I, Ram Gupta, aged 56 years, son of Krishna Gupta, residing at 123 Shankar Lane, Malad(E), Mumbai – 400 027 do hereby declare as follows:
That I would like to visit the USA to visit my son, Rahul Gupta and his family and to visit the tourist attraction locations in the USA such as New York, Washington DC, Niagara Falls, Las Vegas, Disney Land, and Florida. I would be staying at my son’s residence at 123 Park Avenue, Iselin, NJ 08830, USA. I intend to visit the USA for 6 months. During my stay in the United States, my son will bear all my responsibilities including return air ticket fare, food, housing, and medical insurance.
That I have a personal business of cloth retailer and I own the firm named Roopa Sarees, located at 364 Dr. D.N. Road, Fort, Mumbai 400 001. This firm has existed since 1964. My business has an annual turnover of Rs. XXXXX and profit for the last year were Rs. XXXXX.
That I own the following property listed below:
123 Shankar Lane, Malad(E),
Mumbai – 400 027
364 Dr. D.N. Road,
Fort, Mumbai 400 001
|Jewelry/Fixed Deposits etc.||Rs. XXXX|
|Bank account at|
State Bank of India,
Malad (E), Mumbai – 400 027
That I have my old parents I need to take care of. My father, Krishna Gupta is 78 years old and my mother, Radha Gupta is 73 years old. Both of them are staying with me and I need to take care of them as they are fully dependent upon me.
That I have an unmarried son, Vijay Gupta, aged 20 years and I need to arrange his wedding after my return from the USA.
Sworn to before me
Visitors InsuranceGet Quotes
For visitors, travel, student and other international travel medical insurance.Visit insubuy.com or call 1 (866) INSUBUY or +1 (972) 985-4400