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Nationality ()____________________________________________
Date of birth ( )________________________________________
Email ID______________________________________________________________
Expected date of arrival ( )_____________________
Surname () ___________________________________________________
Given name () _____________________________________________________
Sex () ____________________________________________________________
( )
Town/City of Birth ( ) _____________________________________
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Country of birth ( )________________________________________
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National ID No. ( )______________________________________
Religion ()______________________________________________
Visible identification marks ( )______________________________
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Educational Qualification ( )
1 :
Below Matriculation
Graduate
Higher secondary
Illiterate
Matriculation
Post Graduate
Professional
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 ( ?) ______________________
Place of Issue ( ) ________________________________________
Date of Issue ( )__________________________________________
Date of Expiry ( ) _____________________________________
Any other valid Passport/Identity Certificate(IC) held ( ) __________________________________________
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Present Address ( ) __________________________________________
House No./Street ( ) ___________________________________
Village/Town/City (, ) __________________________________________
State/Province/District (, ) _______________________________________ Postal/Zip Code ( ) __________________________________________
Country () __________________________________________
Phone No ( ) __________________________________________
Mobile No ( ) __________________________________________ Permanent Address ( ) __________________________________________
Family Details :
Name ..
__________________________________ _____________________________________
Nationality __________________________________________
Previous Nationality , _________________
Place of Birth __________________________________________ Country of Birth __________________________________________
Applicants Marital Status ( ?) _________________________________
Spouses Details ( /):
Name .. - __________________________________
Nationality __________________________________________
Previous Nationality , - _________________
Place of Birth __________________________________________ Country of Birth __________________________________________
Were your Grandfather/ Grandmother (paternal/maternal) Pakistan Nationals or Belong to Pakistan held area ( ? ?) __________________________________
Profession / Occupation Details of Applicant ( )
__________________________________
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Are/were you in a Military/Semi-Military/Police/Security. Organization? ( ?) __________________________________
Places likely to be visited ( ) __________________________________
Have you ever visited India befor? ( ?) _________________
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__________________________________
Cities previously visited in India ( ) __________________________________
Last Indian Visa No/Currently valid Indian Visa No. ( ) . __________________________________
Type of Visa ( ) tourist visa lace of Issue ( )
__________________________________ ,
Date of Issue ( ) __________________________________
Has permission to visit or to extend stay in India previously been refused ( ) , __________________________________ __________________________________
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Countries visited in last 10 years ( 10 ): ____
Have you visited SAARC countries (except your own country) during last 3 years? ( , , , , , , - 3 ?) __________________________________
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Reference Name in home country ( ) __________________________________
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