SPONSORSHIP AFFIDAVIT

(TO BE SUBMITTED IN DUPLICATE DULY NOTARIZED)

1. Sponsor’s name : ___________________________________________________

2. Sponsor’s Address : ________________________________________________

_________________________________________ Telephone No. ___________

3. Sponsor’s Profession : _______________________________________________

(To be supported by a certificate of employment in duplicate, indicating emoluments earned),

4. Other Financial Standing : ____________________________________________

(To be supported by Bank Balance Certificate in duplicate, Title Deed to Property in USA)

5. No., Date & Office of issue of Passport of Sponsor :________________________

(Please enclose your passport)

6. Name of dependent in India : __________________________________________

wife/son/daughter of ________________________________________________

(giving relationship to sponsor)

_________________________________________________________________

7. Address of dependent in India : ________________________________________

_________________________________________________________________

8. UNDERTAKING

I, _______________________________________________________________

solemnly declare that I undertake to bear the cost of passage of the above Mr./Mrs./Miss _____________________________________________________

from India to USA and to provide for him/her during his/her stay in USA and to repatriate him/her to India at my cost when necessary.

Date : _____________________ ________________

Signature of Sponsor

The fee for legalizing this document is US $ 11.00 plus US $ 3.00 return postage by certified mail. In case overnight mail is requested, please send additional US $ 14.00. Please send fee by Money Order, Certified Check & Personal Check in the name of Consulate General of India.

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