ࡱ> pro'` 0'bjbj{P{P 8f::8HT?LbrrrMMM???????$BAhCz;?XMMXX;?rrP?p#p#p#XXrr?p#X?p#p#%9\;r@ PGNT: = f?0?::$D!$D4;;$D; MHp#;MMM;?;?#XMMM?XXXX$$  APPLICATION FORM FOR INDIAN VISA (Duly completed form needs to be deposited with VFS (Canada) Inc. Please visit their website  HYPERLINK "http://in.vfsglobal.ca" http://in.vfsglobal.ca for addresses of Collection Centres in Canada, fee schedule and other instructions before filling in the form.) We appreciate if both sides of the paper are used while printing this form. 1. Name in full Mr./ Mrs./ Miss ........................................................................................................ (Block Letters) (First) (Middle) (Last) 2. Previous Name, if any ......................................................................................................................................... 3. Father's Name .................................................................................................................................................................... Present Nationality :.Previous Nationality Please paste / staple one recent photograph here. It should be full frontal photograph with light or white background. (size : 35 mm X 35 mm) 4. Mothers Name ........................................................................................................................................................ Present Nationality : .Previous Nationality 5. Spouses Name & Nationality ..................................................................................................................................................  6. Date of Birth .............................. (Day) .............................. (Month) ....................................... (Year) 7. Place of Birth ................................................................................................................................................................................ (City) (State/Province) (Country) 8. Present Address ................................................................................................................................................................................................ Tel.No . . E-Mail address 9. Profession (Details of present employment) ............................................................................................................... 10. Passport No ................................ Date .......................... Issued at .............................. Expiring on ......FOR OFFICE USE ONLY No. of Visa................................. Date of issue.............................. Type of visa............................. Validity....................................... Period of stay.............................. No. of entries.............................. Visa Fee: C$.............................. Consular Officer11. Present nationality(ies) of the applicant ...............................................................................................................................12. Previous nationality(ies), if any .... 13. Whether the applicant or his parents or grand parents (both paternal and maternal) were holding the nationality of Pakistan at any time. If yes, give complete details on a separate sheet of paper. 14. Whether the applicant acquired citizenship of the country by birth or by naturalization .. 15. Whether visa has been refused previously? If so give details ...............................................................................................16. Countries visited during last 10 years . 17. Details of previous visits to India (If any) . 18. From where the visa was acquired during previous visits ................................................................................................................................19. No. of entries required .................. Period for which visa is required .......... (Single/Double/Triple/Multiple) (six months, one year, five years)20. Purpose of journey: (Tourist/Visitor (Visiting relatives)/Business/Transit/education/ Any other (Please give details) :...................................................................................................................................... 21. Place(s) in India proposed to be visited .................................................................................................................... 22. Telephone number and mobile number of the applicant as well as the sponsor in India : Applicant: Sponsor: . 23. Approximate date of departure from Canada ...................... and arrival in India....................... 24. Addresses and telephone numbers of Friends /relatives/places of stay during the previous travel to India i) ii) \iii) 25. Names and full addresses of two references: IN THE COUNTRY OF APPLICANT  ........ (Ph .No....................................) .. ......... (Ph .No....................................) .. IN INDIA (Not required in cases of Tourist/Transit Visas)......... (Ph .No....................................) .. .. ......... (Ph .No....................................) .. ..26. I , ............................... ...................... hereby undertake that I shall utilize my visit to India for the purpose for which visa has been applied and shall not on arrival in India, try to obtain employment or setup business or extend my stay for any other purpose, I fully understand that if any of the particulars furnished above are found to be incorrect or if any of the information is found to be withheld, the visa is liable to be cancelled at any time.DECLARATION TO BE MADE BY APPLICANTS SEEKING TO STAY IN INDIA FOR MORE THAN 1 YEAR "I hereby undertake that I shall subject myself to a medical test including for AIDS within one month of arrival in India. In case I am found positive for AIDS, I will leave India."Place ............................ Date.............................. Tel : ............... Res :...............................Bus. 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