Royal Norwegian Embassy
Street 49, House No. 63
Khartoum 2
P.O. Box. 13096
Khartoum-Sudan
Tel. + 249 1 83 57 83 43
Fax. + 249 1 83 57 71 80
e.mail: emb.Khartoum@mfa.no
Please fill this form completely and
return it to the Embassy
Registration Form for
Norwegian Citizens residing in Sudan
Main Person ( please print)
Surname:
First Names in Full:
Date of Birth:
Place of Birth:
Citizenship:
Private Address in Khartoum
Passprt Number:
Employer’s Name & Address
P.O.Box.
House, Block
Street
E-mail:
Office Telephone:
E-mail:
Private Telephone:
Accompanying Family Members
Name:
Date of Birth:
Passport No:
Relationship:
Place of Birth:
Place & Date of Issue:
Name:
Date of Birth:
Passport No:
Relationship:
Place of Birth:
Place & Date of Issue:
Name:
Date of Birth:
Passport No:
Relationship:
Place of Birth:
Place & Date of Issue:
Complete Address in Norway
Next of Kin in Norway
Name:
Relationship:
Address:
Telephone:
Approximate date of departure ( end of employer’s Contract)
N.B. Please inform the Embassy prior to actual departure from Sudan
In case of Evacuation: ( please choose one of the following)
( ) 1. I wish to be evacuated by the Embassy
( ) 2. I wish to be evacuated by other foreign service or organization
-----------------------------------------( ) 3. I wish to remain in Sudan.
( please specify)
( ) The above also apply to my accompanying family members
My name, address & telephone numbers may/may not be included on a publicly available list.
( Cross out as appropriate)
Place:
Date:
Signature:
FOR OFFICE USE ONLY:
Name of registered person:
Date of Departure from Sudan:
Registration form received by:
Date: