Scribd Logo
Upload

Welcome to Scribd!

  • 135 views

    Tele

    Uploaded by

    camilo rincón
    This document is a visa application form submitted by Mayerly Fernanda Ferreira Ballesteros, a Colombian citizen. She is applying for a 6-month tourist visa to visit India. Some key details provided include her personal information like date of birth and passport details, contact information, family details, and the purpose and duration of her planned visit to India from November 28th, which will include cities like New Delhi, Agra, and Jaipur. She declares that the information submitted is complete and correct.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Tele

    Uploaded by

    camilo rincón
    135 views2 pages
    This document is a visa application form submitted by Mayerly Fernanda Ferreira Ballesteros, a Colombian citizen. She is applying for a 6-month tourist visa to visit India. Some key details provided include her personal information like date of birth and passport details, contact information, family details, and the purpose and duration of her planned visit to India from November 28th, which will include cities like New Delhi, Agra, and Jaipur. She declares that the information submitted is complete and correct.

    Original Description:

    tele

    Original Title

    tele

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is a visa application form submitted by Mayerly Fernanda Ferreira Ballesteros, a Colombian citizen. She is applying for a 6-month tourist visa to visit India. Some key details provided include her personal information like date of birth and passport details, contact information, family details, and the purpose and duration of her planned visit to India from November 28th, which will include cities like New Delhi, Agra, and Jaipur. She declares that the information submitted is complete and correct.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    135 views2 pages

    Tele

    Uploaded by

    camilo rincón
    This document is a visa application form submitted by Mayerly Fernanda Ferreira Ballesteros, a Colombian citizen. She is applying for a 6-month tourist visa to visit India. Some key details provided include her personal information like date of birth and passport details, contact information, family details, and the purpose and duration of her planned visit to India from November 28th, which will include cities like New Delhi, Agra, and Jaipur. She declares that the information submitted is complete and correct.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Paste your unsigned

    recent color photograph.


    Size: 2” X 2”

    Visa Application Form

    Signature
    COLB00429016

    A. Personal Particulars (As in Passport)


    Surname (As in Passport) FERREIRA BALLESTEROS
    Given Nam e (As in Passport) MAYERLY FERNANDA
    Previous/other Name if any
    Sex Female Marital Status Single
    Date of birth 18-FEB-1992 Religion CHRISTIAN
    ARATOCA COLOMBIA
    Application Id :COLB00429016

    Place of Birth Town/City Country of Birth


    Citizenship /National ID No 1098357559 Educational Qualification GRADUATE
    Visible identification marks NONE
    Current Nationality COLOMBIA Nationality by Birth/ Naturalization BY BIRTH
    Any Other Previous/Past Nationality
    B. Passport Details
    Passport No. AT280035 Date of issue ( dd/mm/yyyy ) 01-NOV-2016
    Place of issue BOGOTA Date of expiry (dd/mm/yyyy) 01-NOV-2026
    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)
    Web Registration Date : 03-NOV-2016

    Nationality/status
    C. Applicant’s Contact Details

    Present
    CARRERA 16A N.1B-59 Phone No

    address PIEDECUESTA Mobile /Cell No 3193871682


    SANTANDER, COLOMBIA 0000 Email address [email protected]

    Permanent CARRERA 16A N.1B-59


    Address
    PIEDECUESTA
    SANTANDER

    D. Family Details
    Relation Name Nationality Prev. Nationality Place/Country of Birth
    ARATOCA
    Father’s ALIRIO FERREIRA HERNANDEZ COLOMBIA COLOMBIA COLOMBIA
    SAN GIL
    Mother’s CARMEN CECILIA BALLESTEROS SILVA COLOMBIA COLOMBIA COLOMBIA

    Spouse

    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)

    Type Of Visa Required TOURIST VISA No of Entries Multiple


    Period of Visa (Month) 6 Month Expected Date of Journey 28-NOV-2016
    Port Of Arrival NEW DELHI Port of Exit NEW DELHI

    MAYERLY FERNANDA FERREIRA BALLESTEROS


    Required Detail of TOURIST VISA
    Places to be Visited NEW DELHI, AGRA, JAIPUR

    Purpose of Visit : TOURISM


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

    Application Id :COLB00429016
    Cities in India Visited
    Type of Visa Visa Number
    Visa Issued Place Date of Issue
    Countries visited in last 10 years

    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 of Spouse
    Present Occupation STUDENT Designation/Rank
    Employer name/business FOSCAL
    Employer Address CLINICA FOSCAL
    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.

    I. Details of Two Reference


    In India In COLOMBIA
    Nam e RAJESH RAJASEKHARAN ELKIN DARIO VARGAS LOPEZ
    Address 37/1622 EASTHILL KAKUZHIPALAM ROAD CALLE 64 3B 60 AP 502
    KARUVASSERY(PO)CALICUT673010 KERALA
    Phone
    0091-9388287059 3013644260
    Number

    J. DECLARATION:

    a. I do not hold any other passport(s) other than those detailed above.
    b. I have read and understood all the conditions for the visit to India and I am willing and able to abide fully by them.
    c. 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.
    d. 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.

    ..……………………………………
    03-NOV-2016
    Date :………………………. Applicant’s signature (as in Passport)

    You might also like