3/17/25, 12:31 PM Visa platform

order number
Entry visa application E790533096

:Order date
03/17/2025

W1707729 Passport number

Mumbai Representation in
a job Visa type
One trip - 90 days Number of entries
Zaid Al-Hussein and Brothers Contracting Name of the
Group Branch requesting
person/entity
the name
MAHAMMAD SUHAIL BANGLES Name
Farm worker Profession
04/03/2004 date of birth
KURNOOL AP place of birth
India Current nationality
EMPLOYMENT Purpose

I, the undersigned, consent to the taking of fingerprints and iris scans as a procedure for applying
for an entry visa to the Kingdom of Saudi Arabia and I fully understand and freely declare the
:following
All the information I have provided is correct, and I pledge that during my stay in the .1
Kingdom of Saudi Arabia I will abide by all its laws and regulations and respect the Islamic
customs and traditions of its people. I acknowledge my knowledge that the competent
authorities in the Kingdom have the right to refuse me entry and to return me to the place
where I came from in the event that I violate the laws and regulations or if the information
.on the basis of which I obtained the entry visa is proven to be inaccurate

https://visa.mofa.gov.sa/SmartForm/PrintApplication 2/4
3/17/25, 12:31 PM Visa platform

order number
Entry visa application E790533096

:Order date
03/17/2025

I hereby acknowledge and undertake once again that all the information I have provided is .10
correct and I bear full responsibility for it. If it is proven otherwise - or if it becomes clear
that I am on the banned list - my application will be rejected, or the visa will be
automatically cancelled if I obtain one, or I will not be allowed to enter the Kingdom of
Saudi Arabia if I have a valid visa. I acknowledge the right of the Saudi authorities to return
.me from the port of entry at my own expense, and I have no right to claim compensation

:Name

: the signature

: the date

https://visa.mofa.gov.sa/SmartForm/PrintApplication 4/4