Indian Visa Application Form for Pakistani Nationals - Embassy of India - Canton of Bern Switzerland

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Embassy of India
Berne (Switzerland)
CONTROL NO______________
VISA APPLICATION FORM FOR PAKISTANI NATIONALS
FOR OFFICIAL USE ONLY
Granted Visa No_______________
Dated __________________
Valid for single journey to India within three months, valid for stay at places
specified below for stay at places specified below
for______months/days___________
Places
District
State
i)
ii)
iii)
iv)
Check post of entry into /exit from India ATTARI/DELHI/BOMBAY
Holder accompanied by _____________ CHILD (REN)
Copy of application forwarded to ___________________________________
TO BE COMPLETED BY APPLICANT
1. Name in full ________________________________________________
(In block letters)
2. Address (H.No./Village/City/Thana/Tehsil/Distt./Province)
i. Present
___________________________________________________________________________
___________________________________________________________________________
________________________________________Tel/Mob Number_____________________
ii. Permanent
___________________________________________________________________________
___________________________________________________________________________
________________________________________Tel/Mob Number_____________________
3. (a) Father’s Name (in full)____________________________________
Please paste
.
photograph here
(b) Husband’s Name (in full) _________________________________
(incase of married woman)
(c) Husband’s Nationality
_________________________________________________
(d) Address_________________________________________________________________
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Embassy of India
Berne (Switzerland)
CONTROL NO______________
VISA APPLICATION FORM FOR PAKISTANI NATIONALS
FOR OFFICIAL USE ONLY
Granted Visa No_______________
Dated __________________
Valid for single journey to India within three months, valid for stay at places
specified below for stay at places specified below
for______months/days___________
Places
District
State
i)
ii)
iii)
iv)
Check post of entry into /exit from India ATTARI/DELHI/BOMBAY
Holder accompanied by _____________ CHILD (REN)
Copy of application forwarded to ___________________________________
TO BE COMPLETED BY APPLICANT
1. Name in full ________________________________________________
(In block letters)
2. Address (H.No./Village/City/Thana/Tehsil/Distt./Province)
i. Present
___________________________________________________________________________
___________________________________________________________________________
________________________________________Tel/Mob Number_____________________
ii. Permanent
___________________________________________________________________________
___________________________________________________________________________
________________________________________Tel/Mob Number_____________________
3. (a) Father’s Name (in full)____________________________________
Please paste
.
photograph here
(b) Husband’s Name (in full) _________________________________
(incase of married woman)
(c) Husband’s Nationality
_________________________________________________
(d) Address_________________________________________________________________
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4. Whether the applicant or his parents or grand parents (both paternal and
maternal) were holding the nationality of Pakistan at any time.
(If YES, Please provide details)
____________________________________________________________
____________________________________________________________
____________________________________________________________
5. Date of Birth ____________________6. Place of Birth___________________________
7. Religion__________________________
8. Nationality__________________(By Birth or Naturalization)_____________
9. (i) Distinguishing Marks ______________________(as described by the passport)
(ii) Colour of (a) Eyes _____________ (b) Hair ___________________
(iii) Height ______________________cm
10. Present Occupation in detail (with designation rank, name of employer or if in
Business, the nature of business, if housewife/student please state occupation
of husband/father_________________________student____________________________
11. Past Occupation_______________________________________________________________
12. Visa Applied for (i) __________________________ (ii) ___________________________
(Duration)
(Commencing from)
13. Countries visited during the last 10 years.
______________________________________________________________
______________________________________________________________
______________________________________________________________
14. Places of visit (or break of journey in case of transit visa) desired:
(PLEASE STATE CORRECT NAME, FATHER’S / HUSBAND’S NAME, ADDRESS
OF RELATIVES)
Name__________________1__________2__________3______________4_________
Father’s/Husband’s name______________________________________________________
Relationship______________________________________________________________
House No ________________________________________________________________
Street/Mohalla ___________________________________________________________
Village/Town _____________________________________________________________
Post Office (with Postal Index Number)___________________________________
Police
Station___________________________________________________________________
Tehsil____________________________________________________________________
District___________________________________________________________________
State_____________________________________________________________________
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Whether place lies in Cantt. area (say Yes or No)________________________________
__________________________________________________________________________________
Note: In the vertical column No.1 the applicant should mention only that
place which he would visit first in India. No request for change of this place
will be entertained at later stage.
15. Check post of entry into/exit from India______________________________________
(Please see instruction No.4 below)
16. Children if any, accompanying the applicant
Name
Sex
Date of Birth
i)
_______________
_____________
__________________
ii)
________________
_____________
__________________
iii)
___________________
_____________
__________________
iv)
___________________
_____________
__________________
17. Name, parentage, and accurate address of at least two persons in India whom
the applicant is known
i) ___________________________________________ Tel. Number________________
ii) ___________________________________________Tel. Number________________
18. (a) International/Special Pakistani passport held ___________________________
No _____________________________issued at ________________________________
On __________________________with endorsement for journey in India valid
Up to_______________________________________
(b) Detail’s of any other passport(s) previously held, and if so, whether
passport(s) renewed/lost etc____________ No(s) ______________________
issued at____________________ on______________________________________
(c) Any other Foreign passport /Identity Certificate held ________________
Country of issue_____________________________________________________
Passport No(s) ______________ date of issue___________________________
Nationality/ status ascribed therein___________________________________
19. Object of visit (Give detailed information including documentary evidence, if
any) _________________________________________________________
20. Has permission to visit or to extend stay in India previously been refused, if
so when and by whom_______________________________________________________
______________________________________________________________________________
21. Details of last visit: Category, number, date_________________________________
And office of issue of visa previously held, if any
_________________________________
22. Details of previous application_______________________________________________
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23. FOR TRANSIT VISA ONLY
i. Place of final destination__________________________________________________
ii. Is passport valid for that country?________________________________________
iii. Has visa/immigration permit of that country been obtained?_____________
iv. The address of stay in Delhi/Bombay_____________________________________
_____________________________________________________________________________
24. If you have migrated from India to Pakistan on or after 1
march 1947,
st
please state
i. Approximate date of migration
ii. Address in India before
migration_______________
______________________________
______________________________
________________________
______________________________
________________________
25.Do you/Have you previously belong/belonged to a military/ semi-military
police/semi-police organisation Yes/No
If the answer is yes, please give details_________________________________
_________________________________________________________________________
26. I hereby declare that all the statements and information given by me in this
application are true to the best of my knowledge and belief. I also declare
that I have not submitted any application for visa to visit India under any
other name, surname, maiden name etc. and that the passport held by me at
present as indicate in column 16 is the only passport that I hold. I realise that
should any of the above statements be found to be false, untrue or incorrect
my visa will be liable to cancellation by any competent authority and I will be
liable to such other penalties as may be prescribed.
Place ___________________________
Date ____________________________
Signature of Applicant
I N S T R U C T I O N S
1. Four forms are to be filled in by each applicant
2. Forms which are incorrectly filled in or are incomplete in any respect are
liable to be rejected. If information furnished is found to be incorrect or
deliberately withheld, visa is likely to be refused or cancelled if already
given.
3. A visitor in India must hold valid international health certificate.
4. Please mention clearly the check post of entry into/exit from India in
column 13. The application may choose any one of the following check
posts
By Air/Sea
Bombay
By Air
Delhi
By Road
Attari
By Train
Attari Railway Stations
5. Copy of the form returned with visa should be surrendered at the check
post of entry in India

Download Indian Visa Application Form for Pakistani Nationals - Embassy of India - Canton of Bern Switzerland

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