VISA APPLICATION FORM Your photograph must be: (Please read these instructions carefully before filling in the application form)

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1 EMBASSY OF PAKISTAN Ailesbury Villa, 1-B, Ailesbury Road, Ballsbridge, Dublin 4 Tel: , Fax: E- Consular section open: Mon Fri 10.00am 01.00pm Please attach 2 Passport size Photograph VISA APPLICATION FORM Your photograph must be: (Please read these instructions carefully before filling in the application form) Passport size (45 mm 1. No column should be left blank. In complete forms with vague entries shall not be accepted. Where YYY high x 35 mm wide) Applicable copies of supportive documents should be submitted along with the application form. 2. Applicants may use extra sheets, incase of insufficient space in the columns of visa forms. A recent and true 3. Two (02) Passport size photographs should be attached with the visa form likeness showing full 4. Normal processing time for visa is 4-6 weeks. face with no hat, 5. Applicants could be asked for interview if required. helmet or sunglasses, 6. On arrival, immigration formalities are mandatory. ( Police registration is applicable in certain cases) although you can wear 7. Attach bank statement for business visit. everyday glasses. 8. Applicants family includes spouse, son, daughter, father, mother 1. Type of visa application for: PART 1 Diplomatic Official Military Business Tourist Family Transit Journalist Others (Specify) 2. Purpose of visit : 3. Duration of visa: 4. Visa required for : Less than 01 month 6 month 1 Year 5. Type of visa: Single Entry Double Entry Multiple Entry I. Port of entry ii. Port of departure iii Place to be visited in Pakistan: a. b. c. d. 6. SECTION 1 ( APPLICANT S DETAILS) I. Name as in passport First Middle Last ii Place of Birth iii. Date of Birth City Country Date Month Year iv. Sex: Male Female v. Blood group

2 vi. Marital Status: Single Married vii. Identification Mark viii. Native language ix. Nationality: (a) Present (b) Previous (c) Dual x. Religion xi. Passport Details: Type of Passport: Diplomatic Official/ Service Ordinary UN Travel Document Passport Number: Date of Issue: Place of Issue Date of Expiry: Issuing Authority: Xii Address & a. Abroad / Country of origin Telephone: (i). Home (ii) work (iii) Cell b. In Pakistan Telephone: (i) Home (ii) Work (iii) Cell . Xiii Is your visit Sponsored? Yes No If yes, give details. Name of Sponcer Address Contact Number Home: Work Cell: Xiv Detail of Profession a. Profession (Please specify Rank/ Service, in case of Armed forces/ uniform Personnel):

3 Note: In case of military services, Please fill in the attached Performa. b. Employer s / Sponcer s detail in Pakistan / Abroad (if applicable). Name Address Telephone Cellular address xv. DETAILS OF JOB IN THE PAST a. Designation b. Department c. Duration (from to) d. Duties e. Address & phone No.: f. Name, address and contact numbers of immediate boss/ head and any other colleague: (Use extra sheet if required) xvi. Are you applying visa from third country? Yes No If yes, please provide copy of Residence / work permit of that country: 7. Section II (Family Details) I Name of Mother ii. Nationality of Mother iii. Name of Father iv. Nationality of Father v. Spouse Details: Name Nationality Date & Place of Birth Profession Name, address and contact number of employer of spouse (if any)

4 Do you have any children? Yes No If yes, Please provide details for each of your child Name: Date of Birth vii. Please List of any accomping person/ family member (including children) travelling with you to Pakistan Full Name Date of Birth Passport Number (if any), Address viii. Do you have any bank account in Pakistan? Yes No Bank Name Branch A/C Number Address Verifier Verifier details 8. TRAVEL HISTORY I. Have you ever visited Pakistan during last five year? Yes No if yes, please provide details Date Destination/ Address Purpose Duration

5 ii. Details of other countries visited, during last two years. Date Destination Purpose Duration iii. Have you ever been refused a visa for any country, including Pakistan? Yes No iv. Have you ever been refused entry on arrival to to Pakistan? Yes No If yes please provide details of refusal. v. Have you ever been deported, removed or otherwise required to leave any country. Including Pakistan? Yes No if yes provide details. Date Country Reason Reference Number (For Pakistan) vi. Do you have any criminal convictions for charged in any country? Yes No if yes, please provide details Date Country Offence Sentence DECLARATION: I declare that the information given in this form is correct to the best of my knowledge and belief and if any of the particulars furnished above are found to be incorrect or withheld the visa is liable to be rejected / cancelled at any time. Dated: Signature of Applicant

6 PROCESSING CERTIFICATION (FOR OFFICIAL USE- NOT TO BE FILLED BY APPLICANT) 1. Date of receipt of visa Application: 2. Registration Number: 3. Visa fee received: 4. Additional documents received: a. b. c. d. 5. Particulars of official who checked the visa from its correctness and supporting documents: a. Name b. Designation c. Date d. Signature 6. Details of Clearance received from Ministry of Interior. No. Date. 7. Decision by officer in-charge. a. Accepted b. Regretted c. Type of issued. d. Duration. e. Single Entry. f. Multiple Entry g. No of entries Date: (Signature of visa Issuing Authority)

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