Contact information
Registration of Indians Stranded in Fiji, Cook Islands, Kiribati, Nauru, Tonga, Tuvalu and Vanuatu
1. Name *
Email *
2. Gender *
3. Date of Birth *
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4. Passport No. *
5. Passport Expiry Date *
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6. Nationality *
7. If not Indian National, please provide OCI/PIO Card no. *
8. Present Visa Type and Status in host Country *
9. Arrival date in Host Country *
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DD
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YYYY
10. Visa Expiry date in Host Country *
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11. Name, Date of birth, Relation and Passport No of all other family members travelling with you (if alone, mention NIL) *
12. Address in host country *
13. Local phone number (if any)
14. Address in India *
15. Destination City/Town *
16. Destination State *
17. India Phone Number (if any)
18. Indian International Airport nearest to your home
19. Name, address and phone number of Next of Kin in India
20. Any special condition or personal circumstances which you would like to mention
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