new applicaton form visa

8/19/2019 New Applicaton Form Visa

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Ministry of Home Affairs

APPLICATION FORM FOR VISA RELATED SERVICES

Please fill in particulars in CAPITAL LETTERS (in English) and submit this in Visa

Facilitation Centre in Jaisalmer House, Man Singh Road, New Delhi.

Note : Attach photocopy of Passport and visa pages and al so essential documents in support of

request.

PART – A

1. Name (Mr/Mrs/Ms) :

2. Husband’s/Father’s Name :

3. Date of birth :

4. Nationality :

NUMBER VALID

FROM TO5. Passport

NUMBER TYPE VALID DATE OF ENTRY RESTRICTED FOR

From To6. Visa

7. Address in India

PART – BI require the following service ( Please “v “ against Col. 3 as applicable and “X” rest Cols.

Also fill Col. 2

1 2 3

i) Visa extension upto (with conversion to ___________type visa)

ii) Regularisation of overstyal from (indicate date)

iii) Permission to exit by (indicate date)

From Toiv) Endorsement of visa in new passport obtained while in India

(Indicate date of issue of Passport and upto which date visa

required)

From To

v)*

Permission to change port of exit

From Tovi)

**Permission to change mode of travel

vii) **Permission to visit additional places (indicate names of places)* Applicable to Bangladesh nationals.

** Applicable to Pak nationals.

( Signature of applicant with date )



-: 2 :-

Government of India


(Foreigners’ Division)

( For off ice use )

Subject to usual checks and no local objection, the following change may be endorsed on the

applicant’s current passport :-

i) Extension of visa from ______________ to ________________.

ii) Conversion of visa from ______________type to ____________type.

iii) Permit exit by ______________________.iv) Permit Port change to _________________.

v) Endorse visa in New Passport.

2. This issues with the approval of the competent authority.

(Signature & Seal of issuing Authority)

F.R.R.O/F.R.O.,___________________________________________________________________

MHA U.O. No. dtd.




APPLICATION FORM FOR VISA RELATED SERVICES

Please fill in particulars in CAPITAL LETTERS (in English) and submit this in Visa

Facilitation Centre in Jaisalmer House, Man Singh Road, New Delhi.

Note : Attach photocopy of Passport and visa pages and al so essenti al documents in suppor t of

request.

PART – A

1. Name (Mr/Mrs/Ms) :

2. Husband’s/Father’s Name :

3. Date of birth :

4. Nationality :

NUMBER VALID

FROM TO5. Passport

NUMBER TYPE VALID DATE OF ENTRY RESTRICTED FOR

From To6. Visa

7. Address in India

PART – BI require the following service ( Please “v “ against Col. 3 as applicable and “X” rest Cols.

Also fill Col. 2

1 2 3

i) Visa extension upto (with conversion to ___________type visa)

ii) Regularisation of overstyal from (indicate date)

iii) Permission to exit by (indicate date)

From Toiv) Endorsement of visa in new passport obtained while in India

(Indicate date of issue of Passport and upto which date visa

required)

From To

v)*

Permission to change port of exit

From Tovi)

**Permission to change mode of travel

vii) **Permission to visit additional places (indicate names of places)* Applicable to Bangladesh nationals.

** Applicable to Pak nationals.

( Signature of applicant with date )



-: 2 :-

Government of India


(Foreigners’ Division)( For off ice use )

Subject to usual checks and no local objection, the following change may be endorsed on the

applicant’s current passport :-

v) Extension of visa from ______________ to ________________.

vi) Conversion of visa from ______________type to ____________type.

vii) Permit exit by ______________________.

viii) Permit Port change to _________________.

v) Endorse visa in New Passport.

2. This issues with the approval of the competent authority.

(Signature & Seal of issuing Authority)

F.R.R.O/F.R.O.,__________________________________________________________________MHA U.O. No. dtd.

Space for internal noting and orders (on dupl icate copy)

new applicaton form visa

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