<!DOCTYPE html>
<html lang="en">

<head>

    <meta charset="utf-8">
    <meta http-equiv="X-UA-Compatible" content="IE=edge">
    

    <meta name="description" content="Ocean Visa Center is an authorized agency from the Saudi embassy in Vienna. Please conact us directly for submittinge the Visa applications">
    <meta name="keywords" content="Visumantrag Saudi arabien,Visum Formular Saudi arabuen,Visa application Saudi Arabia,Visa Form Saudi Arabia,Business visa Saudi Arabia,Geschäftsvisum Saudi arabien ,Arbeitsvisums Saudi arabien,Arbeitsbesuch Saudi arabien,Familienbesuch Saudi arabien,Wirtschaftsmission Saudi arabien,irtschaftskammer Saudi arabien,Family visit Saudi arabiaWork visit Saudi Arabia,Tourist visa Saudi Arabia,Visum Saudi arabien,Saudi arabien Botschaft,Saudi embassy Saudi Konsulate,Saudska Arabia informacie ambasady viza,Savdska arabja informacie, visa, vloga za izdajo vizuma, cena, opremiti,Ziadost o vizum , cena, vybavenie,Online Visa for Saudi Arabia,Online Visumantrag Saudi arabien,Saudska Arabia informacie ambasady viza,Ziadost o vizum , cena, vybavenie ,Savdska arabja informacie, visa, vloga za izdajo, Saudi inviation letter,Saudi Einladung,Einladung schreiben">


    <title>OCEAN Visa Service</title>
	<link rel="icon" type="image/png" href="images/fav.png">
    <!-- Bootstrap Core CSS -->
    <link href="css/bootstrap.min.css" rel="stylesheet">

    <!-- Custom CSS -->
    <link href="css/modern-business.css" rel="stylesheet">

    <!-- Custom Fonts -->
    <link href="font-awesome/css/font-awesome.min.css" rel="stylesheet" type="text/css">

    <!-- HTML5 Shim and Respond.js IE8 support of HTML5 elements and media queries -->
    <!-- WARNING: Respond.js doesn`t work if you view the page via file:// -->
    <!--[if lt IE 9]>
        <script src="https://oss.maxcdn.com/libs/html5shiv/3.7.0/html5shiv.js"></script>
        <script src="https://oss.maxcdn.com/libs/respond.js/1.4.2/respond.min.js"></script>
    <![endif]-->
    
    
    <script>
  (function(i,s,o,g,r,a,m){i['GoogleAnalyticsObject']=r;i[r]=i[r]||function(){
  (i[r].q=i[r].q||[]).push(arguments)},i[r].l=1*new Date();a=s.createElement(o),
  m=s.getElementsByTagName(o)[0];a.async=1;a.src=g;m.parentNode.insertBefore(a,m)
  })(window,document,'script','https://www.google-analytics.com/analytics.js','ga');

  ga('create', 'UA-96851655-1', 'auto');
  ga('send', 'pageview');

</script>
    
    
    
<style>
hr{ margin:15px;}
.col-xs-6,.col-xs-4,.col-xs-3,.col-xs-12,.col-xs-2,.col-xs-5,.col-xs-8,.col-xs-10 { padding-right:5px; padding-left:5px}
</style>

</head>

<body id="mycanvas" >

    <!-- Navigation -->
    

    <!-- Header Carousel -->
    <div class="container heades" style="line-height:1">
        <div class="col-xs-4 text-center"><h4>Embassy of Saudia Arabia<br>
										  Vienna - Austria<br>
										  Consular Section</h4>
                                          
        <div style=" width:170px; height:220px; position:relative; margin:auto; border:#666 solid 1px; color:#999"><br><br><br><br><br>
        <h3>Photo<br>صورة شمسية</h3>
        </div>
                                          </div>
        <div class="col-xs-4 text-center">
        <img src="images/bsmala.png" style="width:80%"><br>
        <img class="img-responsive"  src="images/soudia-logo.png" style="width:50%; margin:auto" alt=""><br>
		<h2 style="margin-top:-10px">Visa Application Form<br>استمارة طلب تأشيرة</h2>
		</div>
        <div class="col-xs-4 text-center"><h4>سفارة المملكة العربية السعودية<br>
										  فيينا - النمسا<br>
										  القسم القنصلي</h4>

        <p style="line-height:1.8; font-size:90%; margin:25px; text-align:left">
       <span>Visum Einreichstelle / Visa submission office</span>
        <span style="font-size:120%">Ocean Visa Service</span><br>
        <i class="fa fa-map-marker" style="color:#00a76d"></i>&nbsp;&nbsp; Schlagergasse 11/3+6 ,1090 Vienna ,Austria<br>
		<i class="fa fa-envelope" style="color:#00a76d"></i>&nbsp; info@visum-saudiarabien.at<br>
		<i class="fa fa-phone" style="color:#00a76d"></i> &nbsp; +43 1 9251610<br>
        <i class="fa fa-phone" style="color:#00a76d"></i> &nbsp;  +43 676 360 7274
        </p>

                                          </div>
        
        </div>
        </div>
<hr>
    <!-- Page Content -->
    <div class="container">

        <!-- Features Section -->
        <div class="row" style="font-family:dinl,arial; font-size:14px; line-height:2">
          <div class="col-xs-6">
          <span class="col-xs-4"> First Name : </span>
          <span class="printed col-xs-4 text-center" style="font-family:dinm,arial"><strong><?PHP echo $_POST["stname"]; ?></strong> </span>
          <span class="col-xs-4 text-right"> : الاسم الشخصي </span>
          </div>
          
           <div class="col-xs-6">
          <span class="col-xs-4"> Father Name : </span>
          <span class="printed col-xs-4 text-center" style="font-family:dinm,arial"> <strong><?PHP echo $_POST["thname"]; ?></strong>   </span>
          <span class="col-xs-4  text-right"> : اسم الأب </span>
          </div>  

		  <div class="col-xs-6">
          <span class="col-xs-4"> Family Name : </span> 
          <span class="printed col-xs-4 text-center" style="font-family:dinm,arial"> <strong><?PHP echo $_POST["fname"]; ?></strong>  </span> 
          <span class="col-xs-4 text-right">  : اسم العائلة </span>
          </div>

		  <div class="col-xs-6">
          <span class="col-xs-4"> Date and place of birth: </span> 
          <span class="printed col-xs-4 text-center" style="font-family:dinm,arial">  <strong><?PHP echo $_POST["dbirth"]." / ". $_POST["pbirth"]; ?></strong>  </span> 
          <span class="col-xs-4 text-right"> : مكان وتاريخ الميلاد </span>
          </div>    
          <div class="col-xs-6">
          <span class="col-xs-4"> Present Nationality : </span> <span class="printed col-xs-4 text-center" style="font-family:dinm,arial"> <strong><?PHP echo $_POST["pnationality"]; ?></strong> </span> <span class="col-xs-4 text-right"> : الجنسية الحالية </span>
          </div>    
          <div class="col-xs-6">
          <span class="col-xs-4"> Previous Nationality: </span> <span class="printed col-xs-4 text-center" style="font-family:dinm,arial"> <strong><?PHP echo $_POST["prnationality"]; ?></strong> </span> <span class="col-xs-4 text-right"> :الجنسية السابقة  </span>
          </div>   
          
          <div class="col-xs-6">
          <span class="col-xs-3"> Religion: </span> <span class="printed col-xs-6 text-center" style="font-family:dinm,arial"> <strong><?PHP echo $_POST["religion"]; ?></strong> </span> <span class="col-xs-3 text-right"> :الديانة  </span>
          </div>   
          <div class="col-xs-6">
          <span class="col-xs-3"> Gender: </span> <span class="printed col-xs-6 text-center" style="font-family:dinm,arial"> <strong><?PHP echo $_POST["gender"]; ?> </strong></span> <span class="col-xs-3 text-right"> :الجنس   </span>
          </div>   

	<div class="col-xs-12">
          <span class="col-xs-3"> Marital Status: </span> <span class="printed col-xs-6 text-center" style="font-family:dinm,arial"> <strong><?PHP echo $_POST["marital"]; ?></strong> </span> <span class="col-xs-3 text-right"> :الحالة الاجتماعية  </span>
          </div> 
          
        </div>
        <hr> 
        <div class="row"  style="font-family:dinl,arial; font-size:14px; line-height:2">
              
          
          <div class="col-xs-8">
          <span class="col-xs-4"> Date of Passport's issuance: </span> <span class="printed col-xs-5 text-center" style="font-family:dinm,arial"> <strong><?PHP echo $_POST["dpassissu"]; ?></strong> </span> <span class="col-xs-3 text-right"> :تاريخ إصدار الجواز   </span>
          </div>   
          <div class="col-xs-4">
          <span class="col-xs-4"> Passport No.: </span> <span class="printed col-xs-5 text-center" style="font-family:dinm,arial"> <strong><?PHP echo $_POST["passno"]; ?></strong> </span> <span class="col-xs-3 text-right"> :رقم الجواز    </span>
          </div>   
           <div class="col-xs-8">
          <span class="col-xs-3"> Date of Passport's expiry:</span> <span class="printed col-xs-6 text-center" style="font-family:dinm,arial"> <strong><?PHP echo $_POST["dpassex"]; ?></strong> </span> <span class="col-xs-3 text-right"> : تاريخ انتهاء صلاحية الجواز    </span>
          </div>   
          <div class="col-xs-4">
          <span class="col-xs-4"> Place of issue: </span> <span class="printed col-xs-4 text-center" style="font-family:dinm,arial"> <strong><?PHP echo $_POST["pissue"]; ?></strong> </span> <span class="col-xs-4 text-right">: مكان إصداره  </span>
          </div>   
        
        </div>
        
        <hr> 
        <div class="row"  style="font-family:dinl,arial; font-size:14px; line-height:2">
              
          
          <div class="col-xs-6">
          <span class="col-xs-3"> Profession: </span> <span class="printed col-xs-6 text-center" style="font-family:dinm,arial"> <strong><?PHP echo $_POST["profession"]; ?></strong> </span> <span class="col-xs-3 text-right"> :المهنة    </span>
          </div>  
          
          <div class="col-xs-6">
          <span class="col-xs-4"> Purpose of travel: </span> <span class="printed col-xs-4 text-center" style="font-family:dinm,arial"> <strong><?PHP echo $_POST["ptravel"]; ?></strong> </span> <span class="col-xs-4 text-right"> :الغرض من السفر    </span>
          </div>   
            <div class="col-xs-12">
          <span class="col-xs-3"> Home Adress: </span> <span class="printed col-xs-6 text-center" style="font-family:dinm,arial"> <strong><?PHP echo $_POST["hadress"]; ?></strong> </span> <span class="col-xs-3 text-right"> :العنوان    </span>
          </div>  
          
          <div class="col-xs-6">
          <span class="col-xs-3"> Telephone No.: </span> <span class="printed col-xs-6 text-center" style="font-family:dinm,arial"> <strong><?PHP echo $_POST["telephone"]; ?></strong> </span> <span class="col-xs-3 text-right"> :التليفون    </span>
          </div> 
          
          <div class="col-xs-6">
          
          </div> 
          
          
          <div class="col-xs-6">
          <span class="col-xs-3"> Carrier's Name: </span> <span class="printed col-xs-6 text-center" style="font-family:dinm,arial"> <strong><?PHP echo $_POST["carname"]; ?></strong> </span> <span class="col-xs-3 text-right"> :شركة الطيران الناقلة  </span>
          </div>  
          
           <div class="col-xs-6">
          <span class="col-xs-3"> Duration of stay : </span> <span class="printed col-xs-6 text-center" style="font-family:dinm,arial"><strong> <?PHP echo $_POST["duration"]; ?></strong> </span> <span class="col-xs-3 text-right">: مدة الإقامة </span>
          </div>  
          
           <div class="col-xs-8">
          <span class="col-xs-5"> Date and Destination of Arrival : </span> <span class="printed col-xs-4 text-center" style="font-family:dinm,arial"> <strong><?PHP echo $_POST["darrival"]." / ".$_POST["destination"]; ?></strong>  </span> <span class="col-xs-3 text-right"> :تاريخ وميناء الوصول  </span>
          </div>  
          
           <div class="col-xs-4">
          <span class="col-xs-4"> Flight No. : </span> <span class="printed col-xs-4 text-center" style="font-family:dinm,arial"><strong> <?PHP echo $_POST["fno"]; ?></strong> </span> <span class="col-xs-4 text-right"> :رقم الرحلة   </span>
          </div>  
          
          <div class="col-xs-12">
          <span class="col-xs-3"> Adress in KSA : </span> <span class="printed col-xs-6 text-center" style="font-family:dinm,arial">  <strong><?PHP echo $_POST["adksa"]; ?></strong>  </span> <span class="col-xs-3 text-right"> :العنوان في المملكة العربية السعودية  </span>
          </div>  
          
          <div class="col-xs-12">
          <span class="col-xs-3"> Business Adress and Telephone No. : </span> <span class="printed col-xs-6 text-center" style="font-family:dinm,arial">  <strong><?PHP echo $_POST["badress"]." / Tel.: ". $_POST["btel"]; ?></strong>  </span> <span class="col-xs-3 text-right"> :عنوان وتليفون العمل  </span>
          </div>

        
        </div>
        
         <hr> 
        <div class="row"  style="font-family:dinl,arial; font-size:14px; line-height:1.5">
        <p class="text-justify" style="direction:rtl; font-family:Arial, Helvetica, sans-serif; font-size:16px">
  أقر أنا الموقع أدناه بأن كل المعلومات التي دونتها صحيحة وبأننب أبلغت رسميًا بأن عملية تهريب المخدرات وتوزيعها وترويجها في المملكة العربية السعودية ممنوعة منعًا باتًا، ويخضع لعقوبات رادعة كل من يرتكب عملاً من هذه الأعمال، وذلك وفقًا للأنظمة السعودية الخاصة بتطبيق العقوبات، وكذلك المشروبات الكحولية بأنواعها.
وكذلك أبلغت رسميًا أنه ممنوع إدخال أفلام أو كتب أو منشورات مخلة بالآداب العامة وجميع المطبوعات الدينية والسياسية عند القدوم للمملكة العربية السعودية. إن عقوية تهريب العقاقير المخدرة إلى المملكة أو ترويجها داخلها هي الإعدام
  </p>
  <div class="col-xs-4">
          <span class="printed col-xs-8 text-right" style="font-family:dinm,arial">  <strong><?PHP echo $_POST["sign"]; ?> </strong></span> <span class="col-xs-4 text-right"> :الاسم   </span>
          </div>  
  <div class="col-xs-4">
          <span class="printed col-xs-8 text-right" style="font-family:dinm,arial">   </span> <span class="col-xs-4 text-right"> :التوقيع   </span>
          </div>  
            <div class="col-xs-4">
          <span class="printed col-xs-8 text-right" style="font-family:dinm,arial">  <strong><?PHP echo $_POST["signdate"]; ?></strong> </span> <span class="col-xs-4 text-right"> :التاريخ   </span>
          </div>  
        </div>
        
        <hr>
                <div class="row"  style="font-family:dinl,arial; font-size:14px; line-height:1.5">
         <p class="text-justify" style="direction:ltr; font-size:14px">
I., The undersigned hereby certify that all the information I have provided is correct, and I was informed officially that drug smuggling (Narcotics) and its distribution through the markets of Saudi Arabia is illegal, completely forbidden and anyone who violates in this context the rules and laws of the Kingdom of Saudi Arabia is subject to strong penalties. Also all kinds of alcoholic beverages are subject to these regulations. I have also been informed not to carry with me books, films, movies, pictures and periodicals that are against public morality and all religious and political publications. The crime of smuggling and distribution of narcotic drugs in Sandi Arabia is punished by death. 
  </p>
  <div class="col-xs-4">
         <span class="col-xs-4 text-left">  Name :   </span> <span class="printed col-xs-8 text-left" style="font-family:dinm,arial"> <strong><?PHP echo $_POST["sign"]; ?></strong> </span> 
          </div>  
  <div class="col-xs-4">
           <span class="col-xs-4 text-left">  Signature :   </span><span class="printed col-xs-8 text-left" style="font-family:dinm,arial">   </span>
          </div>  
            <div class="col-xs-4">
         <span class="col-xs-4 text-left">  Date :   </span> <span class="printed col-xs-8 text-left" style="font-family:dinm,arial">  <strong><?PHP echo $_POST["signdate"]; ?></strong> </span> 
          </div>  
 
 
        </div>
        <hr>
        <div class="row" style="font-family:dinl,arial; font-size:14px; color:#000; line-height:1.8;border:#999 solid 1px; padding:10px">
        <h3>For official use only <span style="float:right"> : للاستعمال الرسمي فقط</span></h3>
        <div class="col-xs-8" >
          <span style="float:right">  </span> <span style="float:right"> :رقم الأمر المعتد عليه في إعطاء التأشيرة   </span>
          </div>  
         <div class="col-xs-4" >
          <span style="float:right">  :نوعها   </span>
          </div> 
          
          <div class="col-xs-4" >
          <span style="float:right">  :تاريخها   </span>
          </div> 
          <div class="col-xs-4" >
          <span style="float:right">  :مدتها  </span>
          </div> 
          <div class="col-xs-4" >
          <span style="float:right">   : المبلغ المحصل   </span>
          </div> 
          <div class="col-xs-12" >
          <span style="float:right">  : لزيارة / للعمل لدى</span> <span style="float:right">   </span> 
          </div> 
          <div class="col-xs-3" >
          <span style="float:right">  : اسم موثق البيانات   </span>
          </div>
          <div class="col-xs-3" >
          <span style="float:right">  : توقيعه   </span>
          </div>
          <div class="col-xs-3" >
          <span style="float:right">  : اعتمدها   </span>
          </div>
          <div class="col-xs-3" >
          <span style="float:right">  : توقيعه   </span>
          </div>
           
        </div>
        <hr>
        
         <div class="row"  style="font-family:dinl,arial; font-size:14px; line-height:1.5">
         <p class="text-justify" style="direction:ltr; font-size:16px"><br>
         <strong>Die von der Saudi-Arabischen Botschaft autorisierte Visumagentur.</strong><br>
I, the undersigned, hereby agree to have my fingerprint & iris data (biometrics) captured as part of the application procedure
for an entry visa to the Kingdom of Saudi Arabia. I further agree and declare as follows:
1- I acknowledge that all of the information I provided are true and reliable. In addition, I pledge to abide the laws and rules
of the Kingdom of Saudi Arabia, and respect the customs and Islamic traditions of its people during my stay. I acknowledge
my understanding that the specialized authorities in the Kingdom of Saudi Arabia have the right to deny my entry and to
send me back to where I came from if I did not comply with the rules and laws, or if the information under which I received
my visa proven to be incorrect.<br>
2- I am fully aware that all intoxicating substances, narcotic drugs, indecent materials and publications, as well as
publications related to any religious beliefs or political tendencies that contradict with Islam are prohibited in the Kingdom of
Saudi Arabia.<br>
3- I am fully aware of the procedures and controls regarding the batch-release and clearance of medicines, containing
narcotic or psychotropic substances that are possessed for personal use by patients arriving and departing from The Kingdom
, such procedures and controls are provided in the link below:<br>
<a href="http://www.sfda.gov.sa/ar/drug/drug_reg/pages/drug_reg.aspx" target="_blank" style="color:#F00">http://www.sfda.gov.sa/ar/drug/drug_reg/pages/drug_reg.aspx</a> I am also aware that if these regulations and controls are
transgressed, I shall will be subjected to sanction and penalties provided for in the Law of Combating Narcotics and
Psychotropic Substances and its implementing regulations.
4- I have never been deported from The Kingdome of Saudi Arabia or any other GCC countries, nor that I have violated their
rules.<br>
5- I pledge to stick to the kind of visa I was provided with and to its terms and duration, and I shall leave the country before
the stay specified in the visa expires. I am also fully aware of my violation to the rules in the Kingdom or entry visa shall
subject me to a penalty and the application of punishments stipulated by the laws regulating the process of handling people
coming to the Kingdom with visas for Hajj or Umrah and others issued by Royal Decree No (m / 42) , on 18 / 10 / 1404 H
and amended by Royal Decree No (m/9) on 1/5/1420 H, as well as sanctions on violators of residency and work regulations
promulgated by the Council of Ministers resolution No (140) on 6/5/1434 H. .<br>
6- I acknowledge the right of Saudi authorities to repatriate me from the port of entry at my own expense or deport the
Saudi territory after entering it, and I acknowledge the right of the Saudi authorities to apply the penalties provided by Law if
proven that after I got my visa or residence permit , I have submitted incorrect papers or documents or provided false
statements to any Saudi competent authority at home or abroad in order to obtain for myself or for someone else a visa for
entry or residence permit or any other official visa or being a contributor or partner in providing such information or
documents that do not match the truth.<br>
7- I acknowledge that drug dealing or smuggling drugs into the Kingdom is a crime punishable by death penalty.<br>
8- I acknowledge and pledge again that all written information shall be correct and I take full responsibility for it, and if it is
proven otherwise -or my name appears to be included in a list specifying the prohibited people - , then my request shall be
rejected, or my visa shall be canceled automatically if it is granted, or I shall not be allowed to enter the Kingdom of Saudi
Arabia if I had a valid visa . Moreover, I acknowledge the right of Saudi authorities to deport me back to the port of entry at
my own expense and I shall not have the right to claim compensation.<br>
  </p>
  <div class="col-xs-12">
         <span class="col-xs-2 text-left">  Full Name :   </span> <span class="printed col-xs-10 text-left" style="font-family:dinm,arial"> <strong><?PHP echo $_POST["sign"]; ?></strong>  </span> 
          </div>  
  <div class="col-xs-12">
          <span class="col-xs-2 text-left">  Signature :   </span><span class="printed col-xs-10 text-left" style="font-family:dinm,arial">  </span> 
          </div>  
            <div class="col-xs-12">
          <span class="col-xs-2 text-left">  Date :  </span> <span class="printed col-xs-10 text-left" style="font-family:dinm,arial"> <strong><?PHP echo $_POST["signdate"]; ?></strong>  </span>
          </div>  
 
 
        </div>
        
        <!-- /.row -->

      


        <!-- Footer -->
       

    </div>
    <hr>
           <div class=" container">
        <div class="col-xs-6 text-center"><br><img src="images/logo.png" style="width:70%;"></div>

        <div class="col-xs-6">
        <p style="line-height:1.8; font-size:120%; margin:10px">
        <i class="fa fa-map-marker" style="color:#00a76d"></i>&nbsp;&nbsp;  Schlagergasse 11/3+6 ,1090 Vienna ,Austria<br>
		<i class="fa fa-envelope" style="color:#00a76d"></i>&nbsp; info@visum-saudiarabien.at<br>
		<i class="fa fa-phone" style="color:#00a76d"></i> &nbsp; +43 1 9251610 - +43 676 360 7274<br>
        </p>
        </div>
        </div>
        <br>
        <span class="col-xs-4"></span>
          <button class="btn btn-danger col-xs-4" onclick="myFunction()">Print this page</button>
          <span class="col-xs-4"></span>
          <br><br>
     <script>
function myFunction() {
    window.print();
}

</script>
    <!-- /.container -->

<!-- MODALS -->

<?php
$to = "info@visa-saudiarabia.com";
//$to = "abdelrahman@leaders-group.com";
$subject = $_POST['sign']." Printed An Online Visa Order";

$message = '
<html><head><title>'.$_POST["sign"].' Printed An Online Visa Order</title>
	<link href="http://visum-saudiarabien.at/en/css/bootstrap.min.css" rel="stylesheet">

    
    <link href="http://visum-saudiarabien.at/en/css/modern-business.css" rel="stylesheet">

    
    <link href="http://visum-saudiarabien.at/en/font-awesome/css/font-awesome.min.css" rel="stylesheet" type="text/css">



</head>
<body style="width:1000px">

<div class="container">
<h2 style="margin-top:-10px">Visa Application Form<br>استمارة طلب تأشيرة</h2><br>
        <!-- Features Section -->
        <div class="row" style="font-family:dinl,arial; font-size:14px; line-height:2">
          <div class="col-xs-6">
          <span class="col-xs-4"> First Name : </span>
          <span class="printed col-xs-4 text-center" style="font-family:dinm,arial"><strong>'.$_POST["stname"].'</strong> </span>
          <span class="col-xs-4 text-right"> : الاسم الشخصي </span>
          </div>
          
           <div class="col-xs-6">
          <span class="col-xs-4"> Father Name : </span>
          <span class="printed col-xs-4 text-center" style="font-family:dinm,arial"> <strong>'.$_POST["thname"].'</strong>   </span>
          <span class="col-xs-4  text-right"> : اسم الأب </span>
          </div>  

		  <div class="col-xs-6">
          <span class="col-xs-4"> Family Name : </span> 
          <span class="printed col-xs-4 text-center" style="font-family:dinm,arial"> <strong>'.$_POST["fname"].'</strong>  </span> 
          <span class="col-xs-4 text-right">  : اسم العائلة </span>
          </div>

		  <div class="col-xs-6">
          <span class="col-xs-4"> Date and place of birth: </span> 
          <span class="printed col-xs-4 text-center" style="font-family:dinm,arial">  <strong>'.$_POST["dbirth"].' / '. $_POST["pbirth"].'</strong>  </span> 
          <span class="col-xs-4 text-right"> : مكان وتاريخ الميلاد </span>
          </div>    
          <div class="col-xs-6">
          <span class="col-xs-4"> Present Nationality : </span> <span class="printed col-xs-4 text-center" style="font-family:dinm,arial"> <strong>'.$_POST["pnationality"].'</strong> </span> <span class="col-xs-4 text-right"> : الجنسية الحالية </span>
          </div>    
          <div class="col-xs-6">
          <span class="col-xs-4"> Previous Nationality: </span> <span class="printed col-xs-4 text-center" style="font-family:dinm,arial"> <strong>'.$_POST["prnationality"].'</strong> </span> <span class="col-xs-4 text-right"> :الجنسية السابقة  </span>
          </div>   
          
          <div class="col-xs-6">
          <span class="col-xs-3"> Religion: </span> <span class="printed col-xs-6 text-center" style="font-family:dinm,arial"> <strong>'.$_POST["religion"].'</strong> </span> <span class="col-xs-3 text-right"> :الديانة  </span>
          </div>   
          <div class="col-xs-6">
          <span class="col-xs-3"> Gender: </span> <span class="printed col-xs-6 text-center" style="font-family:dinm,arial"> <strong>'.$_POST["gender"].' </strong></span> <span class="col-xs-3 text-right"> :الجنس   </span>
          </div>   

          
        </div>
        <hr> 
        <div class="row"  style="font-family:dinl,arial; font-size:14px; line-height:2">
              
          
          <div class="col-xs-8">
          <span class="col-xs-4"> Date of Passport`s issuance: </span> <span class="printed col-xs-5 text-center" style="font-family:dinm,arial"> <strong>'.$_POST["dpassissu"].'</strong> </span> <span class="col-xs-3 text-right"> :تاريخ إصدار الجواز   </span>
          </div>   
          <div class="col-xs-4">
          <span class="col-xs-4"> Passport No.: </span> <span class="printed col-xs-5 text-center" style="font-family:dinm,arial"> <strong>'.$_POST["passno"].'</strong> </span> <span class="col-xs-3 text-right"> :رقم الجواز    </span>
          </div>   
           <div class="col-xs-8">
          <span class="col-xs-3"> Date of Passport`s expiry:</span> <span class="printed col-xs-6 text-center" style="font-family:dinm,arial"> <strong>'.$_POST["dpassex"].'</strong> </span> <span class="col-xs-3 text-right"> : تاريخ انتهاء صلاحية الجواز    </span>
          </div>   
          <div class="col-xs-4">
          <span class="col-xs-4"> Place of issue: </span> <span class="printed col-xs-4 text-center" style="font-family:dinm,arial"> <strong>'.$_POST["pissue"].'</strong> </span> <span class="col-xs-4 text-right">: مكان إصداره  </span>
          </div>   
        
        </div>
        
        <hr> 
        <div class="row"  style="font-family:dinl,arial; font-size:14px; line-height:2">
              
          
          <div class="col-xs-6">
          <span class="col-xs-3"> Profession: </span> <span class="printed col-xs-6 text-center" style="font-family:dinm,arial"> <strong>'.$_POST["profession"].'</strong> </span> <span class="col-xs-3 text-right"> :المهنة    </span>
          </div>  
          
          <div class="col-xs-6">
          <span class="col-xs-4"> Purpose of travel: </span> <span class="printed col-xs-4 text-center" style="font-family:dinm,arial"> <strong>'.$_POST["ptravel"].'</strong> </span> <span class="col-xs-4 text-right"> :الغرض من السفر    </span>
          </div>   
            <div class="col-xs-12">
          <span class="col-xs-3"> Home Adress: </span> <span class="printed col-xs-6 text-center" style="font-family:dinm,arial"> <strong>'.$_POST["hadress"].'</strong> </span> <span class="col-xs-3 text-right"> :العنوان    </span>
          </div>  
          
          <div class="col-xs-6">
          <span class="col-xs-3"> Telephone No.: </span> <span class="printed col-xs-6 text-center" style="font-family:dinm,arial"> <strong>'.$_POST["telephone"].'</strong> </span> <span class="col-xs-3 text-right"> :التليفون    </span>
          </div> 
          
          <div class="col-xs-6">
          
          </div> 
          
          
          <div class="col-xs-6">
          <span class="col-xs-3"> Carrier`s Name: </span> <span class="printed col-xs-6 text-center" style="font-family:dinm,arial"> <strong>'.$_POST["carname"].'</strong> </span> <span class="col-xs-3 text-right"> :شركة الطيران الناقلة  </span>
          </div>  
          
           <div class="col-xs-6">
          <span class="col-xs-3"> Duration of stay : </span> <span class="printed col-xs-6 text-center" style="font-family:dinm,arial"><strong> '.$_POST["duration"].'</strong> </span> <span class="col-xs-3 text-right">: مدة الإقامة </span>
          </div>  
          
           <div class="col-xs-8">
          <span class="col-xs-5"> Date and Destination of Arrival : </span> <span class="printed col-xs-4 text-center" style="font-family:dinm,arial"> <strong>'.$_POST["darrival"].' / '.$_POST["destination"].'</strong>  </span> <span class="col-xs-3 text-right"> :تاريخ وميناء الوصول  </span>
          </div>  
          
           <div class="col-xs-4">
          <span class="col-xs-4"> Flight No. : </span> <span class="printed col-xs-4 text-center" style="font-family:dinm,arial"><strong> '.$_POST["fno"].'</strong> </span> <span class="col-xs-4 text-right"> :رقم الرحلة   </span>
          </div>  
          
          <div class="col-xs-12">
          <span class="col-xs-3"> Adress in KSA : </span> <span class="printed col-xs-6 text-center" style="font-family:dinm,arial">  <strong>'.$_POST["adksa"].'</strong>  </span> <span class="col-xs-3 text-right"> :العنوان في المملكة العربية السعودية  </span>
          </div>  
          
          <div class="col-xs-12">
          <span class="col-xs-3"> Business Adress and Telephone No. : </span> <span class="printed col-xs-6 text-center" style="font-family:dinm,arial">  <strong>'.$_POST["badress"]." / Tel.: ". $_POST["btel"].'</strong>  </span> <span class="col-xs-3 text-right"> :عنوان وتليفون العمل  </span>
          </div>

        
        </div>
        
         <hr> 
        <div class="row"  style="font-family:dinl,arial; font-size:14px; line-height:1.5">
        
  <div class="col-xs-4">
          <span class="printed col-xs-8 text-right" style="font-family:dinm,arial">  <strong>'.$_POST["sign"].' </strong></span> <span class="col-xs-4 text-right"> :الاسم   </span>
          </div>  
  <div class="col-xs-4">
          <span class="printed col-xs-8 text-right" style="font-family:dinm,arial">   </span> <span class="col-xs-4 text-right"> :التوقيع   </span>
          </div>  
            <div class="col-xs-4">
          <span class="printed col-xs-8 text-right" style="font-family:dinm,arial">  <strong>'.$_POST["signdate"].'</strong> </span> <span class="col-xs-4 text-right"> :التاريخ   </span>
          </div>  
        </div>
        
        <hr>
                

        
         
        
        <!-- /.row -->

      


        <!-- Footer -->
       

    </div>

</body>
</html>
';

// Always set content-type when sending HTML email
$headers = "MIME-Version: 1.0" . "\r\n";
$headers .= "Content-type:text/html;charset=UTF-8" . "\r\n";

// More headers
$headers .= 'From: '.$_POST["email"].'' . "\r\n";

mail($to,$subject,$message,$headers);
?>







    <!-- jQuery -->
    <script src="js/jquery.js"></script>

    <!-- Bootstrap Core JavaScript -->
    <script src="js/bootstrap.min.js"></script>

    <!-- Script to Activate the Carousel -->
    <script>
    $('.carousel').carousel({
        interval: 5000 //changes the speed
    })
    </script>

</body>

</html>
