Section 2: TYPE OF VISA TO BE PROCESSED (complete multiple lines if applying for more than one visa)

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Deliver / Mail to: 2200 Pennsylvania Ave NW 4th Floor E., Washington, DC 20037 1-877-400-0235 - Toll Free 1-866-835-4372 - Fax Fully complete this form and submit with your application. Processing will be held if items are missing or incomplete. Section 1: CONTACT INFORMATION info@visacenter.us 45 West 34th Street, Suite 703 New York, NY 10001 +1-877-203-2551 - Toll Free +1-866-835-4372 - FAX NAME E-MAIL TELEPHONE E-mail address will be used to provide vital passport tracking information as well as periodic travel updates & payment invoice Section 2: TYPE OF VISA TO BE PROCESSED (complete multiple lines if applying for more than one visa) VISA 1 VISA 2 VISA 3 VISA 4 + + + = TOTAL VISA BOX A SUM UP ABOVE BOXES Section 3: OPTIONS FOR RETURNING YOUR PASSPORT TO YOU - PLEASE MAKE ONE SELECTION Pick-up at the office - $0 FedEx Overnight US - $30 FedEx Overnight CAN - $50 TOTAL RETURN Add $20 for Sat delivery. Some rural locations cost more Pre-paid - $0 International - $110+ Return Address: (IF PAYING FOR RETURN) Some rural locations cost more BOX B Name Address City Post Code Absolute latest date by which you must have your document returned to you Third Party Pickup: Provide Name Section 4: PAYMENT FOR YOUR VISA APPLICATIONS - PLEASE SELECT YOUR PREFERED METHOD Visa In-office Cash MasterCard Wire Transfer AMEX PayPal PAYMENT NOTES: Wire transfers are available from abroad. Such may be carried out through Money Gram, Western Union or SWIFT Bank Transfer in CANADIAN FUNDS. Add a service fee of $20 for Wire Transfer Service. Card Number Expiry CVC Card Billing Address SUBTOTAL (ADD BOX A&B) $ City Post Code TOTAL SERVICE CHARGE TO BE APPLIED TO MY CREDIT CARD OR OTHER PAYMENT METHOD $ By using the services of Visa Center, I authorize to handle my personal information and my passport/other documents and particulars / to a foreign diplomatic mission in Canada & US for the purpose of acquiring a visa or other consular document. By signing this document, I accept in whole the following terms, conditions and limitations: Visa Center can not and does not guarantee a visa will be issued by a diplomatic office, as this is the sole prerogative of the foreign government. Visa Centre does not bear liability for the safety or security of your passport/document once the passport has entered the diplomatic grounds or passed into the control of a courier for return delivery. Visa Center is not liable for any stolen or lost passport, and has no liability for late delivery of passports and visas, and Visa Center does not bear any financial, legal or other obligations whatsoever for client ticket or other purchases, down payments, bookings or any kind of travel or other arrangements that were done prior to the issuance of visa or what may be affected by processing times or denial of visa. Visa Center does not bear any financial (or otherwise) responsibility from issues arising from errors and improper issuance of visas by the consulates; for losses resulting from, and does not compensate for travel expenses arising from any of the above. Visa Center will charge $50.00 per passport for cancelled visa applications after the documents have been received for processing. I understand and fully accept the above mentioned. BY SIGNING BELOW YOU AGREE ABOVE CONDITIONS & CHARGES PROCESSED TO YOUR CARD IF PAYMENT IS BY CREDIT CARD. UNSIGNED FORMS WILL NOT BE PROCESSED. Signature Current Date

REGISTRATION WITH US EMBASSIES The world unfortunately is not a safe place. When you travel abroad and surrounded by foreign environment many situations, in some cases hostile may arise, like terrorist attacks, banditry or even war. Plus there are natural disasters and catastrophes. Visacenter.us can help you to make your contact information in the country where you are traveling available to US Embassy/Consular officials responsible for helping Americans abroad. What is the registration? Upon your request the Department of State in Washington DC will be provided with your major contact information in the country of your travel. In the event there is a need to contact Americans to offer urgent advice or evacuation during a natural disaster or civil unrest, US Embassy/Consulate contacts all registered US citizens in that country. U.S. consular officers assist Americans who encounter serious legal, medical, or financial difficulties. OFFICIAL REGISTRATION IS RECOMMENDED for ALL Americans traveling abroad for business or pleasure, or residing abroad, irrespectively of the length of travel. It is best to register BEFORE the start of the trip. What should I do to register? To register, you are required to fill-out short US Embassy Registartion Request Form with your basic contact and travel information. What is the cost? The cost of peace of mind is just USD10.00 per person. Yes, I want to register and agree that Visacenter.us submits on my behalf my data exactly as provided by myself on the form for US Embassy Registartion service by The Bureau of Consular Affairs of the US Department of State and agree that for this act the charge of CAD 10.00 be added to the total payment for my visa services order. Signature: Date: Next step: Please, fill-out the following US Embassy Registration Request Form

FIRST NAME LAST NAME US EMBASSY REGISTRATION REQUEST FORM BASIC INFORMATION DATE OF BIRTH GENDER M / F CITIZENSHIP PASSPORT PASSPORT NUMBER PASSPORT DATE OF ISSUE PASSPORT DATE OF EXPIRATION HOME RESIDENCE ADDRESS 1 ADDRESS 2 CITY ZIP CODE STATE CONTACT EMAIL ADDRESS DESTINATION INFORMATION COUNTRY PURPOSE OF VISIT DESTINATION DATE OF ARRIVAL DESTINATION DATE OF DEPARTURE TYPE of RESIDENCE HOTEL HOME SCHOOL OTHER ADDRESS at DESTINATION CITY PHONE NUMBER AT DESTINATION Note: If you have more than one destination please, provide details on a separate sheet of paper. DATE: SIGNATURE:

Saudi Arabia Visa Requirements INCLUDE THE FOLLOWING DOCUMENTS: Original, signed United States passport with at least 6 months of remaining validity and two adjacent visa pages. Passport-type photograph: 2 Filled out and signed Saudi visa application form. Itinerary. Copy of round trip tickets or itinerary. Persons with dual citizenship, one of which is US, must apply with their US passports only. Applicants with other than US passports must provide the copy of the document confirming their current resident status in USA For Business Visa An electronic invitation letter from a Saudi company (either certified by the Saudi Chamber of Commerce or the Ministry of Foreign Affairs) AND/OR A copy of the company's business registration Business Letter. A business letter from the sending company in the US. The letter should be printed on the company letterhead stationery, addressed to the Embassy of Saudi Arabia, Visa Section, Washington DC, and signed by a senior manager (an equivalent to Vice-President or above). The business letter must adhere to the following guidelines: Briefly introduce the applicant (please specify employment status/position held in the company by applicant). State the nature of the business to be conducted (ie. business meetings, contract negotiations, etc.) and the names and addresses of companies to be contacted in Saudi Arabia. Specify the type and desired validity of the visa (ie. multiple entry business visa).guarantee of sufficient funds for travel. Saudi Arabia Visa Pricing (includes Embassy and handling fee) Visa Visit or Business Single entry up to 90 days Processing Period 5 Biz Days 1 Biz Days $277.00 $423.00 *Above prices include Consular / Embassy fee, Visa Center fee. No other processing fees will be added.

Photo Royal Embassy of Saudi Arabia Washington Washington Consular Section Consular Section 601 New Hampshire Ave, N.W. Royal Embassy of Saudi Arabia First Name: Mother s Name: Date of Birth: Previous Nationality: Place of Issue: Expiration Date: Sex: Female Male Religion: Profession: Home Address and Telephone No.: Middle Name: : : Last Name: Place of Birth: Present Nationality: Passport No: Date of Issue: Martial Status: Married Qualification: Single : : : : : : E-mail Address: Business Address and Telephone No: : : ( ) Purpose of Travel: Employment Residence Student Umrah Hajj Diplomat Special : Personnel Re-Entry Transit Tourism Commerce Businessmen Government Work Visit Family Visit Method of Payment: Company Check: [ ] Money Order: [ ] Name and Address of Company or Individual invitee in the Kingdom: : : Travel Information: Date of arrival in Saudi Arabia: City of Embarkation: Duration of Stay in the Kingdom: Name of traveling companion: : Via Airline: Flight No: Port of Entry: Relationship of the person traveling with: *** Application must be filed out in its entirety *** I, the undersigned, hereby certify that: I agree to have my fingerprints taken and my Iris scanned. Name: All the information provided is correct. I will abide by the laws of the Kingdom during the period of my residence.. : Signature:. : : Date:

سفارة المملكة العربية السعودية القسم القنصلي في مدينة: Royal Embassy of Saudi Arabia Consular Section in (city) NOTICE ON SAUDI LAWS AND REGULATIONS I hereby undertake to give my fingerprints and my eye iris pattern images and comply with the laws of the Kingdom of Saudi Arabia. I, the undersigned, hereby agree to have my fingerprint and iris data (biometrics) captured as part of the application procedure for an entry visa to the Kingdom of Saudi Arabia. I further agree and declare as follows: 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; 2. I am aware that all alcoholic beverages, narcotics and other illegal drugs, pornographic materials or publications that violate the social norms of decency and all other publications that are disrespectful of any religious belief or political orientation are prohibited and shall not be brought into the Kingdom of Saudi Arabia; 3. 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; 4. 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; 5. I agree to depart the Kingdom of Saudi Arabia on or before the expiration date of my visa. I am well aware that any violation of the laws and regulations of the Kingdom or any engagement in prohibited activities, such as the activities mentioned herein or in the entry visa documentation, are subject to the penalties described in the "Dealing with Persons on Entry Visas statute, as enacted by Royal Decree No. 42, dated 10/18/1404 H; 6. I acknowledge and reaffirm my declaration that this application and the evidence submitted with it are all true and correct. I also understand that if I submit any false information or if my name was found to be listed as banned from entry into the Kingdom of Saudi Arabia, my application will be denied or my visa, if already granted, revoked. Moreover, I may be turned back from any Saudi port of entry at my own expense, while I shall have no right to demand compensation. Name (Please print): Signature: Date: