EMBASSY OF INDIA KUWAIT
VISA APPLICATION FORM FOR PAKISTANI NATIONALS (FOR OFFICAL USE ONLY) Granted Visa No. Dated Valid for single journey to India within three months. Valid for stay at places specified below for months/days Places i) ii) iii) iv) Check post of entry into/exit from India ATTARI/DELHI/MUMBAI/CHENNAI Holder accompanied by CHILD(REN) Copy of application forwarded to District State
TO BE COMPLETED BY THE APPLICANT Name in Full: (In Block Letters) Address (H. No./Village/City/Thana Tehsil/Distt/Province). Present
Permanent
Please paste Photograph here
3. a) Father’s Name(in full): b) Husband name (in full): (in case of married woman) Nationality: Address: 4. Date of Birth 6. Religion: 5. Place of Birth: 7. Nationality
8. (i) Distinguishing Marks: (ii) Colour of (a) Eyes (iii) Height
(as described in the passport) (b) Hair: CM
9. Present occupation in detail (with designation rank, name of employer or if in business, the nature of business or if housewife/student. please state occupation of husband/father) 10. Past Occupation 11. Visa applied for () (duration) (ii) (commencing from)
12. Places desired to be visited in India with complete address: (PLEASE STATE CORRECT NAME, FATHER’S / HUSBAND’S NAME, ADDRESS OF RELATIVES IN INDIA) Details about relative/friend No.1 No. 2 No.3 Name Father’s Husband’s Name Relationship House No. Street Mohalla Village Town Post Office(With Postal Index Number Police Station Tehsil District State Whether place lies In Cantt. Areas (say Yes or No) 13. Checkpost of entry into / exit from India (Please see instruction No.4 below) 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. 14. Children, If any accompanying the applicant Name 1) 2) 3) 4) 5) Sex Date of Birth
15. Names, parentage and accurate address of at least two persons in India to whom the applicant is known (other than names mentioned in Column no.12) i) ii) 16. (a) International /Special Pakistani Passport held: No. Issued at With endorsement for journey in India valid up to (b) Details of any other passport (previously held, and if so, whether passport (s) renewed/lost etc No.(s) Issued at On (c) Any other foreign Passport / Identity Certificate held Passport No(s) on
On
Country of issue Issued at Nationality/status ascribed therein 17.
Object of visit (Give detailed information including documentary evidence, if any
18. Has permission to visit or to extend stay in India previously been refused. If so when and by whom 19. Details of last visit : Category, number, date and office of issue of visa previously held, if any 20. Details of previous application 21. FOR TRANSIT VISAS ONLY (i) Place of final destination (ii) Is passport valid of that country ? (iii) Has visa / immigration permit of that country been obtained ? (iv)The address of stay in Delhi / Mumbai
st 22. If you have migrated from India to Pakistan on or after 1 March, 1947, please state : i) Approximate date of migration ii) Address in India before migration
23. Do you / Have you previously belong / belonged to a military / semimilitary police / semipolice organization: YES / NO If the answer is yes, please give details..................................................................................... 24. I hereby declare that all the statement and information given by me in this application are true to the best of any knowledge and belief. I also declare that I hav3e 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 indicated in column 16 is the only passport that I hold. I realize that should any of the above statement 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 : KUWAIT Date : Signature of applicant NAME (in Block Letters)
INSTRUCTIONS 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 to India must hold valid international health certificate. 4. Please mention clearly the check post of entry into/exit from India in column 13. The applicant may choose any one of the following check posts: By Air/Sea By Air By Road By Train 5. Copy of the form returned with visa should be surrendered at the check post of entry into India.