To Whom It May Concern - Embassy of India Kuwait

1 To whom It May Concern : . Embassy of the Republic of India . certifies that following are related to .. / . Holder of Indian Passport No.. : . Dated issued at .. 1) .. / ) 1. Holder of Indian Passport No .. : . is his/her . (relationship) .. / . This letter is valid for six months from . the date of issue and has been issued upon . the request of the applicant for submission . to the authorities concerned at the .. Government of the State of Kuwait . UNDERTAKING FOR ISSUE OF CERTIFICATE FOR RELATIONSHIP. (For one relative). I Undersigned _____. s/o / d/o / w/o _____. holder of Indian Passport No _____ dated _____ Issued at _____. hereby state that the following are related to me :- 1. _____. holder of Indian Passport No. _____ is my _____ Relationship I solemnly declare that the documents submitted by me in support of my relationship to persons listed above are genuine. I hold myself fully responsible for the authenticity of the documents mentioned above and would be solely responsible for the consequences should these documents be found to be untrue.

2 Further I indemnify the Embassy of India , Kuwait in case the document (s) furnished by me are not found to be genuine at any stage. I hereby request the Embassy of India , Kuwait to issue a relationship certificate in respect of my relations listed above which is a requirement of the Government of the State of Kuwait , to enable me to obtain visas etc. Arabic text of proposed certificate is as per proposed certificate in English ( Undertaking to be given only by those bringing pre-prepared texts of certificate not prepared in the Embassy .). (The proposed certificate, undertaking etc. should be type written only). Place: Kuwait Date: Signature as in Passport: Name of applicant : _____. Local Address : _____. Contact telephone No. _____. Civil Identity Card No. _____. Requirements for Relationship Certificate 1. Original Passport of the applicant. 2. Copy of Passport of the applicant. 3. Copy (ies) of all document(s) related to support of the relationships. 4. In case an applicant asks for relationship certificate for spouse, their names should be entered in their passports.

3 5. Copy of Civil Identity Card of applicant. Fee: KD Please Note: Applicant has to come in person. The Applicant must produce Passport, Civil ID or any other related document in original for verification. All copies of documents should be self attested (sign & date). Additional documents may be needed for verification depending upon the documents submitted.