Diplomatic declaration form
PERSONAL DATA
Name (as per Passport)
Date of birth
Gender
Male
Female
Nationality
--- Select Nationality ---
Afghanistan
Albania
Algeria
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo Republic of (Brazzaville)
Cook Islands
Costa Rica
Cote dvoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Lao PDR
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Martinique
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar Burma
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Niue
North Korea
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Reunion Island
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Somalia
South Africa
South Korea
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Passport Number
Country/Region of Residence
--- Select Residence ---
Afghanistan
Albania
Algeria
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo Republic of (Brazzaville)
Cook Islands
Costa Rica
Cote dvoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Lao PDR
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Martinique
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar Burma
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Niue
North Korea
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Reunion Island
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Somalia
South Africa
South Korea
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Your Current Address
Email
Re-enter Email
Active Mobile Number
Select Code
Afghanistan - 0093
Albania - 00355
Algeria - 00213
Andorra - 00376
Angola - 00244
Anguilla - 001264
Antarctica - 00672
Antigua and Barbuda - 001268
Argentina - 0054
Armenia - 00374
Aruba - 00297
Australia - 0061
Austria - 0043
Azerbaijan - 00994
Bahamas - 001242
Bahrain - 00973
Bangladesh - 00880
Barbados - 001246
Belarus - 00375
Belgium - 0032
Belize - 00501
Benin - 00229
Bhutan - 00975
Bolivia - 00591
Bosnia and Herzegovina - 00387
Botswana - 00267
Brazil - 0055
Brunei - 00673
Bulgaria - 00359
Burkina Faso - 00226
Burundi - 00257
Cambodia - 00855
Cameroon - 00237
Canada - 001
Cape Verde - 00238
Central African Republic - 00236
Chad - 00235
Chile - 0056
China - 0086
Colombia - 0057
Comoros - 00269
Congo Republic of (Brazzaville) - 00242
Cook Islands - 00682
Costa Rica - 00506
Cote dvoire - 00225
Croatia - 00385
Cuba - 0053
Cyprus - 00357
Czech Republic - 00420
Denmark - 0045
Djibouti - 00253
Dominica - 001767
Dominican Republic - 001809
East Timor - 00670
Ecuador - 00593
Egypt - 0020
El Salvador - 00503
Equatorial Guinea - 00240
Eritrea - 00291
Estonia - 00372
Ethiopia - 00251
Faroe Islands - 00298
Fiji - 00679
Finland - 00358
France - 0033
Gabon - 00241
Gambia - 00220
Georgia - 00995
Germany - 0049
Ghana - 00233
Gibraltar - 00350
Greece - 0030
Greenland - 00299
Grenada - 001473
Guam - 001671
Guatemala - 00502
Guinea - 00224
Guinea Bissau - 00245
Guyana - 00592
Haiti - 00509
Honduras - 00504
Hong Kong - 00852
Hungary - 0036
Iceland - 00354
India - 0091
Indonesia - 0062
Iran - 0098
Iraq - 00964
Ireland - 00353
Israel - 00972
Italy - 0039
Jamaica - 001876
Japan - 0081
Jordan - 00962
Kazakhstan - 007
Kenya - 00254
Kiribati - 00686
Kosovo - 00383
Kuwait - 00965
Kyrgyzstan - 00996
Lao PDR - 00856
Latvia - 00371
Lebanon - 00961
Lesotho - 00266
Liberia - 00231
Libya - 00218
Liechtenstein - 00423
Lithuania - 00370
Luxembourg - 00352
Macao - 00853
Macedonia - 00389
Madagascar - 00261
Malawi - 00265
Malaysia - 0060
Maldives - 00960
Mali - 00223
Malta - 00356
Martinique - 00596
Mauritania - 00222
Mauritius - 00230
Mexico - 0052
Micronesia - 00691
Moldova - 00373
Monaco - 00377
Mongolia - 00976
Montenegro - 00382
Montserrat - 001664
Morocco - 00212
Mozambique - 00258
Myanmar Burma - 0095
Namibia - 00264
Nauru - 00674
Nepal - 00977
Netherlands - 0031
New Zealand - 0064
Nicaragua - 00505
Niger - 00227
Nigeria - 00234
Niue - 00683
North Korea - 00850
Norway - 0047
Oman - 00968
Pakistan - 0092
Palau - 00680
Palestine - 00970
Panama - 00507
Papua New Guinea - 00675
Paraguay - 00595
Peru - 0051
Philippines - 0063
Poland - 0048
Portugal - 00351
Puerto Rico - 001787
Qatar - 00974
Reunion Island - 00262
Romania - 0040
Russia - 007
Rwanda - 00250
Saint Kitts and Nevis - 001869
Saint Lucia - 001758
Saint Vincent - 001784
Samoa - 00685
San Marino - 00378
Saudi Arabia - 00966
Senegal - 00221
Serbia - 00381
Seychelles - 00248
Sierra Leone - 00232
Singapore - 0065
Slovakia - 00421
Slovenia - 00386
Somalia - 00252
South Africa - 0027
South Korea - 0082
Spain - 0034
Sri Lanka - 0094
Sudan - 00249
Suriname - 00597
Swaziland - 00268
Sweden - 0046
Switzerland - 0041
Syria - 00963
Taiwan - 00886
Tajikistan - 00992
Tanzania - 00255
Thailand - 0066
Togo - 00228
Tonga - 00676
Trinidad and Tobago - 001868
Tunisia - 00216
Turkey - 0090
Turkmenistan - 00993
Tuvalu - 00688
Uganda - 00256
Ukraine - 00380
United Arab Emirates - 00971
United Kingdom - 0044
United States - 001
Uruguay - 00598
Uzbekistan - 00998
Vanuatu - 00678
Vatican City State - 00418
Venezuela - 0058
Vietnam - 0084
Yemen - 00967
Zambia - 00260
Zimbabwe - 00263
Mobile Number in Jordan (if available)
079
077
078
Contact Person in Jordan
Flight Details
TRAVEL DETAILS
Country of Departure
--- Select Country of Departure ---
Afghanistan
Albania
Algeria
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo Republic of (Brazzaville)
Cook Islands
Costa Rica
Cote dvoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Lao PDR
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Martinique
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar Burma
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Niue
North Korea
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Reunion Island
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Somalia
South Africa
South Korea
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Departure Date
Flight Arrival Time
Arrival Airport
Queen Alia International Airport
Amman Civil Airport
King Hussein International Airport
please note that you will not be able to travel to Jordan if in the past 14 days you visited any country/region outside the list "GREEN Countries/regions" mentioned in Note 6
which countries have you visited in the past 14 days
Purpose of travel
Vacation
Visit Family
Business
Medical
Other (Please state reason)
Purpose of Travel Other
Address in Jordan (including street name & house number):
Your stay in Jordan will be in
Own Property
Hotel
Rented Accommodation
Other
Stay in Jordan
Your Visit is
Self-Organized
Through Tour Operator (please state name of tour operator)
Tour Operator
HEALTH & SAFETY DETAILS
Do you have flu-like symptoms?
Fever
Cough
Sore Throat
Runny Nose
Shortness of Breath
Do you have travel insurance?
(Not required for Jordanian nationals)
Yes
No
Disclaimer: By submitting this form, I confirm that the information I supplied to the best of my knowledge, is accurate and up-to-date. Failure to do so may hold me liable to regulations that may include fines of up to 10,000 (Ten Thousand Jordanian Dinars).