proforma_for_visa by nuhman10


									                  Proforma for VISA Assistance to IVEC-2011 Attendees

The VISA application must be directly submitted to the Indian Embassy / High Commission
in your home country.
The IVEC-2011 organizing committee will try to help you in the VISA process provided you
are able to submit the following proforma duly completed at the earliest date to
<>. However, the conference committee does not take any
responsibility for obtaining VISA for you.
Conference Registration No. (if registered): _______________________________________
Abstract No. ________________________________________________________________
Name of the Delegate (as in passport): ___________________________________________
Father’s/ Husband’s Name (as in passport): _______________________________________
Date of Birth: _______________________________________________________________
Place of Birth: ______________________________________________________________
Nationality: ________________________________________________________________
Passport No.: _______________________________________________________________
Date of Issue of the Passport: ___________________________________________________
Date of Expiry of the Passport: _________________________________________________
Address for Correspondence:
Door No.: ______________________________ Street: ______________________________
City: __________________________________ State/Province: _______________________
Country: _______________________________ PIN / ZIP Code: ______________________
E-mail: ____________________________________________________________________
Phone No.: Country code ___________ Area code ____________ Phone No. ____________
Fax No.:    Country code ___________ Area code ____________ Fax No. ______________
Purpose of Visit: As conference delegate to IVEC-2011                     Yes          No
                 Accompanying spouse/ family                              Yes          No
                  Any other (specify) _____________________________________________
Intended duration of visit: From ________________________ to ______________________
Intend to take pre/ post conference tours:                                Yes          No

If you are planning to visit any places of interest before and after the conference or have any
business meeting, you are advised to declare, that also, in your VISA application
Please forward this form to: <>

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