‫ﺗﺴﺠﻴﻞ ﺍﻟﻘﺪﻭﻡ‬

Arrival Registration

Name MOH ANAS KASIAN ‫ﺍﻻﺳﻢ‬

Passport Number C7281718 ‫ﺭﻗﻢ ﺍﻟﺠﻮﺍﺯ‬

Birthdate 1983-10-03 ‫ﺗﺎﺭﻳﺦ ﺍﻟﻤﻴﻼﺩ‬

Iqama Number 2454392099 ‫ﺭﻗﻢ ﺍﻹﻗﺎﻣﺔ‬

Nationality Indonesia ‫ﺍﻧﺪﻭﻧﻴﺴﻴﺎ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬

Registration Number GDP1431638324 ‫ﺭﻗﻢ ﺍﻟﺘﺴﺠﻴﻞ‬

Registration Date 2021-12-14 ‫ﺗﺎﺭﻳﺦ ﺍﻟﺘﺴﺠﻴﻞ‬

‫ ﺃﻗﺮ ﺑﺼﺤﺔ ﺍﻟﻤﻌﻠﻮﻣﺎﺕ ﺍﻟﻤﺪﺧﻠﺔ ﻭﺃﻧﻪ ﺳﻴﺘﻢ ﺍﻟﺘﺤﻘﻖ ﻣﻦ ﺻﺤﺔ ﺍﻟﻤﻌﻠﻮﻣﺎﺕ ﻋﻨﺪ ﺍﺻﺪﺍﺭ ﻛﺮﺕ ﺻﻌﻮﺩ ﺍﻟﻄﺎﺋﺮﺓ ﻭﻓﻲ ﻣﻨﺎﻓﺬ ﺍﻟﺪﺧﻮﻝ ﻭﻋﺪﻡ ﺍﻻﻟﺘﺰﺍﻡ ﺑﻬﺬﻩ ﺍﻻﺷﺘﺮﺍﻃﺎﺕ ﺗﺠﻌﻠﻨﻲ ﻋﺮﺿﻪ‬-
.‫ﻟﻤﻨﻊ ﺍﻟﺪﺧﻮﻝ ﺍﻟﻰ ﺍﻟﻤﻤﻠﻜﺔ ﺍﻟﻌﺮﺑﻴﺔ ﺍﻟﺴﻌﻮﺩﻳﺔ ﻭﺍﻟﺘﺒﻌﺎﺕ ﺍﻟﻘﺎﻧﻮﻧﻴﺔ‬

- I acknowledge that the entered information is correct and that the information will be verified when the boarding pass is issued and at the ports
of entry, and the failure to comply with these requirements makes me open to preventing entry to the Kingdom of Saudi Arabia and the legal