Balên Nama (Pledge)

Sometimes, during a random audit of pensions or pensioners, a certain person will be asked to provide additional documentation with regard to any additional resources or benefits being received from the KRG. 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 for your sole pension income. Therefore, the following form is required to be filled out and sent to the KRG Representation in Washington. 

 Balen Nama (Pledge Form)


  • Complete two copies of the standard Kurdish form.
  • Complete one copy of the English form in the presence of a notary public.
  • Include two colored passport-size photos of the applicant.
  • Include a copy of the applicant’s American identity card and an Iraqi ID card (Jinsya).
  • 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.