professional documents
home
Upload
docsters
Upload
about me
contact me
user photo
Danish Khan
Software Developer
Software Developer
Grey Matter India Tech...
" When you think that you lost everything, You find out you can always lose a little more.. I'm just going down the road feeling bad, Trying to get to heaven .. before they close the door "
submit clear
Acrobat PDF

VISA application from center doc

 

(PLEASE PRINT IN BLOCK LETTERS ONLY) 1. FULL NAME: 2. LAST NAME AT BIRTH (IF DIFFERENT): 3. MARITAL STATUS: Married Unmarried 4. IF MARRIED GIVE MAIDEN NAME: 5. DATE OF BIRTH 6. SEX: //Male Female 7. PLACE OF BIRTH (CITY, STATE & COUNTRY): 8. CURRENT NATIONALITY: 9. ARE YOU A PERMANENT/LONG-TERM RESIDENT IN USA? Yes No If yes, please furnish photocopy of your GREEN-CARD/Long-term Visa status: ________________________(For Non-US passport holders only) 10. NATIONALITY AT BIRTH: 11. ANY OTHER NATIONALITY HELD AT PRESENT/PAST: 12: PRESENT ADDRESS: 13. PHONE: (HOME) (WORK) 14. PERMANENT ADDRESS: 15. PROFESSION: 16. EMPLOYER’S NAME AND ADDRESS: 17. PASSPORT NUMBER: 18. VALID UNTIL: 19. ISSUED AT: 20. ISSUE DATE: 21. FATHER’S/HUSBAND’S NAME: 22. NATIONALITY OF FATHER/HUSBAND: (First) (Middle) (Last) STAPLE TWO PHOTOS HERE VISA APPLICATION FORM mm dd yyyy PLEASE READ THE INSTRUCTIONS CAREFULLY BEFORE FILLING THE APPLICATION FOR OFFICE USE ONLY Note: This application can be used at the Embassy of India, Washington, DC or at any other Consulate Generals of India provided the applicant resides in states of Consulate’s jurisdiction. PAGE 1 OF 2 Consulate General of INDIA 455 North City Front Plaza Dr., #850 Chicago, IL 60611 Tel: (312) 595-0405 Fax: (312) 595-0416, 0417 http://chicago.indianconsulate.com23. NAME AND NATIONALITY OF MOTHER: 24. TYPE OF VISA REQUIRED (please circle): Tourist___l Business___l Student___l Entry___l Transit___l Journalist___l Conference___l Employment___l Others___l 25. PERIOD OF VISA: 15 Days* l Six Months l One Year l Five Year l Ten Years l (*For Transit only) 26. HAVE YOU EVER VISITED INDIA BEFORE? If yes, give address where you stayed with dates or years: 27. HAS INDIAN VISA OR EXTENSION OF THE SAME EVER BEEN REFUSED TO YOU PREVIOUSLY? Yes No If yes, give details: 28. ARE YOU HOLDING A VALID “NO OBJECTION TO RETURN TO INDIA” ENDORSEMENT? Yes No If yes, give details: 29. OBJECT OF JOURNEY: 30. ARE YOU TRAVELLING ON BEHALF OF A COMPANY? Yes No 31. IF YES, GIVE NAME AND ADDRESS OF COMPANY: 32. EXPECTED DATE OF DEPARTURE FROM USA: 33. EXPECTED DATE OF ARRIVAL IN INDIA: 34. PORT OF ARRIVAL IN INDIA: 35. ARE ANY CHILDREN IN YOUR PASSPORT ACCOMPANYING YOU? Yes No If yes, give details: Full Name Date of Birth Sex (a) (b) 36. NAME AND ADDRESS OF TWO REFERENCES: (a) In India: (b) In applicant’s country: 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 business or extend my stay for any other purpose. Signature of applicant: Place: Date: PAGE 2 OF 2 Unsigned Application May Remain Unprocessed
rate this doc
email this doc
embed this doc
add to folder
digg reddit stumble delicious
flag this doc
338
1
not rated
0
11/1/2007
English
Preview

Brazil Visa Application

PastGallo 10/2/2008 | 16 | 0 | 0 | financial
Preview

China Visa Application

CrisLapuz 10/2/2008 | 45 | 0 | 0 | business
Preview

Application China Travel Visa

Ben_Longjas 10/2/2008 | 90 | 1 | 0 | business
Preview

US Tourist Visa Application

anonymous 10/6/2008 | 16 | 0 | 0 | legal
Preview

US Tourist Visa Application

Chad_Cataman 10/6/2008 | 19 | 0 | 0 | legal
Preview

Visa application form for Turkey

aliko 9/29/2007 | 552 | 5 | 0 | legal
Preview

Visa Application (India)

digitalD 11/2/2007 | 657 | 18 | 0 |
Preview

Application to Add Visa Pages to a Passport

PassportGuide 6/7/2008 | 181 | 0 | 0 | educational
Preview

Application for Entry Tourist VIsa - Government of the Union of Myanmar

BreakingNews 5/23/2008 | 66 | 0 | 0 | legal
Preview

APPLICATION FORM FOR ENTRY VISA

carthi 6/16/2008 | 64 | 5 | 0 | business
Preview

Republic of Indonesia Visa Application - Government Visa Travel

CDCdocs 5/8/2008 | 52 | 0 | 0 | legal
Preview

Republic of Indonesia Visa Application

CDCdocs 5/6/2008 | 32 | 0 | 0 | legal
Preview

APPLICATION FOR IMMIGRANT VISA AND ALIEN REGISTRATION

AID 6/2/2008 | 72 | 0 | 0 | legal
Preview

PEDIDO DE VISTO VISA APPLICATION

Semaj1212 7/10/2008 | 13 | 0 | 0 | business
Preview

PEDIDO DE VISTO VISUMSANTRAG APPLICATION FOR VISA

Semaj1212 7/10/2008 | 40 | 0 | 0 | business
Preview

asp.net assemblies explained

digitalD 6/4/2008 | 89 | 10 | 0 | educational
Preview

motorola_rokr_e6_ENG_Manual

digitalD 3/11/2008 | 24 | 0 | 0 |
Preview

CardSpecs

digitalD 3/11/2008 | 151 | 1 | 0 |
Preview

Motorola Ming A1200 User manual

digitalD 11/21/2007 | 889 | 9 | 0 | technology
Preview

Visa Application (India)

digitalD 11/2/2007 | 657 | 18 | 0 |
Preview

first doc

digitalD 11/1/2007 | 597 | 4 | 1 | business
Preview

New Tax Returns Form for firms, AOPs and BOIs

digitalD 11/1/2007 | 417 | 3 | 0 |
Preview

IT Forms for Return for Fringe Benefits

digitalD 11/1/2007 | 622 | 5 | 0 |
Preview

PAN card application form (India)

digitalD 11/1/2007 | 14875 | 340 | 7 | business
Preview

Income Tax Return Form for Individuals having Income from Salary Pension family pension & Interest

digitalD 11/1/2007 | 1798 | 21 | 0 |
 
review this doc