Passport Type |
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E-mail |
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Applicant Details |
Surname (as shown in your Passport) |
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Given Name/s (as shown in your Passport) |
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Have you ever changed your name? |
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Previous Surname |
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Previous Name |
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Gender |
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Date of Birth |
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Town/City of Birth |
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Country of Birth |
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Citizenship/National Id No. |
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Religion |
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Visible identification marks |
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Educational Qualification |
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Nationality |
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Did you acquire Nationality by birth or by naturalization? |
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Prev. Nationality |
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Have you lived for at least two years in the country where you are applying visa? |
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Passport Details |
Passport No. |
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Place of Issue |
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Date of Issue |
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Date of Expiry |
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Any other valid Passport/Identity Certificate(IC) held? |
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Country of Issue |
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Passport/IC No. |
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Date of Issue |
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Place of Issue |
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Nationality mentioned therein |
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Applicant's Address Details |
Present Address |
House No./Street |
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Village/Town/City |
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State/Province/District |
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Postal/Zip Code |
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Country |
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Phone No. |
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Mobile No. |
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Permanent Address ( - check if same address)
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House No./Street |
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Village/Town/City |
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State/Province/District |
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Family Details |
Father's Details |
Name |
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Nationality |
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Previous Nationality |
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Place of Birth |
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Country of Birth |
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Mother's Details |
Name |
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Nationality |
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Previous Nationality |
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Place of Birth |
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Country of Birth |
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Other Details |
Applicant's Marital Status |
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Spouse's Details |
Name |
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Nationality |
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Previous Nationality |
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Place of Birth |
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Country of Birth |
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Were your Grandfather/ Grandmother (paternal/maternal) Pakistan Nationals or Belong to Pakistan held area? |
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If Yes, give details |
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Profession / Occupation Details of Applicant |
Present Occupation |
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Employer Name/business |
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Designation |
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Address |
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Phone |
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Past Occupation, if any |
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Are/were you in a Military/Semi-Military/Police/Security Organization? |
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Organisation |
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Designation |
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Rank |
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Place of Posting |
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Details of Visa Sought |
Service Type |
E-Visa (Indian TVOA) Double Entry Tourist or Business valid for 120 days with max 30 days stay (3 Business Days Processing) - $360.00 (+tax $31.20)
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Promo Code |
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Places likely to be visited |
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Purpose of Visit |
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Expected Date of Arrival |
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Port Of Arrival in India |
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Port Of Exit from India |
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Friends/relatives details |
Full Name of Friend/Relative |
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Address |
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State |
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District |
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Phone |
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Previous Visa/Currently valid Visa Details |
Have you ever visited India before? |
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Address of stay during your last visit |
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Cities previously visited in India |
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Last Indian Visa No/Currently valid Indian Visa No. |
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Type of Visa |
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Place of Issue |
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Date of Issue |
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Has permission to visit or to extend stay in India previously been refused? |
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If so, when and by whom (Mention Control No. and date also) |
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Other Information |
Countries Visited in Last 10 years |
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SAARC Country Visit Details |
Have you visited "South Asian Association for Regional Cooperation" (SAARC) countries (except your own country) during last 3 years? |
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Reference |
Reference Name in India |
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Address |
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Phone |
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Reference Name in Home Country |
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Address |
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Phone |
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Upload |
Upload your photo (jpg, jpeg, pdf, 300KB max) |
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Photo page of Passport containing personal details like name,date of birth,
nationality , expiry date etc. to be uploaded by the applicant. (jpg, jpeg, pdf, 300KB max) |
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Upload scanned copy of the letter from the Hospital concerned in India on its letterhead (jpg, jpeg, pdf, 300KB max) |
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Upload scanned copy of applicant's business card
(jpg, jpeg, pdf, 300KB max) |
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Invitation of the host institute to the foreign faculty
(jpg, jpeg, pdf, 300KB max) |
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Copy of the sanction order under GIAN issued by National Coordinating Institute viz. IIT Kharagpur
(jpg, jpeg, pdf, 300KB max) |
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Copy of the synopsis of the courses to be taken up by the faculty
(jpg, jpeg, pdf, 300KB max) |
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PLEASE NOTE:
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Photo page of Passport uploaded should be of the same passport whose details are provided in
Passport Details section.
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The application is liable to be rejected if the uploaded document is not clear and as per
specification.
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I have verified that the uploaded passport copy has the same details as mentioned in the passport details section.
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I understand and agree that:
1. Processing time should be calculated starting the next business day of the date when the documents are received.
2. Consular and government officials may request additional documentation at their discretion.
3. Issuance of visa, actual processing timing, visa type, its validity term, number of entries and other details are determined exclusively by the embassy/consulate/foreign government body on case by case basis and Visa Center can not be held responsible for this act.
4. Orders cancelled before visa application is filed with the foreign government are subject to full refund minus admin fee of CAD85+tax. No refunds are possible after filing has been completed.
5. Orders submitted in violation of the requirements or containing misrepresentation will be cancelled immediately with full refund minus admin fee of CAD85+tax.
And I also agree to these Terms and Conditions of services by Visa Center.
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