Declaration Form template

Declaration Template Compliant with the Laws of Saudi Arabia

Declarant: Mr/Ms ........................, Nationality: ........, National ID/Iqama No.: ............, National Address: ................, Mobile: ........ Declared in favour of: Mr/Ms ........................ (or the establishment ........................, Commercial Registration No. ............), National ID/Iqama No.: ............, National Address: ................ Text of the declaration: I, the undersigned, being of full legal capacity under Sharia and the law, acting of my own free will and not under duress, hereby declare the following: ................................................................................................ ................................................................................................ ................................................................................................ If the declaration acknowledges a debt, complete the following details:

• Amount of the debt: (............) Saudi riyals only.
• Cause of the debt: ........................ dated / / AH.
• Repayment date: (in a single payment on / / AH / in instalments of ............ SAR each, payable on day .... of each month starting from / / AH).
• Method of payment: bank transfer to IBAN: SA..............................
• Security (if any): ........................

Additional declarations:

• I declare that this declaration was made by me voluntarily, without duress or deception.
• I declare that my details recorded above are correct, and that the National Address stated is my chosen address for the service of notices.
• This declaration is governed by the laws of the Kingdom of Saudi Arabia, in particular the Civil Transactions Law.

Declarant: Name: ........................ Signature: ................ Date: / / AH First witness: Name: ................ ID: ............ Signature: ................ Second witness: Name: ................ ID: ............ Signature: ................