TRAVEL VISA PRO ORDER FORM. For Concierge INDIA VISA APPLICATION SERVICE* go to the pages #2-4

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1 ORDER FORM Call us for assistance Fax How to fill out India Visa application form online: For Concierge INDIA VISA APPLICATION SERVICE* go to the pages #2-4 For free DO-IT-YOURSELF filling online India Visa app, start on page #5 *-35$ per application fee will apply In San Francisco: 2021 Fillmore St San Francisco, CA Local: (415) In Washington DC: 1802 Vernon St NW Washington, DC Local: (202) In New York: 167 Madison Ave., Ste 201 New York, NY Local: (212) In Houston, TX: 3401 Louisiana St, Ste 130 Houston, TX Local: (713) In Los Angeles: 373 S Doheny Dr, Ste B Beverly Hills, CA Local: (310)

2 ORDER FORM Call us for assistance Fax INDIA VISA APPLICATION CONCIERGE SERVICE * Travel Visa Pro will review your documents and prepare application for you to sign within three hours from receipt of your forms. Requests received outside business hours (5AM PST 5PM PST Monday-Friday) will be completed the following business morning. DO NOT MAIL YOUR HANDWRITTEN APPLICATION: Wait until you receive your completed India Visa application (see sample). Please print it, SIGN IT AT TWO DESIGNATED SPOTS and then mail to Travel Visa Pro with the rest of the documents. To engage in this service, please: Step: #1 Complete the following 3 (THREE) pages to sign up Step: #2 Make a copy of your passport vital pages (signature and photo page) Step: #3 Make a copy of your DRIVER S LICENSE Step: #4 to or fax to the following documents: a) Copy of this payment (see below) b) Copy of your passport c) Copy of handwritten application (2pages) d) Copy of Driver s license. * - If you do not wish to sign up for $35 concierge service, please do application yourself on Indian Government website - and mail us signed application (sign at both designated spots). For detailed instructions see: How to fill out India Application Step-by-Step Guide go to page 5 Requested Processing time (in business days) Documents must be in my possession by: (mm/dd/yyyy) PLEASE RETURN THE COMPLETED FORM FOR ME TO SIGN VIA: FAX: PAYMENT METHOD FOR APPLICABLE FEES: _$35.00 per application * (# of applications) = (grand total) Please add $25 for FedEx Priority Overnight shipping label from me to Travel Visa Pro. Will be ed to you. I hereby authorize Travel & Visa Pro to charge the cost of its professional visa and passport services to the following card. I agree to pay this amount to my credit card company and agree to terms and conditions. I understand that requirements, fees, and processing times are subject to change without prior notice and all fees are non-refundable. Name on Card: Signature: Credit Card #: Expiration Date: / Security Code: mm yyyy Billing Address: Shipping Address: Please bill the remainder of the charges to my card on file. Shipping Address is the same as billing address In San Francisco: 2021 Fillmore St San Francisco, CA Local: (415) In Washington DC: 1802 Vernon St NW Washington, DC Local: (202) In New York: 167 Madison Ave., Ste 201 New York, NY Local: (212) In Houston, TX: 3401 Louisiana St, Ste 130 Houston, TX Local: (713) In Los Angeles: 373 S Doheny Dr, Ste B Beverly Hills, CA Local: (310) In Seattle: 600 First Ave, Ste 425 Seattle, WA Local: (206)

3 India Visa Concierge Form 1. Passport Information (exactly as in Passport) Last Name: First and middle names: Place of birth (city, state, country): Sex: M F Date of Birth: / / City of Birth: Current Nationality: Previous Nationality: Passport #: Passport Issue date: Passport Expiration date: 2. Travel Information: Purpose of Visit: Tourism Business Employment Study Other: Intended number of entries: One Two Multiple Date of entry: / / Port of entry: Places/Cities to be visited in India: Validity of Visa: Six months One year Five years Ten years FULL Address in India (hotel or otherwise) Name of reference or point of contact in India: Have you Ever visited India: Yes No If Yes: Please fill address ere you stayed, cities visited, type of visa issued, visa #, Visa issue place, date of issuance) List any other country you have visited within the last ten years: 3. Personal Information: Home Address (exactly as on Driver s License): Home and Cell Phone: Address: In San Francisco: 2021 Fillmore St San Francisco, CA Local: (415) In Washington DC: 1802 Vernon St NW Washington, DC Local: (202) In New York: 167 Madison Ave., Ste 201 New York, NY Local: (212) In Houston, TX: 3401 Louisiana St, Ste 130 Houston, TX Local: (713) In Los Angeles: 373 S Doheny Dr, Ste B Beverly Hills, CA Local: (310) In Seattle: 600 First Ave, Ste 425 Seattle, WA Local: (206)

4 Occupation: Current employer or school: Business or school address: Business or school phone: Religion: Education Degree: Have you any other valid Foreign Passport Yes No (if yes, please enter nationality, place of issue, passport #, issue and expiration date): Are/have you worked with Armed forces/ Police/ Para Military forces Yes No (if yes, please enter organization, designation, rank, place of posting): If you have any visual Identification marks, please list them here: Marital status: Single Married Divorced Widowed ; Maiden Name (if any) Please list the following information for your family members: RELATIONSHIP FULL NAME DATE OF PLACE OF CURRENT PREVIOUS BIRTH BIRTH NATIONALITY NATIONALITY (if any) MOTHER FATHER SPOUSE (CURRENT OR PREVIOUS) Were your Grandfather/Grandmother(Paternal/Maternal) Pakistan Nationals Or belong to Pakistan held area Yes No Emergency contact in USA: Emergency contact s USA phone number: Emergency contact s address: In San Francisco: 2021 Fillmore St San Francisco, CA Local: (415) In Washington DC: 1802 Vernon St NW Washington, DC Local: (202) In New York: 167 Madison Ave., Ste 201 New York, NY Local: (212) In Houston, TX: 3401 Louisiana St, Ste 130 Houston, TX Local: (713) In Los Angeles: 373 S Doheny Dr, Ste B Beverly Hills, CA Local: (310) In Seattle: 600 First Ave, Ste 425 Seattle, WA Local: (206)

5 How to fill out INDIAN VISA APPLICATION form - step-by-step guide Note: You must use Internet Explorer and Microsoft Windows OS to complete online application. If you use MAC or any other browser (e.g. Safari, Firefox, Opera), it may not work properly! 1. Open Please click on "Online Visa Application Registration to get started 2. Please complete your application. PLEASE BE VERY CAREFUL - ANY TYPOS WILL CAUSE DELAY AND REJECTION OF YOUR APPLICATION. Also, when application is submitted, you are not allowed to do any corrections. Therefore, you will have to re-do it from scratch.

6 3. Select correct consulate office to process your visa. Consulates are jurisdictional. When selecting Indian Mission, please use the following jurisdictional requirements: New York Jurisdiction (on the online application, select USA-NEWYORK): Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Ohio, Pennsylvania, Rhode Island and Vermont. Chicago Jurisdiction (on the online application, select USA-CHICAGO): Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, North Dakota, South Dakota and Wisconsin. Houston Jurisdiction (on the online application, select USA-HOUSTON): Arkansas, Kansas, Louisiana, Oklahoma, Texas, New Mexico, Colorado and Nebraska. San Francisco Jurisdiction (on the online application, select USA-SANFRANCISCO): Alaska, Arizona, California, Guam, Hawaii, Idaho, Montana, Nevada, Oregon, Utah, Washington and Wyoming. Washington, DC Jurisdiction (on the online application, select USA-WASHINGTON): Bermuda, Delaware, District of Columbia, Kentucky, Maryland, North Carolina, Virginia and West Virginia. Atlanta Jurisdiction (on the online application, select USA-ATLANTA): Alabama, Florida, Georgia, Mississippi, Puerto Rico, South Carolina, Tennessee and Virgin Islands.

7 4. Continue with your application. PLEASE BE VERY CAREFUL - ANY TYPOS WILL CAUSE DELAY AND REJECTION OF YOUR APPLICATION. Also, when application is submitted, you are not allowed to do any corrections. Therefore, you will have to re-do it from scratch.

8 5. Continue with your application. PLEASE BE VERY CAREFUL - ANY TYPOS WILL CAUSE DELAY AND REJECTION OF YOUR APPLICATION. Also, when application is submitted, you are not allowed to do any corrections. Therefore, you will have to re-do it from scratch.

9 6. MOST IMPORTANT STEP! Please Verify accuracy of all information. If you leave any typos or errors, you will not be able to EDIT your application. If you are 100% sure that you have corrected all errors, please click "Verified and Continue".

10 7. Please agree to accuracy of your application and click "OK"

11 8. Print your application and sign it. 9. Please sign your application as shown below! Please do not forget that you must sign in two spots!

12 10. If you apply for a child, please include both parents' copies of Passports, Driver's Licenses in your package. 11. If you have any questions, please do not hesitate to call us at or at

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