1. Surname (In Block Letters) _. 2. Name (In Block Letter) _. On (B) Exit point

Transcription

1 VISA APPLICATION FOR PAKISTAN NATIONALS TO BE COMPLETED BY THE APPLICANT (Four copies to be filed by each applicant) PASTE A RECENT PHOTOGAPH HERE 1. Surname (In Block Letters) 2. Name (In Block Letter) 3.Passport No Issued At On (A) Entry Point (B) Exit point 05. Places to Be Visited Address (House Nillage/Tehsil /Distt.../Province) (i) Present ,... e.... Phone No

2 (II) Permanent Phone No (A) Father's NameIHusband's Name in FulL. Nationality Occupation , Phone No. 08. Date of Birth, 09. Place of Birth. 10. Religion 11. Nationality. 12. Distinguishing Marks (As Prescribed In Passport) 13. (A) Present Occupation in Detail (With Designation, Rank, Department, Name of Employer or IfIn Business, the Nature of Business)...., (B) If Housewife/Student, Please State Occupation of Husband/Father (With Designation, Rank, Department, Name of Employer or If in Business, the Nature of Business)...., 14. Past Occupation, 15. Visa Applied For (I) Duration (II) Commencing From. 16. Addresses Of Father's/ House Village Or Police Distr' ct Or Whether Relatives At Husband's No/Street! Town Station Or Street Place Is In Places Of Name Mohalba Post Office Tehsil Cantt Area? Visitors Yes Or No N amelrelation 17: Children If Any Accompanying the Applicant,

3 Name Sex Date Of Birth 18. Name Parentage and Accurate Address of At Least Two Persons in India with Whom the Applicant Is Known, (1') Name ;, Parentage,..., Phone No, (1'1') Name, Parentage,..., Phone No, 19. (A) Details Of Any Other Passport(S) Previously Held. And If So, Whether Passport(S) Renewed or Lost Etc. No (S) Issued At On (B) Any Other Foreign Passport(S) or Identity Certificate Held Country oflssue Passport(S) No Date of Issue Nationality or State Described There In 20. Object of Visit (Give Detailed Information Including Documentary Evidence) 21. Has Permission To Visit Or To Extend Stay In India Previously Been Refused? If So, When And By Whom? (Mention Control No and Date Also) 22. Details of Last Visit, Category, Number, Date and Office ofissue of Visas Previously Held If Any 23. Details of Previously Pending Application or Unavailed Visa. If Any (With Control No and Date)

4 24. FOR TRANSIT VISA ONLY (I) Place of Final Destination (II) Is The Passport Valid For That Country? (III) Has Visa/Immigration Permit Of That Country Been Obtained? (IV) The Address of Stay in India 25. If You Have Migrated From India To Pakistan On After 1st March. 1947, Please State: (i) Approximate Date Of Migration, (ii) Address In India Before Migration 26. Do You /Have You Previously BelonglBelonged To Military/Semi Military/Police/Semi Police Organization? (Answer In Yes Or No) If Yes, Details 27. I Hereby Declare That All the Statements and Information Given By Me in This Application Are True To the Best of My Knowledge and Belief. I Also Declare That I Have Not Submitted Any Application for Visa to Visit India under Any Other Name, Surname, Maiden Name Etc. And That The Passport Held by Me at Present As Indicated In Column 3 Is the Only Passport That I Hold, I Realize That Should Any of the Above Statements Be Found To Be False, Untrue or Incorrect, My Visa Will Be Liable To Cancellation by Any Competent Authority and Will Be Liable To Such Other Penalties As May Be Prescribed. Place. Signature of Applicant

5 ].') FROM Reference No FAX : INDEMBSSYIHICOMIN/CONGENDIA.: HICOMIND, COLOMBO Date (TO BE SUBMITTED BY NON- SRI LANKAN AND NON- RESIDENT SRI LANKAN APPLICANTS) FULL NAME: (FILL IN BLOCK LETTERS) SURNAME : FATHER'S NAME: SPOUSE'S NAME: PLACE OF BIRTH : DATE OF BIRTH : SEX PASSPORT NO : PLACE OF ISSUE: DATE OF ISSUE PREVIOUS PASSPORT NO : PLACE OF ISSUE : DATE OF ISSUE DET AILS, IF YOU ARE A DUAL CITIZEN: PRESENT NATIONALITY: SINCE WHEN YOU ARE RESIDING IN THE COUNTRY OF DOMICILE: ADDRESS IN THE COUNTRY OF DOMICILE: PRESENT OCCUPATION: DA TE OF LAST VISIT TO INDIA: WHETHER VISA WAS EVER REFUSED? IF YES, PLEASE GIVE DETAILS : ADDRESS IN SRI LANKA: EXACT PURPOSE OF VISA TO INDIA: DURATION: NUMBER OF VISITS (SINGLEIDOUBLEfMUL TIPLE) PROPOSED Signature of Applicant