Visa Information for Foreigners other than Bangladeshi Nationals
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HIGH COMMISSION OF INDIA
DHAKA
PART-A
1. (a) Name in full
(Surname in capitals, initials are not acceptable) Mr./Mrs./Mst/Miss SURNAME_____________________FIRST
NAME_________________________MIDDLE NAME___________
(b) Father's/Husband's Name & Nationality________________________________________________________ (c) Surname at birth (if different) ________________________________________________________________ 2. (a) Date of birth _________________________ (b) Place of birth__________________________ 3. Particulars of passport or other travel documents: (a) Number ________________________________ (b) Place of issue ______________________________ (c) Date of issue ____________________________ (d) Date of expiry ______________________________ (e) Profession_______________________________ (f) If any children
accompanying the applicant are included in this passport, please give the
following details:
4. Present Nationality ___________________________________________________________________________ 5. Any other nationality, previous or present, with details _______________________________________________ Address: (a) Permanent __________________________________________________________________________________________ (b) Present ____________________________________________________________________________________________ (c) Local
Telephone: (d)
Mobile (e)
E-Mail
6. Have you visited India previously, if so please indicate places with dates_________________________________ _____________________________________________________________________________________________. <DIV ALIGN=right> <DIV ALIGN=right> </DIV>7. Whether permission to visit India or to extend stay in India has been refused previously. If so, when ___________________________________________________________________________________ 8. (a) Period for which visa is required ____________________________________________________ (Note:- Extension of Transit Visas which are valid for fortnight will not generally be granted) (b)
Number of entries required : Single / Double /
Triple / Multiple 9. Purpose of Visit (a) Transit (b) Tourism(Please indicate places/areas to be visited)__________________________________________________ (c) Business – Please provide following information: Brief
description of the
trade/project/scheme__________________________________________________ Indian Organizations/Persons to be contacted_________________________________________________ (d) Education - Please
indicate name and particulars of the concerned educational
Institution___________________ _____________________________________________________________________________________________ (e) Any other PART-B
(NOT TO BE FILLED IN BY APPLICANTS FOR TOURIST VISAS)
1. Whether holding valid “No objection to return to India” endorsement, if so indicate details 2. State, Town, etc. of destination in India. 3. Port of landing in India 4. Name and address of
persons who will furnish information about the applicant and also furnish
financial guarantees for maintenance and repatriation if required: --
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