<meta http-equiv="refresh" content="0; URL=no_js.html">
Applicant Details Form

Data saved Successfully.Please note down the Temporary Application ID :
Applicant Details
Surname (exactly as in your Passport)
Surname/Family Name (exactly as in Passport)
Given Name/s (exactly as in your Passport)
Given Name/s (exactly as in Passport).
Visa may not be granted if name in passport and application do not match.
Have you ever changed your name? If yes, click the box and give details.
If You have ever changed your Name Please tell us.
Previous Surname
Previous Surname
Previous Name
Previous given name
Gender
Gender
Date of Birth
Date of Birth as in Passport in DD/MM/YYYY format
Town/City of birth
Province/Town/City of birth
Country of birth
Country of birth
Citizenship/National Id No.
If not applicable Please Type NA
Religion
If Others .Please specify
Visible identification marks
Visible identification marks
Educational Qualification
Educational Qualification
Nationality
Nationality
Did you acquire Nationality by birth or by naturalization?
Did you acquire Nationality by birth or by naturalization?
Have you lived for at least two years in the country where you are applying visa? Yes No
Passport Details
Passport Number
Applicant's Passport Number
Place of Issue
Place of Issue
Date of Issue
In DD/MM/YYYY format
Date of Expiry
In DD/MM/YYYY format.Minimum Six Months Validity is Required from journey date.
Any other valid Passport/Identity Certificate(IC) held, Yes No
If Yes Please give Details
Country of Issue
Country of Issue
Passport/IC No.
Passport No
Date of Issue
Date of Issue (In DD/MM/YYYY format)
Place of Issue
Place of Issue
Nationality mentioned therein
Nationality described therein
* Mandatory Fields