DECLARATION BY APPLICANT - VFS Global

1 DECLARATION BY APPLICANT I,_____ (Surname, name, birthplace, birthdate, address, telephone, and email address) hereby undertake that I shall utilize my visit only for the purpose of which the Visa has been applied for, and shall not on arrival in India try to extend my stay for any other purpose. I also declare that I am present in the Republic of South Africa on the date of making this application and that all the information given by me here is true, accurate and complete. I understand that my visa application is being handled through VFS Visa Processing SA Pty Ltd, service providers in the Republic of South Africa appointed by the Embassy of India, South Africa. I am aware that the granting or refusal of a visa is at the sole discretion of the Embassy of India, South Africa, and VFS is not responsible for the same or for any delay in the receipt or refusal of the visa.

2 The processing of the application, including processing time, is subject to the procedures and timescales of the Indian Embassy of India, over which VFS has no control. I hereby agree to the VFS Visa Processing SA Pty Ltd. Terms and Conditions including the Disclaimer and VFS Data Protection Policy current at the date of my application. I accept that application fees are not refundable, except as covered by VFS's refund policy, and are payable even if a visa is not granted. I accept that VFS limits its liability for replacement of lost passports or other travel documents, to the refund of my application fee, and reimbursement of government fees in accordance with the VFS refund policy. I am responsible for the accuracy of my application form, and I accept that if VFS checks my application form, it does not guarantee that it will find any errors, and does not verify the information I have provided.

3 I accept that VFS excludes all other liability in relation to my application and advice or information given to me, including for breach of contract or negligence Data Protection Act Consent/Waiver I acknowledge and agree that my application and associated data will be processed in accordance with VFS Data Protection Policy, and that my data may be processed by an affiliated company which may be a part of the VFS group of companies or a subcontractor for VFS, and that such processing may take place in India but subject to the same standards as apply in the Republic of South Africa. This policy covers the treatment of any personal data that may be collected when I complete and submit an Application Form. When completing the Forms I may be asked for personal information such as name, telephone number, email, social security number, biometric data, etc. It is only when I supply this type of information that I can be personally identified.

4 Travel related value added services such as Hotels & Logistics; Financial Products such as travel insurance, credit cards, top up cards, etc.; Telecommunication products such as Sim Cards, recharge cards, data cards, etc.; and Travel accessories, are being provided for the benefit of the applicants at the Visa Application Centers by affiliates and partners of VFS. Filling of the requisite details in this consent form, amounts to a request being made by me, for being provided with the information on travel related services being rendered at the Visa Application Centers by the respective service providers including but not exclusive to services for the (electronic) processing and issuance of visa by (departments of) the government of the Republic of India; for receiving calls on the number provided and use the details given above; and for contacting me for sales/promotion of the services being rendered at the Visa Application Centres by the respective service providers.

5 I confirm that I have no objection to the use of details furnished by me in the manner stated above, which have been furnished by me voluntarily. I shall not hold VFS Global liable to any use of the details given by me by the respective service providers for informing me about their services. By signing this explicit consent form I explicitly waive any rights to hold VFS Global liable. I may revoke this explicit consent at any time provided it is done by certified mail Important Note: Suppression of facts or furnishing misleading/false information will result in denial of visa without assigning any reason. Visa fee once tendered is non-refundable and subject to change without notice. After receipt of visa ensure name, spellings, passport number, type and validity visa is given correctly. Visa is valid from date of issue. It is advisable to make travel arrangements after obtaining appropriate visa.

6 PLACE & DATE _____ Signature of the Applicant_____ VFS Visa Processing SA Pty Ltd