טופס בקשה לביקור התייחדות באנגלית english להורדה, הדפסה ומילוי מקוון

Form Name: Commemoration Visit Request Form

Purpose: This form is used to request a commemoration visit for a bereaved family to visit the grave of a fallen soldier or defense personnel buried in Israel. The form also collects information about the deceased, the applicant, and the details of the visit.

Required Sections:
1. Deceased's Details:
- First Name
- Last Name
- Ministry of Defense File Number
- Date of Death
- Manner of Death
- Personal Number
- Cemetery Where Fallen is Buried

2. Details of Applicant:
- First Name
- Last Name
- Israeli ID / Passport Number
- Address Abroad
- City
- Home Phone Number
- Mobile Phone
- Telephone Number in Israel
- Email

3. Applicant's Relation (Mark with an X):
- Father / Mother
- Brother / Sister
- Widow / Widower
- Other

4. Dates of Visit:
- From Date
- To Date (inclusive)
- Expected Cost of Flight Tickets ($US)
- Last Commemoration Date
- Length of Residence Abroad (visits are awarded to those residing abroad for at least one year)

5. Applicant's Accommodation (Mark with an X):
- Request for a hotel (6 nights half board)
- City in Israel
- Visit dates, from
- To (inclusive)
- Payment of ILS 565 for the entire period of the stay (Bank details required)

6. Declaration of Address Abroad:
- First Name
- Last Name
- Israeli ID Number
- Declaration of full-time residency in a foreign country

7. Details Update for Orphan Sibling of a Deceased in Families System:
- Name of Deceased (first and family)
- Ministry of Defense File Number
- Date of Death
- Name of Parents
- Details of orphan sibling of deceased
- First Name
- Last Name
- Israeli ID / Passport Number
- Address Abroad
- City
- Home Phone Number
- Mobile Phone
- Telephone Number in Israel
- Email

8. Financial Details (for eligible party not residing in Israel):
- Last Name
- First Name
- Israeli ID / Passport Number
- Rehabilitation File No.
- Street
- Number
- City
- Zip Code
- Country
- State (for residents of USA/Canada)
- Telephone
- Email
- Name of Bank
- Bank Code
- Branch Name
- Branch Code
- Account Number
- Bank Address
- City
- SWIFT/BIC (if not Israeli or American)
- IBAN (if applicable)
- Payment Currency
- Payment Method

Note: Supporting documents, including a photocopy of a check and/or a letter from the bank, must be attached to the form, along with a letter from the eligible party requesting the required change or update.