‫ﺗﺴﺠﻴﻞ ﺍﻟﻘﺪﻭﻡ‬

Arrival Registration

Name UMAR SHAIK ‫ﺍﻻﺳﻢ‬

Passport Number M7365667 ‫ﺭﻗﻢ ﺍﻟﺠﻮﺍﺯ‬

Birthdate 1992-07-01 ‫ﺗﺎﺭﻳﺦ ﺍﻟﻤﻴﻼﺩ‬

Visa Number 6075108293 ‫ﺭﻗﻢ ﺍﻟﺘﺄﺷﻴﺮﺓ‬

Nationality India ‫ﺍﻟﻬﻨﺪ‬ ‫ﺍﻟﺠﻨﺴﻴﺔ‬

Registration Number GDP1112639300 ‫ﺭﻗﻢ ﺍﻟﺘﺴﺠﻴﻞ‬

Registration Date 2022-01-11 ‫ﺗﺎﺭﻳﺦ ﺍﻟﺘﺴﺠﻴﻞ‬

Vaccine Country India ‫ﺍﻟﻬﻨﺪ‬ ‫ﺩﻭﻟﺔ ﺍﻟﺘﺤﺼﻴﻦ‬

‫ﺃﺳﺘﺮﺍﺯﻳﻨﻴﻜﺎ‬-‫ﺟﺮﻋﺘﻴﻦ ﻣﻦ ﻟﻘﺎﺡ ﺃﻭﻛﺴﻔﻮﺭﺩ‬

Vaccine Type ‫ﻧﻮﻉ ﺍﻟﺘﺤﺼﻴﻦ‬
Two doses of Oxford–AstraZeneca Vaccine

First Dose Date 2021-08-31 ‫ﺗﺎﺭﻳﺦ ﺍﻟﺠﺮﻋﺔ ﺍﻷﻭﻟﻰ‬

Second Dose Date 2021-10-07 ‫ﺗﺎﺭﻳﺦ ﺍﻟﺠﺮﻋﺔ ﺍﻟﺜﺎﻧﻴﺔ‬

‫ 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

.(‫ ﻳﺸﺘﺮﻁ ﺣﻤﻞ ﺷﻬﺎﺩﺓ ﻭﺭﻗﻴﺔ ﻣﻌﺘﻤﺪﺓ ﻹﺛﺒﺎﺕ ﺃﺧﺬ ﺍﻟﻠﻘﺎﺡ ﻣﺼﺪﻗﺔ ﻣﻦ ﺍﻟﺠﻬﺎﺕ ﺍﻟﺼﺤﻴﺔ ﺍﻟﺮﺳﻤﻴﺔ ﻓﻲ ﺑﻼﺩ ﺍﻟﻤﺴﺎﻓﺮﻳﻦ ﺍﻟﻘﺎﺩﻣﻴﻦ )ﻭﺯﺍﺭﺓ ﺍﻟﺼﺤﺔ ﺍﻭ ﺟﻬﺔ ﺻﺤﻴﺔ ﻣﺨﻮﻟﺔ‬-

- 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

- It is required to carry an approved paper certificate to prove the vaccination, certified by the official health authorities in the countries of arriving
travelers (the Ministry of Health or an authorized health authority).