High Commission of India-Islamabad Visa …

1 High Commission of India-Islamabad visa Application form for pakistani Nationals For Office Use Only visa Category visa No. Date of Issue Date of Expiry Entry Port Exit Port Duration Days No. of Entries Valid for stay at places specified below for First Visit Second Visit Third Visit TO BE FILLED BY THE APPLICANT Please use ARIAL Font Size 9 only for filling the form . form is to be submitted in duplicate. Section A. Personal Particulars Enter Surname and Name/Date and Place of Birth/Religion as given in passport. In Sex column, write M for Male/F for Female. 1. Surname Photo Paste (do not staple) recent passport size studio photograph (35mm x 45mm) on proper photo paper. The photo should be with straight frontal face of the applicant and with light background. 2. Name 3. Sex 4. Date of Birth 5. Place of birth 6. Religion 7.

2 NIC Card No. 8. Visible identification marks Marital Status Enter complete present and permanent address. If this is not as given in NIC Card, reasons for difference (if any) should be indicated clearly in a separate sheet of paper when submitting the application. All phone numbers should be given with area Address (House/Village/ ): (i) Present: Phone No. Mobile No. Email Address (ii) Permanent: Phone No. Enter present and past occupation/profession with details. 10. Present Occupation 11. Past occupation In case of House wife/ student, give below details of occupation of spouse or father (Mark X in the relevant box of the person whose details you are giving). Name of employer/business Designation/Rank Department Monthly Income (Pak Rs.) Address Tel. No. 12. Father s Name Occupation 13.

3 Spouse s Name Occupation 14. Are/were you in a Military/Semi-Military/Police/Govt. Organization? If yes, please give details. 15. Passport Details Passport No. Date of Issue Place of Issue Date Of Expiry Previous Passport No. If you are holding any other nationality, give details of passport. 16. Any other foreign passport/identity certificate held: (Yes/No) If yes, give details below: Country of Issue Passport/IC No. Date of Issue Place of Issue Nationality/Status described therein 2 Section B. visa Information 17. visa Information Enter type of visa required depending upon purpose of visit - Visitor/Business/Conference/Medical/ Student/ Journalist (Refer to instructions for explanation of various visa types) Type of visa Purpose of visit No. of Entries Visas are normally issued for only one entry (Single entry). Applicants for business visas may apply for up to 3 entries (Single/Double/Triple).

4 No. of Entries Period of Stay (days) Date of journey The entry/exit point and mode of travel (for onward/return journeys) should be the same. Designated entry/exit points and available modes of travel are: Delhi by Air/Mumbai by Air/Chennai by air; Attari by Train/Munabao by Train; Wagah by Bus (this option should be given by those using Delhi-Lahore/Amritsar-Lahore/Amritsar-Na nkana Sahib bus services) (pls. mention one of these options) Entry/Exit Point & Mode of Travel If you have been issued an Indian visa before, please mention details of the last visa below: Previous Indian visa No. Date of Issue Type of visa 18. Has permission to visit or to extend stay in india previously been refused? If so, when and by whom (Mention Control No. and date also) 19. Details of previous pending application or unavailed visa , if any (with visa ): In case of any unavailed visa please attach the Immigration sheets (in original) while submitting the application.

5 20. Places of visit (More than one entry is allowed only in case of Business visa ) First Entry Second EntryThird Entry Place State PlaceStatePlace State1. 2, 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Instruction for Col. 21. For each place of visit, enter name/address/telephone number of - (i) relative/friend in the case of visitor visa (ii) business associate in case of business visa (iii) conference organizer in the case of conference visa (iv) head of academic institution in case of student visa (v) doctor and hospital in case of medical visa 3 21. Address of relatives/business associates/contact persons at places of visit (in the same order as in Col.)

6 20): ( visa is Not Valid for Protected/Cantonment Areas) Name and Father s Name (Enter as Name S/o Father s Name) Relationship with applicant Office Village/Town/City District/State Telephone No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 22. Address at place of stay (in the same order as in Col. 20) Place Address District/State Telephone No. 1. 2. 3. 4.

7 5. 6. 7. 8. 9. 10. 11. 12. 23. For Transit visa Only Transit visa applicants must ensure that their passport is valid for the country of destination and contains a valid visa . Place of final destination 24. If you have migrated from india to Pakistan on or after 1stMarch, 1947, please state:(i) Approximate date of migration: (ii) Address in india before migration: 25. I hereby declare that all the statements and information given by me in this application are true to the best of my knowledge and belief. I also declare that I have not submitted any application for visa to visit india under any other name, surname, maiden name etc and that the passport held by me as indicated in column 15 is the only valid pakistani passport that I hold. I realize that should any of the above statements be found to be false, untrue or incorrect, my visa will be liable to cancellation by any competent authority and I will be liable to such other penalties as may be prescribed.

8 Place: Date: _____ Signature of applicant