E Visa India

Applicant Information

Personal Information

Passport Type ^*

Nationality ^*

Port Of Arrival ^*

Birthdate ^*

Email ^*

Expected Date Of Arrival ^*

Visa Service ^*

Applicant Details Form

Name (exactly as in your passport) ^*

Have you ever changed your name? If yes, click the box

Gender ^*

Town/City of Birth ^*

Country of Birth ^*

Citizenship/National Id No. ^*

Religion ^*

Visible Identification Marks ^*

Education Qualification ^*

Did you acquire Nationality by birth or by naturalization? ^*

Have you lived for at least two years in the country where you are applying visa? ^*

Passport Details

Passport Number^*

Place of Issue^*

Passport issued date^*

Passport expiry date^*

Any other valid Passport/Identity Certificate(IC) held ^*

Country of Issue

Passport IC Number

Passport issued date

Place of Issue

Nationality mentioned therein

Applicant Address Details

Present Address ^*

Permanent Address ^*

Family Details

Father's Details ^*

Name

Nationality ^*

Previous Nationality ^*

Place of Birth^*

Country of Birth ^*

Mother's Details^*

Name

Nationality ^*

Previous Nationality ^*

Place of Birth^*

Country of Birth ^*

Applicant Marital Status

Applicant Marital Status ^*

Were your Parents/Grandparents (parental/maternal) Pakistan Nationals or Belong to Pakistan held Ares.

If Yes, give details ^*

Details of Visa Sought

Type of Visa^*

Visa Service ^*

Places to be visited ^*

Places to be visited line 2

Have you booked any room in Hotel/Resort etc. through any Tour Operator?

Duration of Visa

No. of Entries ^*

Port of Arrival in India ^*

Expected Port of Exit From India

Previous Visa/Currently valid Visa Deatils

Have you ever visited india before? ^*

Address

Cities previously visited in India

Last Indian Visa No/Currently Valid Visa Number

Type of Visa

Place of Issue

Passport issued date

Has permission to visit or extend stay in India previously been refused?

If so, when and by whom (Mention Control No. and date also)

Other Information

Countries Visited in Last 10 years ^*

If information furnished is found to be incorrect at the time of entry or anytime during stays in India, you will be refused entry.

SAARC Country Visit Details

Have you visited SAARC countries (except your own country) during last 3 years?

Reference

Reference Name in India ^*

Address

Phone

Please mention one contact details in Home Country to be contacted in case of emergency

Reference Name in ALBANIA ^*

Address

Phone

Additional Question Details

Have you ever been arrested/ prosecuted/ convicted by Court of Law of any country?

Have you ever been refused entry / deported by any country including India?

Have you ever been engaged in Human trafficking/ Drug trafficking/ Child abuse/ Crime against women / Economic offense / Financial fraud?

Have you ever been engaged in Cyber crime/ Terrorist activities/ Sabotage/ Espionage/ Genocide/ Political killing/ other act of violence?

Have you ever by any means or medium, expressed views that justify or glorify terrorist violence or that may encourage other to terrorist acts or other serious criminal acts?

Have you sought asylum (political or otherwise) in any country?

I TEST, hereby declare that the information furnished above is correct to be best of my knowledge and belief. In case the inforamtion is found false at any stage, I am liable for legal action/deportation/blacklisting or any other action as deemed fit by the Government of India.

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Copy of Passport page containing personal particulars ^*

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Applicant Information

Applicant Details Form

Passport Details

Applicant Address Details

Family Details

Applicant Marital Status

Details of Visa Sought

Previous Visa/Currently valid Visa Deatils

Other Information

SAARC Country Visit Details

Reference

Additional Question Details

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