documents, you can compress them all in one zip file.

  • Passport details

  • NationalityYour Father`s First NameGender (Male/Female)Marital StatuseDate Of Birth (YYYY/MM/DD)Place Of Birth (City & Country)Passport NoPassport TypeDate Of Passport Issue (YYYY/MM/DD)Place Passport IssuedDate Of Passport Expiry (YYYY/MM/DD) 
  • Personal information

  • AdressPhone&Mobile No (Your City)Email AdressYour Occupation /Profession /ActivityName Of Company/OrganizationField Of Activity/Study 
  • Duration Of Stay In IranTravel Plan In IranBooked/Planned Hotel (Name &City)Entrance To Iran Air Port (Date & City) By…?Departrue To Iran (Date & City) By..? 
  • Where Do You Want To Collect Your Visa?The Last Date entry In IranHave you been to Iran before?Do you have a host/hostess in Iran?Do you need a leader (guide) in Iran?Please advise a name, address and telephone number (needed in case of emergency only) 
  • Further details