Saudi Arabia Visa NY

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ROYAL CONSULATE GENERAL

Photo
OF SAUDI ARABIA

Full name:_________________________________________________________________________________________
Mother’s name:_____________________________________________________________________________________
Date of birth: _____________________________ _ Place of birth: ______________________________________
Previous nationality:___________________________ __ Present Nationality: __________________________________
Female Male
Sex:________________________________________ __ Marital Status: ______________________________________
Religion: __________________________________________________________________________________________

Place of issue:___________________Qualification: _________________________Profession:______________________


Home address and telephone No.: _______________________________________________________________________
__________________________________________________________________________________________________
Business address and telephone No.:_____________________________________________________________________
__________________________________________________________________________________________________

Work Transit
Visit Umrah Residence Hajj Diplomacy
Purpose of travel: ___________________________________________________________________________________

Place of issue: Date passport issued: Passport No.:


Date of passport’s expiry: _____________________________________________________________________________

Duration of stay in the Kingdom: __ Date of arrival: Date of departure: ____________

Mode of Payment: ( ) Free ( ) Cash ( ) Cheque No. Date ( ) No. Date: ________
Relationship: _______________________________________________________________________________________
Destination: ______________________________________Carrier’s name: _____________________________________
Dependents traveling in the same passport:

Relationship Date of Birth Sex Full name

Name and address of company or individual in the kingdom:______________________________________________


__________________________________________________________________________________________________
The undersigned hereby certify that all the information I have provided are correct.
I will abide by the laws of the Kingdom during the period of my residence in it.

Date: Signature: Name:

For official use only:


Date: ________________________Authorization:__________________________________________________________
Visit / Work for: ____________________________________________________________________________________
Date: ________________________Visa No.: _____________________________________________________________
FEE COLLECTED: _______________________Type: ________________________Duration: _____________________

Consul General Checked by:

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