NRI SELF DECLARATION FOR ADMISSION IN EDUCATIONAL INSTITUTION

I, (name of the applicant)-I "'0I Im a-I:x> a"'0 G')"'0 :xlr- :x>n "'0:x> Iz-I a"

Number Place of Issue Date of issue Valid upto

- -Indian Passport

Residence Card, ISSUED BYSultanate of Oman SUL TANA TE OF OMAN

User ..of ..GSM ..No. and ..presently ..residing ..at. P.Box No ..

........................ P.c Sultanate of Oman solemnly affirm and declare that:-

TO WHOMSOEVER ITMAY CONCERN

A. I, -J,..s/o ... _

__________ "_...is ..~working .... in ..Ms. _

________ {recent original salary certificate attested by Oman Chamber of

Commerce and Industry) and I am drawing a monthly salary of R.O. in

the capacity of ( name of the

profession).

B. I will bear the education expenditure in respect of the following individual/student:

Relationship with the NRIName of the individual I student

i. I understand that I am liable to be prosecuted, if this affidavit or any part of it is anyway foundincorrect or false. This affidavit is true and it conceals nothing and no part of it is false. I alsoaffirm that in the case of a court case arising due to this declaration, I would be solely responsiblefor defending the case and not the EMBASSY OF INDIA, MUSCAT.

ii. I hold myself fully responsible for the authenticity of the above and would be solely responsiblefor the consequences should these documents furnished by me found to be untrue. Further IIndemnify the Embassy of India, Muscat in case the document (s) furnished by my are not foundto be genuine at any stage.

SIGNATURE OF THE APPLICANT (AS PER THE PASSPORT)

((Place: MUSCAT Dated: . 12014 )

ENDORSEMENT NO 1MUSCAT 12014 DATED 1__ /2014

SIGNED BEFORE ME WITHOUT ANY LEGAL RESPONSIBILITY FOR THE CONTENTS

PLEASE TURN OVER FOR THE REQUIRMENTS

REQUIREMENTS:

(1) APPLICANT MUST COME IN PERSON

(2) ORIGINAL PASSPORT OF THE APPLICANT AND ITSPHOTOCOPY (1sT,LAST, VISA AND OTHER ENDORSEMENTPAGES) = 1 SET

(3) APPLICANT'S RESIDENCE CARD PHOTOCOPY = 1 SET

(4) RECENT ORIGINAL SALARY CERTIFICATE ATTESTED BY OCCIAND ITS PHOTOCOPY

(5) AFFIDAVIT = 2 SETS

(6) TWO RECENT PHOTOGRAPHS OF THE APPLICANT

(FEE = R.O. 4.900 ; SUBMISSION : 0900 TO 1230 HOURS;COLLECTION: 1600 TO 1630 HOURS IN THE PREMISES OF EMBASSY'

OF INDIA, MUSCA T)

NOTE: IT IS SUGGESTED TO THE APPLICANT, TO CHECK IT OUT WITH THECONCERNED COLLEGE AUTHORITIES WHETHER THEY REQUIRE THIS SELFDECLARATION BY THE APPLICANT OR THE NRI CERTIFICATE IN THE EMBASSY OFINDIA, MUSCAT LETTER PAD.