Embassy of India - Riyadh Additional Visa Application Form for Sri Lankan Nationals
1. Full Name 2. Surname 3. Father’s Full Name 4. Spouse’s Name 5. Place of Birth 7. Sex : : : : : : [………………………………………………………………………………………………………] [………………………………………………………………………………………………………] [………………………………………………………………………………………………………] [………………………………………………………………………………………………………] [………………………] 6. Date of Birth (dd/mm/yy) : […………………………]
[………………………………………………………………………………………………………] [………………………………………………………………………………………………………] [……………………………] Date of Issue: [……………………………………………]
8. Sri Lankan Passport No.: Place of Issue 9. Previous Sri Lankan Passport No. Place of Issue 10. Present Nationality Passport No. Date of Issue : : : : : :
[………………………………………………………………………………………………………] [……………………………] Date of Issue: [……………………………………………]
[………………………………………………………………………………………………………] [……………………………] [……………………………] Place of Issue: [….…………………………………………] Date of Renewal: […...………………………………]
11. Details, if you are dual : citizen
[………………………………………………………………………………………………………]
12. Since when are you : [………………………………………………………………………………………………………] residing in the country of domicile 13. Address in the country of: domicile 14. Present occupation : [………………………………………………………………………………………………………] [………………………………………………………………………………………………………] [………………………………………………………………………………………………………]
15. Date of last visit to India :
16. Whether visa was ever : [………………………………………………………………………………………………………] refused ? If yes, give details 17. Address in Sri Lanka : [………………………………………………………………………………………………………] [………………………………………………………………………………………………………] [………………………………………………………………………………………………………] Single/Double/Multiple […………………………………………………………………………]
18. Exact purpose of visit to : India 19. Duration 20. No. of visits proposed : :
Date
:
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