Embassy of India Riyadh Visa Application Form
PART A Note : To be filled by all applicants for visa with two photographs To be filled in capital letters
Affix one photo here
1. (a) Full Name: Mr./Mrs/Ms.
________________________________________________________________
_________________________________________________________________________________________________ (b) Previous Name (alias), if any : 2. (a) Date of birth 3. (a) Nationality : : _____________________________________________________________ _______________
_______________ (b) Place of birth : _______________
(b) Previous nationality previous or present : 4. Passport Details Place of Issue 5. 6. 7. : : ___________________ ___________________
___________________________________________________ Date of Issue : Validity : ____________________ ____________________
Fathers Name and nationality : Spouses Name and nationality Present Address :
_____________________________________________________________ : __________________________________________________________ City ______________________________________
PB No. _______________ Zip _______________
8.
Permanent Address
: Zip
PB No. _______________ _______________
City
________________________________
9. 10.
Profession
:
__________________________________________________________________________
Whether any children accompanying the applicant are included in his/her passport. If so give the following details :
Name Place and Date of birth Sex Relationship Identification marks, if any
11. 12.
Profession
:
_______________________________________________________________________ _________________________
Have you visited India previously, if so please indicate places with dates :
_________________________________________________________________________________________________
13. Whether permission to visit India or to extend stay has been refused previously, and if so, when. _________________________________________________________________________________________________ _________________________________________________________________________________________________ 14. (a) Period for which visa is required : (b) Date of Arrival in India 15. Type of visa : (Please tick) : ________________________________________________ :_______________
___________________ (c) Date of departure from India Single Triple Double Mutliple
16.
Object of journey : (a) Transit (Please mention place/country to be visited further) (b) Tourism (Please mention places/areas to visited)
______________________________________
_____________________________________________
(c) Business (Please mention contact persons) _______________________________________________________ __________________________________________________________________________________________ Please attach brief description of trade/project/scheme (d) Education _____________________________________________________________________________ __________________________________________________________________________________________ Please mention the name and address of the educational institute ________________________________
__________________________________________________________________________________________ (e) Any other _____________________________________________________________________________
__________________________________________________________________________________________ PART B (Not to be filled by applicants for Tourist Visas) 1. Whether holding valid, ‘No Objection to Return’ endorsement. If so, give particulars. ___________________
_________________________________________________________________________________________________ 2. Destination in India. 3. Port of landing in India. _______________________________________________________________________ _______________________________________________________________________
4. Name and addresses of persons who will furnish information as to applicant and also furnish financial guarantees for maintenance and repatriation if referred to : In Country of the Applicant (i) In India
(ii) 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 to extend my stay for any other purpose. Date : __________________________ Signature_______________________________