Royal Embassy of Saudi Arabia
Washington
Consular Section
601 New Hampshire Ave, N.W.
:
Last Name: Middle Name:First Name:
:
Mother’s Name:
:
Place of Birth:
:
Date of Birth:
:
Present Nationality:
:
Previous Nationality:
:
Passport No:
:
Place of Issue:
:
Date of Issue:
:
Expiration Date:
:
Martial Status:
Married Single
:
Sex:
Female Male
:
Religion:
: Qualification: :
Profession:
:
Home Address and Telephone No.:
:
E-mail Address:
) ( :
Business Address and Telephone No:
: :Purpose of Travel
:
Method of Payment: Company Check: [ ] Money Order: [ ]
: Name and Address of Company or Individual invitee in the Kingdom:
Travel Information:
Flight No: Via Airline: Date of arrival in Saudi Arabia:
Port of Entry: City of Embarkation:
Duration of Stay in the Kingdom:
:
Relationship of the person traveling with:
:
Name of traveling companion:
*** Application must be filed out in its entirety ***
•
•
.
I, the undersigned, hereby certify that:
I agree to have my fingerprints taken and my retinal scanned.
All the information provided is correct. I will abide by the
laws of the Kingdom during the period of my residence.
: : :
Date: Signature: Name:
www.saudiembassy.net Fax (202) 337-4084 Telephone (202) 944-3126 601 New Hampshire Ave, N.W. Washington, D.C. 20037.
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Royal Embassy of Saudi Arabia
Washington
Consular Section
