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INDAIN e-visa
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* Indicates required question
Email
*
Your email
Date
*
MM
/
DD
/
YYYY
1. Are you/your spouse/Grandfather/Grandmother (Paternal/ Maternal) are/were Pakistan Nationals or Belong to Pakistan held area?
*
Choose
choose
no
yes
If YES please STOP here as you are not eligible for e-visa, you have to apply for a regular visa
2. Passport Type
Ordinary
Clear selection
3. Nationality
Choose
USA
ALBANIA
ANDORRA
ANGOLA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BARBADOS
BELGIUM
BELIZE
BOLIVIA
BOSNIA & HERZEGOVINA
BOTSWANA
BRAZIL
BRUNEI
BLGARIA
BURUNDI
CAMBODIA
CAMERON UNION REPUBLIC
CANADA
CAPE VERDE
CAYMAN ISLAND
CHILE
CHINA
CHINA-SAR-HONGKONG
CHINA-SAR MACAU
COLOMBIA
COMOROS
COOK ISLANDS
COSTA RICA
COTE D'LVOIRE
CROATIA
CUBA
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
EAST TIMOR
ECUADOR
EL SALVADOR
ERITREA
ESTONIA
FIJI
FINLAND
FRANCE
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GREECE
GRENADA
GUATEMALA
GUINEA
GUYANA
HAITI
HONDURAS
HUNGARY
ICELAND
INDONESIA
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JORDAN
KENYA
KIRIBATI
LAOS
LATVIA
LESOTHO
LIBERIA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MADAGASCAR
MALAWI
MALAYSIA
MALI
MALTA
MARSHALL ISLANDS
MAURITIUS
MEXICO
MICRONESIA
MOLDOVA
MONACO
MONGOLIA
MONTENEGRO
MONTSERRAT
MOZAMBIQUE
MYANMAR
NAMIBIA
NAURU
NETHERLANDS
NEW ZEALAND
NICARAGUA
NIGER REPUBLIC
NIUE ISLAND
NORWAY
OMAN
PALAU
PALESTINE
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
POLAND
PORTUGAL
REPUBLIC OF KOREA
REPUBLIC OF MACEDONIA
ROMANIA
RUSSIA
RWANDA
SAINT CHRISTOPHER AND NEVIS
SAINT LUCIA
SAINT VINCENT & THE GRENADINES
SAMOA
SN MARINO
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOUTH AFRICA
SPAIN
SRI LANKA
SURINAME
SWAZILAND
SWEDEN
SWITZERLAND
TAIWAN
TAJIKISTAN
TANZANIA
THAILAND
TONGA
TURKS & CAICOS ISLANDS
TUVALU
UAE
UKRAINE
UNITED KINGDOM
URUGUAY
UZBEKISTAN
VANUATU
VATICAN CITY-HOLY SEE
VENEZUELA
VIETNAM
ZAMBIA
ZIMBABWE
4. VISA TYPE
Choose
e-TOURIST VISA : RECREATION /SIGHTSEEING
e- TOURIST VISA : MEETING FRIENDS/RELATIVES
e- TOURIST VISA: SHORT TERM YOGA PROGRAMME
e-MEDICAL VISA: SHORT TERM MEDICALLY TREATMENT OF SELF
e-BUSINESS VISA: TO SET UP INDUSTRIAL /BUSINESS VENTURE
e-BUSINESS VISA : SALE/PURCHASE/TRADE
e-BUSINESS VISA : ATTEND TECHNICAL /BUSINESS MEETINGS
e-BUSINESS VISA : TO RECRUIT MANPOWER
e-BUSINESS VISA : PARTICIPATION IN EXHIBITIONS, BUSINESS/TRADE FAIRS
e-BUSINESS VISA : EXPERT / SPECIALIST IN AN ONGOING PROJECT
e-BUSINESS VISA : CONDUCTING TOURS
e-BUSINESS VISA : TO DELIVER LECTURE/S UNDER GLOBAL INITIATIVE FOR ACADEMIC NETWORKS (GIAN)
Option 8
Port Of Arrival
Choose
AHMEDABAD
AMRITSAR
BAGDOGRA
BENGALURU
CALICUT
CHANDIGARH
COCHIN
COCHIN SEAPORT
COIMBATORE
DELHI
GAYA
GOA
GOA SEAPORT
GUWAHATI
HYDERABAD
JAIPUR
KOLKATA
LUCKNOW
MANGALORE
MANGALORE SEAPORT
MUMBAI
NAGPUR
PUNE
TIRUCHIRAPALLI
TRIVANDRUM
VARANASI
6.Date of Birth
MM
/
DD
/
YYYY
7.Expected Date of Arrival
MM
/
DD
/
YYYY
APPLICANT DETAILS
1. Surname
*
Your answer
1.1 Given name (As appearing in passport)
*
Your answer
1.2 Did you change your name
Choose
Yes
No
1.2.1 If YES please provide your previous name
Your answer
2. Sex
*
Choose
Female
Male
Transgender
3. City of birth
*
Your answer
4. Country of birth
*
Your answer
5. Citizenship Number or Driving License Number
Your answer
6. Religion
*
Choose
BAHAI
BUDDHISM
CHRISTIAN
HINDU
ISLAM
JUDAISM
OTHERS
PARSI
SIKH
ZOROASTRIAN
7. Visible Identification Mark
*
Your answer
8.Educational Qualification
*
Choose
BELOW MATRICULATION
GRADUATE
HIGHER SECONDARY
ILLITERATE
MATRICULATION
NA BEING MINOR
OTHERS
POST GRADUATION
PROFESSIONAL
9.Nationality Acquisition
*
Choose
By Birth
By Naturalization
10 Previous Nationality
Your answer
11. Have you lived for at least two years in the country where you are applying visa?
*
Yes
No
PASSPORT DETAILS(Caution : Minimum Six Months Validity is required)
1 Passport No.
*
Your answer
1.1 Place of issue
Your answer
1.2 Date of Issue
*
MM
/
DD
/
YYYY
1.3 Date of expiry
*
MM
/
DD
/
YYYY
1.4 Any other valid Passport/Identity Certificate (IC) held
Choose
Yes
No
1.5 If YES answer the following
Choose
Country of Issue
Passport /IC No.
Date of Issue
Place of Issue
Nationality
ADDRESS DETAILS
1. PRESENT ADDRESS
Your answer
2. Phone NO.
Your answer
3.Permanent Address
Your answer
DETAILS OF VISA APPLIED
1. Places likely to be visited
Your answer
1.2 Duration of Visa (in days)
Choose
15 Days
30 Days
60 Days
1.3 No. of Entries
Choose
Single
Double
Triple (Only in case of Medical visa )
1.4 Purpose of visit
Choose
Business
Medical Treatment of Self
Meeting Friends / Relatives
Vacation / sightseeing
PREVIOUS VISA AND INDIA VISIT DETAILS
1. Have you ever visited India before
Choose
Yes
No
if YES answer the following
1.1 Address where you stayed in India
Your answer
1.2 Cities in India visited previously ( comma seperated)
Your answer
2. Last Indian Visa No.
Your answer
2.1 Type of Visa
Choose
Tourist Visa
Transfer of Tourist Visa
Business Visa
Transfer of Business Visa
Entry Visa
Medical Visa
Medical Attendant Visa
Missionary Visa
Visit Visa
Journalist Visa
2.2 Place of Issue
Your answer
2.3 Date of Issue
MM
/
DD
/
YYYY
2.4 Did your request for permission to visit or to extend stay in India previously was refused
Yes
No
Clear selection
if YES , when and by whom (Mention Control No. and date in the next line)
Control No.
Your answer
date
MM
/
DD
/
YYYY
OTHER DETAILS
1 Countries visited in the last 10 years
*
Your answer
1.1 Have you ever visited any of the following countries during last 3 years?
Afganistan
Bangladesh
Bhutan
Maldives
Nepal
Pakistan
Srilanka
1.2 YEAR
2017
2016
2015
2014
1.3 No. of visits
Your answer
FAMILY DETAILS
1.Father Name
*
Your answer
1.1 Father's Current Nationality
*
Your answer
1.2 Father's Place of Birth
*
Your answer
1.3 Father's Country of Birth
*
Your answer
2.mothers Name
*
Your answer
2.1 Mother's Current Nationality
*
Your answer
2.2 mother's Place of Birth
*
Your answer
2.3 mother's Country of Birth
*
Your answer
3.Applicants Marital Status
*
Choose
single
married
4.Spouse Name
*
Your answer
4.1 Spouse's Current Nationality
*
Your answer
4.2 Spouse's Place of Birth
Your answer
4.3 Spouse's country of birth
Your answer
PROFESSION/OCCUPATION DETAILS
1 Present occupation
Your answer
1.1 Designation
Your answer
1.2 Employers/Business Name
*
Your answer
1.3 Employer Address
*
Your answer
1.4 Employer Phone Number
Your answer
REFERENCE
1 Reference Name in India
Your answer
1.1 Address
*
Your answer
1.2 Phone
*
Your answer
2. Reference Name in your Home country (to be contacted in case of emergency)
*
Your answer
2.1 Adress
*
Your answer
2.2 Phone
*
Your answer
Please send the following documents to
info@quartusbusiness.com
seperately
*
Informatio Page of your Passport
Passport size picture 2/2 white background
Business Card (Not applicable for Tourist Visa)
Driving license copy
Other:
Required
DECLARATION OF APPLICANT
*
I declare that the information I have given in this application is truthful, complete and correct.
I have read and understand the Terms and Conditions of this website.
Required
A copy of your responses will be emailed to the address you provided.
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