E-VISA APPLICATION FOR INDIA


PERSONAL INFORMATION


Enter your Surname (Family Name) exactly as printed on your current passport

Please specify your gender

Nationality, by birth or acquired

Please type in the country of birth as printed on your current passport

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Visible identification marks, such as birth marks, moles, tatoos etc...

Enter your given names exactly as they are printed on your current passport

date/month/year

Please provide the name of the Town/City of birth.

Information required

Educational degrees

Required information

Required information


PASSPORT INFORMATION


date/month/year

Please answer the question.

Please type in the country that has issued your passport

date/month/year


APPLICANT'S ADDRESS DETAILS


Note: A post office box address is not acceptable.

What is the city/town and region/state/province of your residence.

Please provide your cellphone/mobile number including the country code

What is the country of your permanent residence.

Please print the post code (zip code) of your business address.

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FAMILY DETAILS


YOUR FATHER

Father's family name

your father's present nationality by birth or acquired

Please provide father's city or town of birth

Please provide father's country of birth

print NONE if not applicable


YOUR MOTHER

Mother's maiden name

your mother's present nationality by birth or acquired

Please provide mother's city or town of birth

Please provide mother's country of birth

print NONE if not applicable


Please provide an answer

please provide some information


YOUR STATUS

Please select your current status

What is your wife's/husband's surname (family name) ?

What is your spouse's nationality, by birth or acquired ?

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What country was your spouse born in ?

If applicable.


PROFESSION-OCCUPATION DETAILS


Employed or unemployed ?

Please provide the information

Please add country code.

Name of Company

Address of main place of business

Please tell us of any past occupations, or print NONE if not applicable.

Please choose an answer.

If yes please provide the following information
Name of Organization

Please provide information

Please provide information

Please provide information


DETAILS OF VISA SOUGHT


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Please provide information

Please provide information

Please provide information


APPLICANTS COMPANY DETAILS


Please provide information

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Please provide information on your destination

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Please provide complete details : address, phone including country code

Please provide information

Please provide information to the best of your knowledge

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PREVIOUS VISA/CURRENTLY VALID VISA DETAILS


Please select an answer

Please provide information

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Please select an answer

Please provide information


ADDITIONAL INFORMATION


Please provide a list of all the countries you have visited in the last 10 years or print NONE if applicable.


SAARC COUNTRY VISIT DETAILS


Please select an answer.

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Please provide a list of SAARC countries visited

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REFERENCE CONTACTS


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Please provide complete address

Please provide information

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Please provide complete address

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YOUR DOCUMENTS


Your passport should have at least six months validity from the date of arrival in India and two blank pages.

Photographs cannot be older than 6 months. If they are, you will need to get new ones taken.

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DECLARATION

WARNING: Giving false or misleading information or documents is a serious offence.

I declare that:
The information provided in this form is complete, correct and up-to-date.

I understand that if any fraudulent documents or false or misleading information has been provided with this application or if I fail to satisfy the Minister of my identity, my application may be refused and I, and any member of my family unit, may become unable to be granted a visa for a specified period of time.

I understand that if documents are found to be fraudulent or information to be incorrect after the grant of a visa, the visa may subsequently be cancelled.

You must check the YES box to consent.

Please sign this document by printing your name as it appears on the passport you are requesting a visa with.

To sign, enter your name as it appears on your passport.

Payment via Paypal - 176,00 EUR