New Microsoft Word Document 7 - Indian …

Visa Form S. 109-AAPPENDIX 1 Para 3(1)(a) PART-A (Visa Application) (TO BE FILLED BY ALL APPLICANTS FOR VISA) 1. (A) Full Name (In Block Letters) (b) Surname at birth (if different)_____ (c) Father s/Husband s Name_____ Please affix a Passport size photograph here. 2. Whether any children-accompanying applicants are included in his/her passport. If so give the following details: - Name Place and date of birth Sex Relationship Identification Mark (if any) 3. Address: a. Permanent b. Present 4. Date of Birth 5. Place of Birth 6. Present Nationality 7. Any other nationality, previous or present, with dates 8. Profession or Occupation 9. Particulars of passport or other travel documents:- (a) Number_____ (b) Place of Issue_____ (c) Date of Issue_____ (d) Date of Expiry_____ 10.

PART-B (NOT TO BE FILLED BY APPLICANTS FOR TOURIST VISAS) 1. Whether holding valid ‘No Objection to return endorsement’, if so, give particulars_____

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