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Visa Application

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Visa Application

Personal Particulars (As in Passport)

Surname

First Name

Previous/Other Name if any

Sex

MaleFemaleOther

Marital Status

Date of Birth

Religion

Place of Birth

Town/City

Country of Birth

Citizenship/National ID No

Educational Qualification

Current Nationality

Nationality by Birth/Naturalization

Any Other Previous/Past Nationality

B. Passport Details

Passport No.

Date of Issue

Place of Issue

Date of Expiry

Any other Passport/Identity Certificate held

YesNo

Country of Issue

Place of Issue

Passport/IC No

Date of Issue

Nationality/Status

Applicant’s Contact Details

Phone No

Mobile/Cell No

Present Address

Email Address

Permanent Address

Profession/Occupation Details

Present Occupation

Designation/Rank

Employer Name/Business

Employer Address

Employer Phone Number

Past Occupation (if any)

Have you worked with Armed forces/Police/Para Military forces?

YesNo

Organization

Designation

Place of Posting

Rank

I understand that in case the information provided in the form is found to be incorrect, I will be liable for denial of visit/ entry or deportation and/ or other penalties during the visit as provided by Indian law.

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Visa Application

Personal Particulars (As in Passport)

B. Passport Details

Applicant’s Contact Details

Profession/Occupation Details

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