59200955705amihc New Visa Form _pak

8/2/2019 59200955705amihc New Visa Form _pak

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H i g h Co m m i ss io n o f I n d i a - I s l a m a b a d

Visa App l i ca t ion Form fo r Pak is tan i Na t ion a ls

For Office Use Only

Visa Category Visa No. Date of Issue Date of Expiry

Entry Port Exit Port Duration Days No. of Entries

Valid for stay at places specified below forFirst Visit Second Visit Third Visit

TO BE FI LLED BY THE APPLI CANT

Pleas e us e ARI AL Fon t S i z e 9 on l y fo r f i l l i ng the fo r m . Fo r m i s to be s ubmi t t ed i n dup l i c a te .

Sect ion A. Persona l Par t icu la rs

En te r Su r name and N ame / D a te and P lac e o f B i r th / R el i g i on as g i v en i n pass po r t . I n Sex c o lumn , w r i te M fo r Ma le/ F fo rFemale .

1. Surname

Photo

Paste ( do no t s tap le )

recent passport size studiophotograph (35mm x 45mmon proper photo paper. Thephoto should be with straighfrontal face of the applicantand with light background.

2. Name

3. Sex 4. Date of Birth 5. Place of birth6. Religion 7. NIC Card No.

8. Visible identification marks Marital Status

En te r c om p le te p r es en t and pe r manen t add r es s. I f t h i s i s no t as g i v en i n N I C Ca r d ,r eas ons fo r d i f fe r enc e ( i f any ) s hou ld be i nd i c a ted c l ea r l y i n a s epa r a te s hee t o f pape r

w h e n s u b m i t t i n g t h e a p p l i ca t i o n .

A l l phone num ber s shou ld be g i v en w i th a r ea c ode .

9. Address (House/Village/Tehsil/Distt./Province):

(i) Present:

Phone No. Mobile No. Email Address

(ii) Permanent: Phone No.

En te r p r es en t and pas t oc cupa t i on / p r o fes sion w i th de ta i l s .

10. Present Occupation 11. Past occupation

In case of House wife/ student, g i v e be low de ta i l s o f oc cupa t i on o f s pous e or father (Mark X in the

relevant box of the person whose details you are giving).

Name of employer/business

Designation/Rank Department Monthly Income (Pak Rs.)

Address Tel. No.

12. Father’s Name Occupation

13. Spouse’s Name Occupation

14. Are/were you in a Military/Semi-Military/Police/Govt. Organization? If yes, please give details.

15. Passport Details Passport No. Date of Issue

Place of Issue Date Of Expiry Previous Passport No.

I f y ou a r e ho ld ing any o the r na t i ona l i t y , g i v e de ta i l s o f pas spo r t .

16. Any other foreign passport/identity certificate held: (Yes/No) If yes, give details below:

Country of Issue Passport/IC No.

Date of Issue Place of Issue

Nationality/Status described therein



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Sec t i on B . V i sa I n f o rm a t i on

17. Visa Information

En te r t y pe o f v i sa r equ i r ed depend ing upon pu r pose o f v i s i t - V i si to r / Bus ines s/ Con fe r enc e/ Med ica l / Studen t /

J ou r na l i s t ( R efe r t o i ns t r uc t i ons fo r ex p lana t i on o f v a r i ous v i s a t y pes )

Type of visa Purpose of visit

‘ N o . o f En t r i es’ – V i s as a r e no r ma l l y i s s ued fo r on l y on e en t r y ( S ing le en t r y ) . App l i can ts fo r bus ines s v is as may app l y

f o r u p t o 3 e n t r i e s ( S i n gl e / D o u b le / T r ip l e ) .

No. of Entries Period of Stay (days) Date of journey

T h e e n t r y / e x i t p o i nt a n d m o d e o f t r a v e l ( f o r o n w a r d / r e t u r n j o u r n e y s) s h o u l d b e t h e sa m e .

D esigna ted en t r y / ex i t po in ts and av a i l ab le modes o f t r av e l a r e :

D e lh i by A i r / Mumba i by A i r / Chenna i by a i r ; At t a r i by Tr a in / Munabao by Tr a in ; Wagah by Bus ( t h i s op t i on s hou ld be

g i v en by thos e us ing De lh i - Laho r e / Amr i t s a r - Laho r e / Amr i t s a r - N ank ana Sah ib bus s er v i c es)

( p l s . men t i on one o f t hes e op t i ons )

Entry/Exit Point & Mode of Travel

I f y ou hav e been i s sued an I nd ian v i s a be fo r e , p l ease men t i on de ta i l s o f the l as t v i s a below :

Previous Indian Visa No. Date of Issue Type of visa

18. Has permission to visit or to extend stay in India previously been refused? If so, when and by whom (Mention ControNo. and date also)

19. Details of previous pending application or unavailed visa, if any (with Visa No./Control No./date): In case of anyunavailed visa please attach the Immigration sheets (in original) while submitting the application.

20. Places of visit (More than one entry is allowed only in case of Business Visa)First Entry Second Entry Third Entry

Place State Place State Place State

1.

2,

3.

4.

5.

6.

7.

8.9.

10.

11.

12.

Instruction for Col. 21.

For each p lac e o f v i s i t , en te r nam e / add r es s/ te l ephone number o f -

( i ) r e l a t i v e / f r i end i n the c as e o f v i s i to r v i s a( i i ) bus iness associa te in case o f bus iness v isa

( i i i ) conference organ i zer in th e case o f con ference v isa

( i v ) head o f ac ademic i ns t i t u t i on i n c as e o f s tuden t v i s a

(v) doc tor and h osp i ta l in case o f m ed ica l v isa



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21. Address of relatives/business associates/contact persons at places of visit (in the same order as in Col. 20):(Visa is Not Valid for Protected/Cantonment Areas)

Name and Father’s Name(Enter as Name S/o Father’s Name)

Relationship withapplicant

H.No./Street/Mohallah/Post Office Village/Town/ City

District/State Telephone No.

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

22. Address at place of stay (in the same order as in Col. 20)

Place Address District/State Telephone No.

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

23. For Transit Visa Only Tr ans it v i s a app l i can ts m us t ens u r e tha t the i r pas s po r t i s v a l i d fo r the c oun t r y o fdes t i na t i on and c on ta ins a v a l i d v i s a.

Place of final destination

24. If you have migrated from India to Pakistan on or after 1st

March, 1947, please state:

(i) Approximate date of migration: (ii) Address in India before migration:

25. I hereby declare that all the statements and information given by me in this application are true to the best of my knowledgeand belief. I also declare that I have not submitted any application for visa to visit India under any other name, surnamemaiden name etc and that the passport held by me as indicated in column 15 is the only valid Pakistani passport that I hold. realize that should any of the above statements be found to be false, untrue or incorrect, my visa will be liable to cancellationby any competent authority and I will be liable to such other penalties as may be prescribed.

Place:Date: __________________________________

Signature of applican

Documents

59200955705amihc New Visa Form _pak