Confirm Details

The applicant is requested to verify the particulars filled in the application Form.The applicant may face legal action(including refusal to enter India or deportation) in case of provision of wrong information.
 
Please note down the Temporary Application ID:
 Applicant Details
  Surname
  Name
  Pre Surname
  Pre Name
  Sex
  Marital Status
  Spouse Name
  Spouse Nationality
  Spouse Birth of Place
  Spouse Country of Birth
  Birthdate
  Religion
 
  Place of Birth
  Country of Birth
  Citizenship/National Id No.
  Educational Qualification
  Visible Identification Marks
  Nationality
  Nationality by
  Previous Nationality
 Passport Details 
  Passport No
  Issue Date
  Expiry Date
  Issue Place
  Issue of Other Passport
  Country of Issue of Other Passport
  Other Passport Issue Place
  Other Passport No
  Issue Date of Other Passport
  Nationality Described Therein
 Applicant's Address Details 
  Present Address
 
 
  Postal/Zip Code
  Present Phone No
  Mobile
  Email
  Permanent Address
 
 
 Family Details 
  Father Name
  Father Nationality
  Father Previous Nationality
  Father Place of Birth
  Father Country of Birth
  Mother Name
  Mother Nationality
  Mother Previous Nationality
  Mother Place of Birth
  Mother Country of Birth
  Grandparent details yes/no
  If Yes, give details
 Profession / Occupation Details of Applicant 
  Occupation
 
  Employee Designation
  Employer Name
  Employer Address
  Employer Phone
  Previous Occupation
  Security Agency/Organisation
  Organisation
  Designation
  Posting
  Rank
 Details of Visa Sought 
  Visa Type
  No of Entries Double
  Duration 60 Days
  Journey Date
  Entry Point
  Exit Point
  Purpose
 Previous Visit Details 
  Old Visa Issue
  Old Visa Type
  Old Visa No
  Old Visa Issue Place
  Old Visa Issue Date
  Previous Visit Address
 
 
  Visited Cities Details
  Countries Visited Last 10 year
  Refuse Details/Number of Entry
 Reference 
  Name of Sponsor in India
  Address of Sponsor in India
 
  Phone of Sponsor in India
  Name of Sponsor in Home Country
  Address of Sponsor in Home Country
 
  Phone of Sponsor in Home Country