INDAIN e-visa                                                                                                                        


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Email *
Date *
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1. Are you/your spouse/Grandfather/Grandmother (Paternal/ Maternal) are/were Pakistan Nationals or Belong to Pakistan held area? *
2. Passport Type
Clear selection
3. Nationality
4. VISA TYPE
Port Of Arrival
6.Date of Birth
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7.Expected Date of Arrival
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APPLICANT DETAILS
1. Surname *
1.1 Given name (As appearing in passport) *
1.2 Did you change your name
1.2.1 If YES please provide your previous name
2. Sex *
3. City of birth *
4. Country of birth *
5. Citizenship Number or Driving License Number
6. Religion *
7. Visible Identification Mark *
8.Educational Qualification *
9.Nationality Acquisition *
10 Previous Nationality
11. Have you lived for at least  two years in the country where you are applying visa? *
PASSPORT DETAILS(Caution : Minimum Six Months Validity is required)
1 Passport No. *
1.1 Place of issue
1.2 Date of Issue *
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1.3 Date of expiry *
MM
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1.4 Any other valid Passport/Identity Certificate (IC) held
1.5 If YES answer the following
ADDRESS DETAILS
1. PRESENT ADDRESS
2. Phone NO.
3.Permanent Address
DETAILS OF VISA APPLIED
1. Places likely to be visited
1.2 Duration of Visa (in days)
1.3 No. of Entries
1.4 Purpose of visit
PREVIOUS VISA AND INDIA VISIT DETAILS
1. Have you ever visited India before
if YES answer the following
1.1 Address where you stayed in India
1.2 Cities in India visited previously ( comma seperated)
2. Last Indian Visa No.
2.1 Type of Visa
2.2 Place of Issue
2.3 Date of Issue
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2.4 Did your request for permission to visit or to extend stay in India previously was refused
Clear selection
if YES , when and by whom (Mention Control No. and date in the next line)
Control No.
date
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OTHER DETAILS
1 Countries visited in the last 10 years *
1.1 Have you ever visited any of the following countries during last 3 years?
1.2 YEAR
1.3 No. of visits
FAMILY DETAILS
1.Father Name *
1.1 Father's Current Nationality *
1.2 Father's Place of Birth *
1.3 Father's Country of Birth *
2.mothers Name *
2.1 Mother's Current Nationality *
2.2 mother's Place of Birth *
2.3 mother's Country of Birth *
3.Applicants Marital Status *
4.Spouse Name *
4.1 Spouse's Current Nationality *
4.2 Spouse's Place of Birth
4.3 Spouse's country of birth
PROFESSION/OCCUPATION DETAILS
1 Present occupation
1.1 Designation
1.2 Employers/Business Name *
1.3 Employer Address *
1.4 Employer Phone Number
REFERENCE
1 Reference Name in India
1.1 Address *
1.2 Phone *
2. Reference Name in your Home country (to be contacted in case of emergency) *
2.1 Adress *
2.2 Phone *
Please send the following documents to info@quartusbusiness.com seperately *
Required
DECLARATION OF APPLICANT
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A copy of your responses will be emailed to the address you provided.
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