Medical Visa

Applicant's Personal Data

Original Nationality

Marital Status

Single Status Certificate

Family and Partnership Details

Type of Relationship

Husband/ Wife/ Partner Family Name

Husband/ Wife/ Partner First Name

City, State (Province)

Marriage Certificate

Civil Partnership Certificate

Separated Certificate

Applicant's Contact Informations

Phone (Mobile) Number

Other Address Information

City/ State (Province)

Is your residence in Türkiye other than that of your current nationality?

Yes No

Type of Authorisation

Number of Authorisation

Permit Certificate or ID (Front side image)

Permit Certificate or ID (Back side image)

ID (Front side image)

ID (Back side image)

The Occupation Details

Please select your current professional status

Retirement Certificate or Pension Statement

Proof of Pension Income

Upload the Your Financial Records from the last 3-6 months or Statements from Savings Accounts, Investment Portfolios, or Other Assets that indicate financial security.

Bank Statements Financial Records, Proof of Savings or Proof of Investments

The Institution Details

The Institution/ Entity Official Name

The Institution/ Entity Trade Name

The Institution/ Entity Registration Number

The Institution/ Entity Industry and Business

The Institution/ Entity Official Website

The Institution/ Entity Email Adress

The Institution/ Entity Phone (Mobile) Number

The Institution/ Entity Headquarters Address

City/ State (Province)

The Institution/ Entity Country

Work/ Student Certificate or Proof of Activity

Medical Travel Companions Information

Indicate whether you will be traveling alone or accompanied by others for Medical purposes.

Role of the Accompanying Person

Number of companion(s)

Children(s) Informations

Children Family Name

You can follow the Example PDF List, click the link to Discover.

Children Informations List (You can make a PDF List for your Children Informations)

Family Member(s) Informations

Family Member Family Name

Family Member First Name

Family Member Relation

If Your Companions More Than One Companion You can follow the Example PDF List, click the link to Discover.

Family Members Informations List (You can make a PDF List for your Company Team Informations)

Partner/Fiancé Informations

Partner/Fiancé Family Name

Partner/Fiancé First Name

Friend and Colleague Informations

Partner/Fiancé Family Name

Partner/Fiancé First Name

Your Companion(s) Informations

Companion Family Name

Companion First Name

You can follow the Example PDF List, click the link to Discover.

Companion(s) Informations List (You can make a PDF List for your Company Team Informations)

Identification Papers and Travel Documents

Type of Travel Document

Travel Document Number

National Identity Number

First 2' Two Pages of The Passport

Passport-sized Photo

Round-trip Travel Ticket

The Travel insurance is mandatory for the citizens of the following countries , click the link to Discover.

Have your fingerprints been collected previously for the purpose of applying for Algeria visa?

Yes Previously No, My first application

Visa Date (If Known)

The Medical Trip Data

Purpose(s) of the Medical Trip

Medical Visa and Entry Solicited

Select Your Visa Solicited Request

Have you Been Already to Algeria?

Length of Stay (Day)

Date of Entry Algeria

Date of Exit Algeria

Your Last Length of Stay (Day)

Date of Entry Algeria

Date of Exit Algeria

Your Last Length of Stay (Day)

Date of Entry Algeria

Date of Exit Algeria

Acceptance certificate from the hospital institution

Inviting Person Information

Alternative Spelling - Surname(s)

Alternative Spelling - First Name(s)

Inviting Person Contact Information

Phone (Mobile) Number

City/ State (Province)

Authenticated shelter certificate

Inviting Person's ID Card Copy

Hotel Reservation Information

Hotel Reservation Number

Hotel Contact Information

Hotel Phone (Mobile) Number

Hotel Reservation Statement

Company or Organisation Information

Company/ Organisation Name

Company/ Organisation Website

Organisation Objectives/ Activity Industry

Organisation Register Name

Company/ Register Number

Company/ Register Location

Organisation Business City/ State (Province)

Organisation Business Country

Contact Person Information

Contact Person Family Name

Contact Person First Name(s)

Phone (Mobile) Number

City/ State (Province)

Medical Invitation Letter

Diplomatic Mission Information

Name of The Diplomatic Mission

Diplomatic Contact Information

Phone (Mobile) Number

City/ State (Province)

Medical Invitation Letter

Medical Trip and Subsistence Expenses

Travel and living costs during the applicant's stay are being covered by:

Specify Your Other Financial Support

Proof of Income to cover treatment and accommodation costs

Financial Responsibility Documents of Inviting Person

Financial Responsibility Documents of Your Institution

Financial Responsibility Documents of The Inviting Organisation

Accredited Diplomat's Financial Responsibility Documents

Medical Sponsorship Letter or Financial Responsibility Declaration

The Sponsor Informations

The Sponsor Position

Family Name of Contact Person

First Name(s) of Contact Person

The Sponsor Contact Details

Phone (Mobile) Number

City/ State (Province)

Alternative spelling - Surname(s)

Alternative spelling - first Name(s)

Financial Responsibility Documents

Medical Sponsorship Letter or Financial Responsibility Declaration

The Company Informations

The Company or Institution Name

Organisation's Objectives/Area of Activity

Name of The Register of The Organisation

Location of Register

Organisation's Place of Business, City/ State

The Contact Person Informations

The Contact Person Position

Family Name of Contact Person

First Name(s) of Contact Person

The Sponsor Contact Details

Phone (Mobile) Number

City/ State (Province)

Financial Responsibility Documents

Medical Sponsorship Letter or Financial Responsibility Declaration

The Institution or Embassy Informations

The Institution or Embassy or Consulate Name

Family Name of Contact Person

First Name(s) of Contact Person

The Sponsor Contact Details

Phone (Mobile) Number

City/ State (Province)

Financial Responsibility Documents

Medical Sponsorship Letter or Financial Responsibility Declaration

I undertake to leave the Algerian territory at the expiration of the visa, and to refuse any employment being paid or not, during my stay, and do not establish there.

Disclaim: The term "Countries" in this list includes states, provinces and territories. It does not reflect the company’s and the Algeria Government’s position position regarding the status of a country or region.

ATIAS

© 2023-2025 Capital Empire Group

Version: 1.1.0

Ministry of Foreign Affairs and National Community Abroad of People's Democratic Republic of Algeria

Publication Data

Data Protection

ATIAS

Medical Visa

© 2023-2025 Capital Empire Group

Version: 1.1.0

Ministry of Foreign Affairs and National Community Abroad of People's Democratic Republic of Algeria

Publication Data

Data Protection

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