Visa Form Preview - Globally eVisas

Conformation Details

The applicant is requested to verify the particulars filled in the application Form. The applicant may face legel action(including refusal to enter India or deportation) in case of provision of wrong information

Please verify your Registration Details. if all detais are correct please Press"Verified and Continue". For any correctiona press "Modify/Edit".

Please Note Down the Temorary Application ID:, Application Type :

Port of Arrival:

Applicant Details

Surname

Name

Sex

Marital Status

***

Birth Date

Religion

Plce of Birth

Country Of Birth

Citizenship/National ID No.

Educational Qualification

Visible Identification Marks

Natioanality

Natioanality By

Previous Natioanality

***

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 Pasport

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

Profession / Occupation Details of Applicants

Occupation

Employee Designation

Employer Name

Employer Address

Employer Phone

Previous Occupation

Details of Visa Sought

Visa Type

No of Entries

Multiple

Duration of Visa

360 days from the date of Issue

Duration of Stay in India

180 days from the date of Arrival

Journey Date

Entry Point

Exit Point

Purpose

Previous Visit Details

Visted Cities Details

Countries visted last 10 years

References

Reference Name In India

Reference Address In India

Reference Phone No(India)

Destination Reference Name

Destination Reference Address

Destination Reference Phone