GROUP REQUEST FORM
إ ﺳ ﺘ ﻤﺎ ر ة ﺣ ﺠ ﺰ ﻣ ﻮ ﻋ ﺪ ﻟ ﻠ ﻤ ﺠ ﻤ ﻮ ﻋ ﺔ
GROUP ID رﻗ ﻢ اﻟ ﻤ ﻮ ﻋﺪ ﻟﻠ ﻤ ﺠ ﻤ ﻮ ﻋ ﺔ
Date : 31-Jan-2025 Time : 17:44
Appointment Type
GROUP Agent Name & ID TRAVEL CRAFT
ﻧ ﻮ ع اﻟ ﻤ ﻮ ﻋﺪ إ ﺳ ﻢ اﻟ ﻮ ﻛﯿ ﻞ و ر ﻗ ﻤ ﻪ -
Appointment Category NORMAL LOUNGE No. of Applicants
ﻓﺌ ﺔ اﻟ ﻤ ﻮ ﻋﺪ ﻋ ﺪ د ﻣﻘ ﺪ ﻣ ﻲ ا ﻟ ﻄ ﻠ ﺒﺎ ت 1
Appointment Date
03-Feb-2025 Visa Service Center Address New Ashok Nagar Metro station, 2nd Floor, DMRC
ﺗﺎ ر ﯾ ﺦ ا ﻟ ﻤ ﻮ ﻋﺪ
ﻋ ﻨ ﻮ ا ن ﻣ ﺮ ﻛ ﺰ ﺧ ﺪ ﻣ ﺔ ا ﻟ ﺘﺄ ﺷ ﯿ ﺮ ا ت Building, above HIRA Sweets, Delhi 110096
Appointment Time
16:00
اﻟ ﻮ ﻗ ﺖ اﻟ ﻤ ﺤﺪد ﻟﻠ ﻤ ﻮ ﻋﺪ
S.No. AppRef No. Passport Number Name Appointment Time
1 X3053839 MOHD JAVED 16:00
The consolidated amount to be paid at the VSC center is displayed below
ﯾ ﺘ ﻢ د ﻓ ﻊ ﻣ ﺠ ﻤ ﻮ ع ا ﻟ ﻤ ﺒﺎ ﻟ ﻎ ا ﻟ ﻤﺬ ﻛ ﻮ ر ة أد ﻧﺎ ه ﻓ ﻲ ﻣ ﺮ ﻛ ﺰ ﺧﺪ ﻣ ﺔ ا ﻟ ﺘﺄ ﺷ ﯿ ﺮ ا ت
Name Unit Fee(in INR) No. of Applicants Amount in INR
اﻹﺳﻢ ﻋ ﺪ د ﻣ ﻘ ﺪ ﻣ ﻲ ا ﻟ ﻄ ﻠ ﺒﺎ ت
Agent Bio Normal 406.80 1 406.80
GST 18.00 % for Agent Bio Normal 1 73.20
Total 480.00
To Be Paid 480.00
Instructions : اﻟﺘ ﻌﻠﯿ ﻤﺎ ت
1. If granted the visa I shall abide by all the laws and regulations of the Kingdom of Saudi Arabia and respect the Islamic customs and traditions of its people.
ﻓ ﻲ ﺣﺎ ل ﺣ ﺼ ﻮ ﻟ ﻲ ﻋ ﻠ ﻰ ا ﻟ ﺘﺄ ﺷ ﯿ ﺮ ة ﻋ ﻠ ﻲ أ ن أ ﻟ ﺘ ﺰ م ﺑ ﺠ ﻤ ﯿ ﻊ ا ﻟ ﻘ ﻮ ا ﻧ ﯿ ﻦ و ا ﻷ ﻧ ﻈ ﻤ ﺔ ا ﻟ ﻤ ﻌ ﻤ ﻮ ل ﺑ ﻬﺎ ﻓ ﻲ ا ﻟ ﻤ ﻤ ﻠ ﻜ ﺔ ا ﻟ ﻌ ﺮ ﺑ ﯿ ﺔ ا ﻟ ﺴ ﻌ ﻮ د ﯾ ﺔ و إ ﺣ ﺘ ﺮ ا م ا ﻟ ﻌﺎ د ا ت و ا ﻟ ﺘ ﻘﺎ ﻟ ﯿ ﺪ ا ﻹ ﺳ ﻼ ﻣ ﯿ ﺔ ﻟ ﺸ ﻌ ﺒ ﻬﺎ.
2. I am also fully aware that the crime of smuggling narcotics and other illegal drugs into the Kingdom of Saudi Arabia is punishable by the death penalty.
إﻧﻨﻲ أدرك ﺗﻤﺎﻣﺎ أن ﺟﺮﯾﻤﺔ ﺗﻬﺮﯾﺐ اﻟﻌﻘﺎﻗﯿﺮ اﻟﻤﺨﺪرة واﻟﻤﺨﺪرات ﻏﯿﺮ اﻟﻤﺸﺮوﻋﺔ اﻷﺧﺮى إﻟﻰ اﻟﻤﻤﻠﻜﺔ اﻟﻌﺮﺑﯿﺔ اﻟﺴﻌﻮدﯾﺔ ﻣﻌﺎﻗﺐ ﻋﻠﯿﻬﺎ ﺑﺎﻹﻋﺪام.
3. I have never been removed, excluded or deported from the Kingdom of Saudi Arabia or from any other Gulf Cooperation Council member state or charged with violation of any law or regulation
thereof.
ﻟ ﻢ ﯾ ﺴ ﺒ ﻖ أ ن ﺗ ﻢ إ ﺳ ﺘ ﺒ ﻌﺎ د ي أ و ﺗ ﺮ ﺣ ﯿ ﻠ ﻲ ﻣ ﻦ ا ﻟ ﻤ ﻤ ﻠ ﻜ ﺔ ا ﻟ ﻌ ﺮ ﺑ ﯿ ﺔ ا ﻟ ﺴ ﻌ ﻮ د ﯾ ﺔ أ و ﻣ ﻦ أ ي د و ﻟ ﺔ ﻋ ﻀ ﻮ ﻓ ﻲ ﻣ ﺠ ﻠ ﺲ ا ﻟ ﺘ ﻌﺎ و ن ﻟ ﺪ و ل ا ﻟ ﺨ ﻠ ﯿ ﺞ ا ﻟ ﻌ ﺮ ﺑ ﯿ ﺔ أ و ﺗ ﻢ إ ﺗ ﻬﺎ ﻣ ﻲ ﺑ ﻤ ﺨﺎ ﻟ ﻔ ﺔ أ ي ﻣ ﻦ ﻗ ﻮ ا ﻧ ﯿ ﻨ ﻬﺎ أ و أ ﻧ ﻈ ﻤ ﺘ ﻬﺎ.
4. I am aware that all alcoholic everages, narcotics and other illegal drugs, pornographic materials or publications, which violate the social norms of decency and all other publications, which are
disrespectful of any religious belief or political orientation, are prohibited and shall not be brought into the Kingdom of Saudi Arabia
أ ﻣ ﻮ ر ﻣ ﺤ ﻈ ﻮ ر ة ﻻ، و ا ﻟ ﺘ ﻲ ﺗ ﻨ ﺘ ﻬ ﻚ ا ﻷ ﻋ ﺮ ا ف ا ﻻ ﺟ ﺘ ﻤﺎ ﻋ ﯿ ﺔ ﻣ ﻦ ا ﻟ ﺤ ﺸ ﻤ ﺔ و ﺟ ﻤ ﯿ ﻊ ا ﻹ ﺟ ﺮ ا ء ا ت ا ﻟ ﻌﺎ ﻣ ﺔ ا ﻷ ﺧ ﺮ ى و ﻋ ﺪ م إ ﺣ ﺘ ﺮ ا م أ ي ﻣ ﻌ ﺘ ﻘ ﺪ د ﯾ ﻨ ﻲ أ و ﺗ ﻮ ﺟ ﻪ ﺳ ﯿﺎ ﺳ ﻲ، ا ﻟ ﻤ ﻮ ا د ا ﻹ ﺑﺎ ﺣ ﯿ ﺔ ﻣ ﻦ ر ﺳ ﻮ ﻣﺎ ت أ و أ ﻋ ﻤﺎ ل ﻋﺎ ﻣ ﺔ، ا ﻟ ﻤ ﺨ ﺪ ر ا ت و ا ﻟ ﻌ ﻘﺎ ﻗ ﯿ ﺮ ا ﻟ ﻐ ﯿ ﺮ ﻗﺎ ﻧ ﻮ ﻧ ﯿ ﺔ ا ﻷ ﺧ ﺮ ى، أ ﻧﺎ أ د ر ك ﺗ ﻤﺎ ﻣﺎ أ ن ﺟ ﻤ ﯿ ﻊ ا ﻟ ﻤ ﺸ ﺮ و ﺑﺎ ت ا ﻟ ﻜ ﺤ ﻮ ﻟ ﯿ ﺔ
ﯾ ﺠ ﻮ ز إ د ﺧﺎ ﻟ ﻬﺎ ا ﻟ ﻰ ا ﻟ ﻤ ﻤ ﻠ ﻜ ﺔ ا ﻟ ﻌ ﺮ ﺑ ﯿ ﺔ ا ﻟ ﺴ ﻌ ﻮ د ﯾ ﺔ.
