"Indian Visa Application Form - High Commission of India, Victoria-Mahe, Seychelles"

ADVERTISEMENT
ADVERTISEMENT

Download "Indian Visa Application Form - High Commission of India, Victoria-Mahe, Seychelles"

434 times
Rate (4.4 / 5) 26 votes
FOR OFFICIAL
HIGH COMMISSION OF INDIA
USE ONLY
P.O. Box 488, Le Chantier,
Victoria, Mahe (Seychelles)
FEE: SR …………
Phone: +248 610301
AFFIX ONE
Fax:
+248 610308
RECEIPT No. ……..
PHOTO HERE
VISA APPLICATION FORM
(TO BE FILLED IN CAPITAL LETTERS)
Application received between 0800 hrs – 1200 hrs only
The other photo to be
stapled with the application.
PART A
1.
(a) Full Name: Mr./Ms.:________________________________________________________________
(b) Father's Name: ____________________________________________________________________
(c) Spouse's Name (if applicable): _______________________________________________________
2.
Whether any children accompanying the applicant are included in his / her passport. YES /NO, give the
following details: Name: _____________________________Place of Birth: ______________________
Date of Birth: ____________________________ Relationship: ________________________________
3.
Address:
(a) Permanent: ___________________________________________________________________
(b) Present: ______________________________________________________________________
(c) Tel. Number: (office) ________________ (home) _________________ (mobile) ____________
(d) Email address_________________________________________________________________
4.
Date of Birth: ________________________________________________________________________
5.
Place and Country of Birth: _____________________________________________________________
6.
Present Nationality: ___________________________________________________________________
7.
Any other Nationality? YES/NO ________ Previous: ________________ Present: _________________
If YES: Passport No _____________________________ Place of Issue: _______________________
Date of Issue ________________________ Date of Expiry____________________________________
8.
Occupation: _______________________ Name of the Organization: ___________________________
9.
Particulars of Passport or other travel document:
(a) Number: __________________________ (b) Place of Issue: _______________________________
(c) Date of Issue: _____________________ (d) Date of Expiry: _______________________________
10.
Have you visited India previously, if so indicate places with dates: _____________________________
___________________________________________________________________________________
___________________________________________________________________________________
11.
Whether permission to visit India or extended stay in India has been refused previously if so when?
___________________________________________________________________________________
12.
Period for which visa is required: _____________________ No. of entries: single/double/triple/multiple
Date of entry into India: _________________ Date of departure from India: _____________________
13.
Object of entry into India: Tourism/Medical/Medical escort/ Business / Education / Employment / Visit
Relatives or any other_________________________________________________________________
14.
Port of entry in India: _______________________________________________________________
15.
Port of departure from India: ___________________________________________________________
16.
Place / Areas to be visited: _____________________________________________________________
P.T.O
FOR OFFICIAL
HIGH COMMISSION OF INDIA
USE ONLY
P.O. Box 488, Le Chantier,
Victoria, Mahe (Seychelles)
FEE: SR …………
Phone: +248 610301
AFFIX ONE
Fax:
+248 610308
RECEIPT No. ……..
PHOTO HERE
VISA APPLICATION FORM
(TO BE FILLED IN CAPITAL LETTERS)
Application received between 0800 hrs – 1200 hrs only
The other photo to be
stapled with the application.
PART A
1.
(a) Full Name: Mr./Ms.:________________________________________________________________
(b) Father's Name: ____________________________________________________________________
(c) Spouse's Name (if applicable): _______________________________________________________
2.
Whether any children accompanying the applicant are included in his / her passport. YES /NO, give the
following details: Name: _____________________________Place of Birth: ______________________
Date of Birth: ____________________________ Relationship: ________________________________
3.
Address:
(a) Permanent: ___________________________________________________________________
(b) Present: ______________________________________________________________________
(c) Tel. Number: (office) ________________ (home) _________________ (mobile) ____________
(d) Email address_________________________________________________________________
4.
Date of Birth: ________________________________________________________________________
5.
Place and Country of Birth: _____________________________________________________________
6.
Present Nationality: ___________________________________________________________________
7.
Any other Nationality? YES/NO ________ Previous: ________________ Present: _________________
If YES: Passport No _____________________________ Place of Issue: _______________________
Date of Issue ________________________ Date of Expiry____________________________________
8.
Occupation: _______________________ Name of the Organization: ___________________________
9.
Particulars of Passport or other travel document:
(a) Number: __________________________ (b) Place of Issue: _______________________________
(c) Date of Issue: _____________________ (d) Date of Expiry: _______________________________
10.
Have you visited India previously, if so indicate places with dates: _____________________________
___________________________________________________________________________________
___________________________________________________________________________________
11.
Whether permission to visit India or extended stay in India has been refused previously if so when?
___________________________________________________________________________________
12.
Period for which visa is required: _____________________ No. of entries: single/double/triple/multiple
Date of entry into India: _________________ Date of departure from India: _____________________
13.
Object of entry into India: Tourism/Medical/Medical escort/ Business / Education / Employment / Visit
Relatives or any other_________________________________________________________________
14.
Port of entry in India: _______________________________________________________________
15.
Port of departure from India: ___________________________________________________________
16.
Place / Areas to be visited: _____________________________________________________________
P.T.O
PART B
1.
Name and address of persons who will furnish information about the applicant and also furnish
financial guarantees for maintenance and repatriation, if referred to:
IN THE COUNTRY OF THE APPLICANT
(a)
____________________________________ (b) ________________________________________
____________________________________
________________________________________
____________________________________
________________________________________
IN INDIA
(a)
____________________________________ (b) ________________________________________
____________________________________
________________________________________
____________________________________
________________________________________
PART C
(TO BE SIGNED BY ALL APPLICANTS)
I __________________________________________ hereby declare that I am not holding an Indian Passport after
acquiring Seychelles Nationality. (For applicants of Indian Origin Only)
I __________________________________________hereby undertake that I shall utilize my visit to India for the
purpose for which the visa has been applied for and shall not, on arrival in India try to obtain employment or set up a
business or to extend my stay for any other purpose
Date: ______________________________ Signed: ________________________________________
______________________________________________________________________________________
REQUIREMENTS:
1.
Visa application form duly filled in & signed.
2.
Original Passport valid for at least 6 months.
3.
Correct visa fee to be paid in cash before 12 noon.
Two passport size photographs – one affixed on the form in the box and the other kept stapled with the application
4.
5.
Copy of NIN card
6.
Copy of GOP (for non Seychellois)
7.
Supporting documents as prescribed and demanded by Consular officer on duty.
NOTE: FEE, ONCE PAID, CANNOT BE REFUNDED EVEN IF THE APPLICATION IS WITHDRAWN OR SERVICE REFUSED.
Page of 2