Balên Nama (Pledge)

Sometimes, during a random audit of pensions or pensioners, a certain person will be asked to provide additional documentation with regards to any additional resources being received. This form in Kurdish is called "Balên Nama" or payee pledge. The pledge simply states that you (pensioner) understand and pledge that you are not an employee of the Kurdistan Regional Government (KRG) and that you do not receive any salaries or benefits from any other KRG institutions, except your sole income/pension. Therefore, the following template form has been created for you in mind to fill out and authenticate; and send it to the KRG Representation in Washington. 


  • Complete three copies of the standard Kurdish form.
  • Complete one copy of the English form in the presence of a notary public.
  • Include three colored passport-size photos of the applicant.
  • Include a copy of the applicant’s American identity card and Iraqi ID card (Jinsya).
  • Include the applicant’s contact information: full name, address, phone number, and email (if available).
  • Mail all of the above to:

KRG Representation in the US
Directorate of Consular Affairs
1532 16th Street, NW
Washington DC 20036

Once processed, documents will be returned by regular postal mail. To expedite the return of the documents, include a pre-paid self-addressed return mailing envelope (USPS ‘Express Mail’ or FedEx).

The application process time is 7-10 business days, once all documentation is received in the KRG-US office.