NRI SELF DECLARATION FOR ADMISSION IN EDUCATIONAL INSTITUTION I, (name of the applicant) -I "'0 II m a -I :x> a "'0 G') "'0 :xl r- :x> n "'0 :x> I z -I a " Number Place of Issue Date of issue Valid upto - - Indian Passport Residence Card, ISSUED BY Sultanate 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 NRI Name 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 found incorrect or false. This affidavit is true and it conceals nothing and no part of it is false. I also affirm that in the case of a court case arising due to this declaration, I would be solely responsible for 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 responsible for the consequences should these documents furnished by me found to be untrue. Further I Indemnify the Embassy of India, Muscat in case the document (s) furnished by my are not found to be genuine at any stage. SIGNATURE OF THE APPLICANT (AS PER THE PASSPORT) ((Place: MUSCAT Dated: . 12014 ) ENDORSEMENT NO 1 MUSCAT 12014 DATED 1__ /2014 SIGNED BEFORE ME WITHOUT ANY LEGAL RESPONSIBILITY FOR THE CONTENTS PLEASE TURN OVER FOR THE REQUIRMENTS