أقر أنا الموقع أدناه بأن كل المعلومات التي دونتها صحيحة وبأننب أبلغت رسميًا بأن عملية تهريب المخدرات وتوزيعها وترويجها في المملكة العربية السعودية ممنوعة منعًا باتًا، ويخضع لعقوبات رادعة كل من يرتكب عملاً من هذه الأعمال، وذلك وفقًا للأنظمة السعودية الخاصة بتطبيق العقوبات، وكذلك المشروبات الكحولية بأنواعها. وكذلك أبلغت رسميًا أنه ممنوع إدخال أفلام أو كتب أو منشورات مخلة بالآداب العامة وجميع المطبوعات الدينية والسياسية عند القدوم للمملكة العربية السعودية. إن عقوية تهريب العقاقير المخدرة إلى المملكة أو ترويجها داخلها هي الإعدام

I., The undersigned hereby certify that all the information I have provided is correct, and I was informed officially that drug smuggling (Narcotics) and its distribution through the markets of Saudi Arabia is illegal, completely forbidden and anyone who violates in this context the rules and laws of the Kingdom of Saudi Arabia is subject to strong penalties. Also all kinds of alcoholic beverages are subject to these regulations. I have also been informed not to carry with me books, films, movies, pictures and periodicals that are against public morality and all religious and political publications. The crime of smuggling and distribution of narcotic drugs in Sandi Arabia is punished by death.

For official use only : للاستعمال الرسمي فقط

Die von der Saudi-Arabischen Botschaft autorisierte Visumagentur.
I, the undersigned, hereby agree to have my fingerprint & 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- I acknowledge that all of the information I provided are true and reliable. In addition, I pledge to abide the laws and rules of the Kingdom of Saudi Arabia, and respect the customs and Islamic traditions of its people during my stay. I acknowledge my understanding that the specialized authorities in the Kingdom of Saudi Arabia have the right to deny my entry and to send me back to where I came from if I did not comply with the rules and laws, or if the information under which I received my visa proven to be incorrect.
2- I am fully aware that all intoxicating substances, narcotic drugs, indecent materials and publications, as well as publications related to any religious beliefs or political tendencies that contradict with Islam are prohibited in the Kingdom of Saudi Arabia.
3- I am fully aware of the procedures and controls regarding the batch-release and clearance of medicines, containing narcotic or psychotropic substances that are possessed for personal use by patients arriving and departing from The Kingdom , such procedures and controls are provided in the link below:
http://www.sfda.gov.sa/ar/drug/drug_reg/pages/drug_reg.aspx I am also aware that if these regulations and controls are transgressed, I shall will be subjected to sanction and penalties provided for in the Law of Combating Narcotics and Psychotropic Substances and its implementing regulations. 4- I have never been deported from The Kingdome of Saudi Arabia or any other GCC countries, nor that I have violated their rules.
5- I pledge to stick to the kind of visa I was provided with and to its terms and duration, and I shall leave the country before the stay specified in the visa expires. I am also fully aware of my violation to the rules in the Kingdom or entry visa shall subject me to a penalty and the application of punishments stipulated by the laws regulating the process of handling people coming to the Kingdom with visas for Hajj or Umrah and others issued by Royal Decree No (m / 42) , on 18 / 10 / 1404 H and amended by Royal Decree No (m/9) on 1/5/1420 H, as well as sanctions on violators of residency and work regulations promulgated by the Council of Ministers resolution No (140) on 6/5/1434 H. .
6- I acknowledge the right of Saudi authorities to repatriate me from the port of entry at my own expense or deport the Saudi territory after entering it, and I acknowledge the right of the Saudi authorities to apply the penalties provided by Law if proven that after I got my visa or residence permit , I have submitted incorrect papers or documents or provided false statements to any Saudi competent authority at home or abroad in order to obtain for myself or for someone else a visa for entry or residence permit or any other official visa or being a contributor or partner in providing such information or documents that do not match the truth.
7- I acknowledge that drug dealing or smuggling drugs into the Kingdom is a crime punishable by death penalty.
8- I acknowledge and pledge again that all written information shall be correct and I take full responsibility for it, and if it is proven otherwise -or my name appears to be included in a list specifying the prohibited people - , then my request shall be rejected, or my visa shall be canceled automatically if it is granted, or I shall not be allowed to enter the Kingdom of Saudi Arabia if I had a valid visa . Moreover, I acknowledge the right of Saudi authorities to deport me back to the port of entry at my own expense and I shall not have the right to claim compensation.