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    BGDDV123D224MD700902

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    turkyvisapayment
    The document appears to be a visa application form submitted by Md Abdullah Al Mamun to the High Commission of India in Dhaka, Bangladesh. It contains personal details like name, date of birth, passport information, contact details, family information, and purpose of visit which is for tourism, recreation and sightseeing in places like Kolkata and Darjeeling over a period of 12 months. The applicant declares the information provided is complete and correct and that he will abide by the conditions for visiting India if granted a visa.

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    © All Rights Reserved
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    BGDDV123D224MD700902

    Uploaded by

    turkyvisapayment
    55 views2 pages
    The document appears to be a visa application form submitted by Md Abdullah Al Mamun to the High Commission of India in Dhaka, Bangladesh. It contains personal details like name, date of birth, passport information, contact details, family information, and purpose of visit which is for tourism, recreation and sightseeing in places like Kolkata and Darjeeling over a period of 12 months. The applicant declares the information provided is complete and correct and that he will abide by the conditions for visiting India if granted a visa.

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    The document appears to be a visa application form submitted by Md Abdullah Al Mamun to the High Commission of India in Dhaka, Bangladesh. It contains personal details like name, date of birth, passport information, contact details, family information, and purpose of visit which is for tourism, recreation and sightseeing in places like Kolkata and Darjeeling over a period of 12 months. The applicant declares the information provided is complete and correct and that he will abide by the conditions for visiting India if granted a visa.

    Copyright:

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

    BGDDV123D224MD700902

    Uploaded by

    turkyvisapayment
    The document appears to be a visa application form submitted by Md Abdullah Al Mamun to the High Commission of India in Dhaka, Bangladesh. It contains personal details like name, date of birth, passport information, contact details, family information, and purpose of visit which is for tourism, recreation and sightseeing in places like Kolkata and Darjeeling over a period of 12 months. The applicant declares the information provided is complete and correct and that he will abide by the conditions for visiting India if granted a visa.

    Copyright:

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

    HIGH COMMISSION OF INDIA

    Paste your unsigned


    DHAKA(BANGLADESH) recent color photograph.
    Size: 2" X 2"

    Visa Application Form

    Signature

    BGDDV123D224

    A. Personal Particulars (As in Passport)


    Surname (As in Passport) MAMUN
    Application Id : BGDDV123D224

    Given Name (As in Passport) MD ABDULLAH AL


    Previous/other Name if any Not Applicable
    Gender MALE Marital Status MARRIED
    Date of Birth 02-SEP-1970 Religion ISLAM
    Place of Birth Town/City JAMALPUR Country of Birth BANGLADESH
    Citizenship /National ID No 3284229097 Educational Qualification HIGHER SECONDARY
    Visible identification marks NA
    Current Nationality Nationality by Birth/
    BANGLADESH Naturalization BY BIRTH
    Any Other Previous/Past Nationality Not Applicable
    B. Passport Details
    Passport No. A12597453 Date of Issue ( dd/mm/yyyy ) 09-OCT-2023
    Place of Issue DHAKA Date of Expiry ( dd/mm/yyyy ) 08-OCT-2033
    Any other Passport/Identity Certificate held (if yes ,please fill in the following) NO
    Country of Issue Place of Issue
    Web Registration Date : 16-JAN-2024

    Passport/IC No. Date of issue (dd/mm/yyyy)


    Nationality/Status
    C. Applicant's Contact Details
    Present DAG-15325/15326,NORDDAPARA Phone No 01752616019
    Address DAKSHINKHAN, UTTARA Mobile /Cell No 8801752616019
    DHAKA, BANGLADESH 1230 Email address [email protected]

    Permanent KONAMALANCHA, MELANDOHO


    Address FHULKUCHA-2012, JAMALPUR
    JAMALPUR

    D. Family Details
    Relation Name Nationality Prev. Nationality Place/Country of Birth
    JAMALPUR
    Father's MD ABDUL HAI BANGLADESH BANGLADESH BANGLADESH
    JAMALPUR
    Mother's MST FATEMA BEGUM BANGLADESH BANGLADESH BANGLADESH
    JAMALPUR
    Spouse MAHBUBA AKTER BANGLADESH BANGLADESH
    Were your Grandfather/Grandmother(Paternal/Maternal) Pakistan Nationals Or belong to Pakistan held area : NO

    MD ABDULLAH AL MAMUN
    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) 12 Month Expected Date of Journey 01-MAR-2024
    Port Of Arrival BY RAIL NEW JALPAIGURI Port of Exit BY RAIL NEW JALPAIGURI
    Required Detail of TOURIST VISA
    Places to be Visited KOLKATA, DARJEELING

    Purpose of Visit : TOURISM,RECREATION,SIGHT-SEEING


    F. Previous Visit Details
    Have You Ever visited India ? NO
    Address where You stayed in
    India ,
    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 ? NO
    G. Profession/Occupation Details :

    Application Id : BGDDV123D224
    Present Occupation PRIVATE SERVICE Designation/Rank CUSTOM SARKAR
    Employer name/business NUH BD LIMITED
    Employer Address H-44, R-03, MOHANAGAR PROJECT WEST RAMPURA, DHAKA
    Phone Number 01752616019
    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 RAHMAN GUEST HOUSE 33/H/3, MIRZA GHALIB STREET KOLKATA WEST BENGAL. 8240539395,
    2 .,
    3 .,
    4 .,
    I. Details of Two Reference
    In India In BANGLADESH
    Name RAHMAN GUEST HOUSE MAHBUBA AKTER
    33/H/3, MIRZA GHALIB
    Address STREET KONAMALANCHA, MELANDOHO
    KOLKATA - 700 016 KOLKATA
    WEST BENGAL FHULKUCHA-2012, JAMALPUR
    Phone Number 8240539395 01955338887
    K. 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.
    e. I will also submit hard-copy all the uploaded documents along with the print of application to submit to the concerning Indian Mission
    or Agency for processing of visa application.

    16-JAN-2024 ................................
    Date : ...................... Applicant's signature (as in Passport)

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