Sample Indian VISA Application Form

HIGH COMMISSION OF INDIA
Paste your unsigned

recent color photograph.
Size: 2 X 2
DHAKA(BANGLADESH)
Visa Application Form
Signature
BGDDV8643216
Previous/other Name if any

Sex
Web Registration Date : 05-MAR-2016
Application Id :BGDDV8643216
Date of birth
Place of Birth Town/City
Citizenship /National ID No
Visible identification marks
Current Nationality
Male
06-JAN-1970
KHULNA
19704793305012650
NIL
BANGLADESH
Marital Status
Religion
Country of Birth
Educational Qualification
Married
ISLAM
BANGLADESH
HIGHER SECONDARY
Nationality by Birth/ Naturalization
BY BIRTH
Date of issue ( dd/mm/yyyy )
17-MAY-2015
16-MAY-2020
Any Other Previous/Past Nationality

B. Passport Details
BF0687952
DHAKA
Passport No.
Place of issue
Date of expiry (dd/mm/yyyy)
Any other Passport/Identity Certificate held (if yes ,please fill in the following) NO
Country of issue
Place of issue
Passport/IC No
Date of issue(dd/mm/yyyy)
Nationality/status
C. Applicants Contact Details
Present
address
PABLA BANIK PARA,DAULATPUR

DAULATPUR
KHULNA, BANGLADESH 9202
Phone No
Mobile /Cell No
01711584716
Email address
Permanent PABLA BANIK PARA,DAULATPUR

Address
DAULATPUR
KHULNA
D. Family Details
Relation
Name
Nationality
Prev. Nationality
Place/Country of Birth
Fathers
SHAKH SAMIR UDDIN
BANGLADESH
BANGLADESH
KHULNA
BANGLADESH
Mothers
MRS NOOR JAHAN BEGUM
BANGLADESH
BANGLADESH
KHULNA
BANGLADESH
Spouse
MOUSUMI ISLAM
BANGLADESH
BANGLADESH
KHULNA
BANGLADESH
Were your Grandfather/Grandmother(Paternal/Maternal) Pakistan Nationals Or belong to Pakistan held area : NO

E. Details of Visa Sought
(Visa shall be valid from the Date of Issue and not from the Date of Journey)
TOURIST VISA
(Month) 12 Month
BY AIR/ HARIDASPUR
Type Of Visa Required

Period of Visa
Port Of Arrival
SK SHAHIDUL ISLAM
No of Entries
Expected Date of Journey
Port of Exit
Multiple
30-APR-2016
BY AIR/ HARIDASPUR
Appointment Date : 14-MAR-2016 At : 11.30
A. Personal Particulars (As in Passport)

Surname (As in Passport)
ISLAM
Given Nam e (As in Passport) SK SHAHIDUL
Required Detail of
TOURIST VISA
KAZIPARA,BARASAT
BARASAT,N 24 PGS.
Purpose of Visit : TOURISM

F. Previous Visit Details
Have You Ever visited India ?
Address where You stayed in
India
NO
Cities in India Visited

Type of Visa
Visa Issued Place
Countries visited in last 10 years
Application Id :BGDDV8643216
Places to be Visited
Visa Number
Date of Issue
Have you been refused an Indian Visa or extension of the same previously or deported from India ?
If yes above mention when and by whom with control
No/Date
G. Profession/Occupation Details
Present Occupation PRIVATE SERVICE
Designation/Rank
Employer name/business SK SHAHIDUL ISLAM
Employer Address DAULATPUR,KHULNA
Phone Number
Past occupation if any
Are/have you worked with Armed forces/ Police/ Para Military forces ? NO
Organization
Designation
Place of Posting
Rank
H. Address of Place of Stay / Hotel
Place/Hotel Name
Address of Place / Hotel
State
Phone No.
1 KAMAL SIKDER KAZIPARA,BARASAT NORTH 24 PARGANAS WEST BENGAL . 00919088666818,

2 .,
3 .,
4 .,
I. Details of Two Reference
In India
In BANGLADESH
Nam e KAMAL SIKDER
SK RUHUL AMIN
Address KAZIPARA,BARASAT
DEANA,EAST PARA,DAULATPUR,
BARASAT,N 24 PGS.
Phone
00919088666818
Number
KHULNA
01715401161
J. DECLARATION:
a.
b.
c.
d.
I do not hold any other passport(s) other than those detailed above.
I have read and understood all the conditions for the visit to India and I am willing and able to abide fully by them.
I declare that the information given in the form is complete and correct and the visit to India will be undertaken for the
purpose indicated in the application.
I understand that in case the information provided in the form is found to be incorrect, I will be liable for denial of visit/ entry
or deportation and/ or other penalties during the visit as provided by Indian law.
05-MAR-2016
Date :.
..
Applicants signature (as in Passport)
Thank you for evaluating Wondershare PDF Password Remover.

You can only convert 5 pages with the trial version.
To get all the pages converted, you need to purchase the software from:
http://cbs.wondershare.com/go.php?pid=526&m=db

Sample Indian VISA Application Form

Uploaded by

Copyright:

Available Formats

Sample Indian VISA Application Form

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Sample Indian VISA Application Form

Uploaded by

Copyright:

Available Formats

What information is required in the visa application form?

What information is required in the visa application form?

What details need to be provided about previous visits to India?

What details need to be provided about previous visits to India?

HIGH COMMISSION OF INDIA

Paste your unsigned

Visa Application Form

Previous/other Name if any

Web Registration Date : 05-MAR-2016

Nationality by Birth/ Naturalization

Date of issue ( dd/mm/yyyy )

Any Other Previous/Past Nationality

Date of expiry (dd/mm/yyyy)

PABLA BANIK PARA,DAULATPUR

Permanent PABLA BANIK PARA,DAULATPUR

SHAKH SAMIR UDDIN

MRS NOOR JAHAN BEGUM

Were your Grandfather/Grandmother(Paternal/Maternal) Pakistan Nationals Or belong to Pakistan held area : NO

Type Of Visa Required

Appointment Date : 14-MAR-2016 At : 11.30

A. Personal Particulars (As in Passport)

Purpose of Visit : TOURISM

Cities in India Visited

1 KAMAL SIKDER KAZIPARA,BARASAT NORTH 24 PARGANAS WEST BENGAL . 00919088666818,

Thank you for evaluating Wondershare PDF Password Remover.

You might also like