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Ensure a Smooth Journey: Apply for Your India eVisa Online Before Departure.
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Electronic Visa Application Form
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-
Step
1
of 6
Nationality
*
Select Country/Region of Your Travel Document
Afghanistan
Albania
Andorra
Angola
Anguilla
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Barbados
Belarus
Belgium
Belize
Benin
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burundi
Canada
Cambodia
Cameroon Union Republic
Cape Verde
Cayman Island
Chile
Colombia
Comoros
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guernsey
Guinea
Guyana
Haiti
Honduras
Hungary
Iceland
Indonesia
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kyrgyzstan
Laos
Latvia
Lesotho
Liberia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Mali
Malta
Marshall Islands
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Netherlands
New Zealand
Nicaragua
Niger Republic
Niue Island
Norway
Oman
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Republic of Korea
Romania
Russia
Rwanda
Saint Christopher and Nevis
Saint Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
South Africa
Spain
Sri Lanka
Suriname
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Turks & Caicos Island
Tuvalu
UAE
Uganda
Ukraine
United Kingdom
Uruguay
USA
Uzbekistan
Vanuatu
Vatican City-Holy See
Venezuela
Vietnam
Zambia
Zimbabwe
Countries not listed above are not eligible for an eVisa
Passport type
*
Ordinary passport
Official passport
Diplomatic passport
Service passport
Special passport
Please select your passport type
Port of arrival
*
Ahmedabad Airport
Amritsar Airport
Bagdogra Airport
Bengaluru Airport
Bhubaneshwar Airport
Calicut Airport
Chandigarh Airport
Chennai Airport
Chennai Seaport
Cochin Airport
Cochin Seaport
Coimbatore Airport
Delhi Airport
Gaya Airport
Goa Airport (Dabolim)
Goa Airport (Mopa)
Goa Seaport
Guwahati Airport
Hyderabad Airport
Indore Airport
Jaipur Airport
Kannur Airport
Kolkata Airport
Lucknow Airport
Madurai Airport
Mangalore Airport
Mangalore Seaport
Mumbai Airport
Mumbai Seaport
Nagpur Airport
Portblair Airport
Pune Airport
Tiruchirapalli Airport
Trivandrum Airport
Varanasi Airport
Vishakhapatnam Airport
E-mail address
*
Re-enter E-mail address
*
Please ensure that your e-mail address is correct
Visa type
*
Tourist Visa (30 days)
Tourist Visa (1 year)
Tourist Visa (5 years)
Medical Visa
Business Visa
Conference Visa
Medical Attendant Visa
Please select your desired visa type
Purpose of your visit
*
Tourism, Recreation, Sight-Seeing
Meeting Friends/Relatives
Short Term Yoga Programme
Short Term Courses on Local Languages, Music, Dance, Arts & Crafts, Cooking, Medicine Etc. Which Should Not Be a Formal or Structured Course/Programme (Courses Not Exceeding 6 Months Duration and Not Issued with a Qualifying Certificate/Diploma Etc)
Voluntary Work of Short Duration (For a Maximum Period of One Month, Which Do Not Involve Any Monetary Payment or Consideration of Any Kind in Return)
Please select the primary purpose of your visit
Purpose of your visit
*
To Set Up Industrial/Business Venture
Sale/Purchase/Trade
Attend Technical/Business Meetings
To Recruit Manpower
Participation in Exhibitions, Business/Trade Fairs
Expert/Specialist in Connection with an Ongoing Project
Conducting Tours
To Deliver Lecture/s Under Global Initiative for Academic Networks (GIAN)
PLI/SPECS/EMC 2.0 Scheme
Sports Related Activity
To Join the Vessel
Please select the primary purpose of your visit
Date of Arrival in India
*
The validity period of your e-Visa will begin on the date you enter India.
Name (as shown in the passport)
*
First
Last
If you have a middle or second name, type all your names in sequence after your first name, with a space between each.
I have all the required travel documents in scanned pdf format or photograph in jpg/jpeg format
*
Confirm
1) Applicant's recent colored photograph, 2) Copy of Passport page
Next
Previous Name (if applicable)
First
Last
If you have ever changed your name, please enter your previous name
Gender
*
Male
Female
Transgender
City of birth
*
Country of birth
*
Select Country
Afghanistan
Albania
Andorra
Angola
Anguilla
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Barbados
Belarus
Belgium
Belize
Benin
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burundi
Canada
Cambodia
Cameroon Union Republic
Cape Verde
Cayman Island
Chile
Colombia
Comoros
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guernsey
Guinea
Guyana
Haiti
Honduras
Hungary
Iceland
Indonesia
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kyrgyzstan
Laos
Latvia
Lesotho
Liberia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Mali
Malta
Marshall Islands
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Netherlands
New Zealand
Nicaragua
Niger Republic
Niue Island
Norway
Oman
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Republic of Korea
Romania
Russia
Rwanda
Saint Christopher and Nevis
Saint Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
South Africa
Spain
Sri Lanka
Suriname
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Turks & Caicos Island
Tuvalu
UAE
Uganda
Ukraine
United Kingdom
Uruguay
USA
Uzbekistan
Vanuatu
Vatican City-Holy See
Venezuela
Vietnam
Zambia
Zimbabwe
National ID Number
*
If not applicable please type NA
Religion
*
Bahai
Buddhism
Christian
Hindu
Islam
Jainism
Judaism
Others
Parsi
Sikh
Zoroastrian
Visible identification marks
*
Include visible tattoos or scars. If none are present please type NA
Education
*
Below Matriculation
Graduate
Higher Secondary
Illiterate
Matriculation
NA Being Minor
Others
Post Graduate
Professional
Did you acquire Nationality by birth or by naturalization?
*
By birth
Naturalization
Have you lived for at least two years in the country where you are applying visa?
*
Yes
No
Previous
Next
Passport Number
*
Please enter your travel document number exactly as it appears on your travel document. Do not include any special characters or spaces.
Passport Place of Issue
*
Please enter the city where your passport was issued
Passport Issue Date
*
Please enter the date of issue of your travel document.
Passport Expiry Date
*
Please enter the date of expiry of your travel document.
Any other valid Passport or Identity Certificate(IC) held?
*
Yes
No
Country of Issue
*
Select country where your second passport/IC was issued
Afghanistan
Albania
Andorra
Angola
Anguilla
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Barbados
Belarus
Belgium
Belize
Benin
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burundi
Canada
Cambodia
Cameroon Union Republic
Cape Verde
Cayman Island
Chile
Colombia
Comoros
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guernsey
Guinea
Guyana
Haiti
Honduras
Hungary
Iceland
Indonesia
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kyrgyzstan
Laos
Latvia
Lesotho
Liberia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Mali
Malta
Marshall Islands
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Netherlands
New Zealand
Nicaragua
Niger Republic
Niue Island
Norway
Oman
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Republic of Korea
Romania
Russia
Rwanda
Saint Christopher and Nevis
Saint Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
South Africa
Spain
Sri Lanka
Suriname
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Turks & Caicos Island
Tuvalu
UAE
Uganda
Ukraine
United Kingdom
Uruguay
USA
Uzbekistan
Vanuatu
Vatican City-Holy See
Venezuela
Vietnam
Zambia
Zimbabwe
Passport/IC Number
*
Please enter your second passport/IC number exactly as it appears on your travel document. Do not include any special characters or spaces.
Passport/IC Issue Date
*
Please select the issue date of your second passport/IC.
Place of issue
*
Please enter the place where your second passport/IC was issued.
Nationality mentioned therein
*
Select Nationality
Afghanistan
Albania
Andorra
Angola
Anguilla
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Barbados
Belarus
Belgium
Belize
Benin
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burundi
Canada
Cambodia
Cameroon Union Republic
Cape Verde
Cayman Island
Chile
Colombia
Comoros
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guernsey
Guinea
Guyana
Haiti
Honduras
Hungary
Iceland
Indonesia
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kyrgyzstan
Laos
Latvia
Lesotho
Liberia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Mali
Malta
Marshall Islands
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Netherlands
New Zealand
Nicaragua
Niger Republic
Niue Island
Norway
Oman
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Republic of Korea
Romania
Russia
Rwanda
Saint Christopher and Nevis
Saint Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
South Africa
Spain
Sri Lanka
Suriname
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Turks & Caicos Island
Tuvalu
UAE
Uganda
Ukraine
United Kingdom
Uruguay
USA
Uzbekistan
Vanuatu
Vatican City-Holy See
Venezuela
Vietnam
Zambia
Zimbabwe
Please select the nationality mentioned in your second passport/IC.
Next
Present Address
*
Address Line 1
City
State / Province / Region
Postal Code
--- Select country ---
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Is the above your permanent address?
*
Yes
No
Permanent Address
*
Address Line 1
City
State / Province / Region
Postal Code
--- Select country ---
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone Number
*
Father's details
Father's Name
*
Please enter your Father's name.
Father's Nationality
*
Select Nationality
Afghanistan
Albania
Andorra
Angola
Anguilla
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Barbados
Belarus
Belgium
Belize
Benin
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burundi
Canada
Cambodia
Cameroon Union Republic
Cape Verde
Cayman Island
Chile
Colombia
Comoros
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guernsey
Guinea
Guyana
Haiti
Honduras
Hungary
Iceland
Indonesia
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kyrgyzstan
Laos
Latvia
Lesotho
Liberia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Mali
Malta
Marshall Islands
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Netherlands
New Zealand
Nicaragua
Niger Republic
Niue Island
Norway
Oman
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Republic of Korea
Romania
Russia
Rwanda
Saint Christopher and Nevis
Saint Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
South Africa
Spain
Sri Lanka
Suriname
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Turks & Caicos Island
Tuvalu
UAE
Uganda
Ukraine
United Kingdom
Uruguay
USA
Uzbekistan
Vanuatu
Vatican City-Holy See
Venezuela
Vietnam
Zambia
Zimbabwe
Father's Previous Nationality (if applicable)
Select Nationality
Afghanistan
Albania
Andorra
Angola
Anguilla
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Barbados
Belarus
Belgium
Belize
Benin
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burundi
Canada
Cambodia
Cameroon Union Republic
Cape Verde
Cayman Island
Chile
Colombia
Comoros
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guernsey
Guinea
Guyana
Haiti
Honduras
Hungary
Iceland
Indonesia
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kyrgyzstan
Laos
Latvia
Lesotho
Liberia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Mali
Malta
Marshall Islands
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Netherlands
New Zealand
Nicaragua
Niger Republic
Niue Island
Norway
Oman
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Republic of Korea
Romania
Russia
Rwanda
Saint Christopher and Nevis
Saint Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
South Africa
Spain
Sri Lanka
Suriname
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Turks & Caicos Island
Tuvalu
UAE
Uganda
Ukraine
United Kingdom
Uruguay
USA
Uzbekistan
Vanuatu
Vatican City-Holy See
Venezuela
Vietnam
Zambia
Zimbabwe
Father's Place of birth
*
Father's Country of birth
*
Select Country
Afghanistan
Albania
Andorra
Angola
Anguilla
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Barbados
Belarus
Belgium
Belize
Benin
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burundi
Canada
Cambodia
Cameroon Union Republic
Cape Verde
Cayman Island
Chile
Colombia
Comoros
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guernsey
Guinea
Guyana
Haiti
Honduras
Hungary
Iceland
Indonesia
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kyrgyzstan
Laos
Latvia
Lesotho
Liberia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Mali
Malta
Marshall Islands
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Netherlands
New Zealand
Nicaragua
Niger Republic
Niue Island
Norway
Oman
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Republic of Korea
Romania
Russia
Rwanda
Saint Christopher and Nevis
Saint Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
South Africa
Spain
Sri Lanka
Suriname
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Turks & Caicos Island
Tuvalu
UAE
Uganda
Ukraine
United Kingdom
Uruguay
USA
Uzbekistan
Vanuatu
Vatican City-Holy See
Venezuela
Vietnam
Zambia
Zimbabwe
Mother's details
Mother's Name
*
Please enter your Mother's name.
Mother's Nationality
*
Select Nationality
Afghanistan
Albania
Andorra
Angola
Anguilla
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Barbados
Belarus
Belgium
Belize
Benin
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burundi
Canada
Cambodia
Cameroon Union Republic
Cape Verde
Cayman Island
Chile
Colombia
Comoros
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guernsey
Guinea
Guyana
Haiti
Honduras
Hungary
Iceland
Indonesia
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kyrgyzstan
Laos
Latvia
Lesotho
Liberia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Mali
Malta
Marshall Islands
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Netherlands
New Zealand
Nicaragua
Niger Republic
Niue Island
Norway
Oman
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Republic of Korea
Romania
Russia
Rwanda
Saint Christopher and Nevis
Saint Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
South Africa
Spain
Sri Lanka
Suriname
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Turks & Caicos Island
Tuvalu
UAE
Uganda
Ukraine
United Kingdom
Uruguay
USA
Uzbekistan
Vanuatu
Vatican City-Holy See
Venezuela
Vietnam
Zambia
Zimbabwe
Mother's Previous Nationality (if applicable)
Select Nationality
Afghanistan
Albania
Andorra
Angola
Anguilla
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Barbados
Belarus
Belgium
Belize
Benin
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burundi
Canada
Cambodia
Cameroon Union Republic
Cape Verde
Cayman Island
Chile
Colombia
Comoros
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guernsey
Guinea
Guyana
Haiti
Honduras
Hungary
Iceland
Indonesia
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kyrgyzstan
Laos
Latvia
Lesotho
Liberia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Mali
Malta
Marshall Islands
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Netherlands
New Zealand
Nicaragua
Niger Republic
Niue Island
Norway
Oman
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Republic of Korea
Romania
Russia
Rwanda
Saint Christopher and Nevis
Saint Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
South Africa
Spain
Sri Lanka
Suriname
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Turks & Caicos Island
Tuvalu
UAE
Uganda
Ukraine
United Kingdom
Uruguay
USA
Uzbekistan
Vanuatu
Vatican City-Holy See
Venezuela
Vietnam
Zambia
Zimbabwe
Mother's Place of birth
*
Mother's Country of birth
*
Select Country
Afghanistan
Albania
Andorra
Angola
Anguilla
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Barbados
Belarus
Belgium
Belize
Benin
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burundi
Canada
Cambodia
Cameroon Union Republic
Cape Verde
Cayman Island
Chile
Colombia
Comoros
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guernsey
Guinea
Guyana
Haiti
Honduras
Hungary
Iceland
Indonesia
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kyrgyzstan
Laos
Latvia
Lesotho
Liberia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Mali
Malta
Marshall Islands
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Netherlands
New Zealand
Nicaragua
Niger Republic
Niue Island
Norway
Oman
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Republic of Korea
Romania
Russia
Rwanda
Saint Christopher and Nevis
Saint Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
South Africa
Spain
Sri Lanka
Suriname
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Turks & Caicos Island
Tuvalu
UAE
Uganda
Ukraine
United Kingdom
Uruguay
USA
Uzbekistan
Vanuatu
Vatican City-Holy See
Venezuela
Vietnam
Zambia
Zimbabwe
Applicant's Marital Status
*
Single
Married
Divorcee
Spouse's Name
*
Please enter your Spouse's name.
Spouse's Nationality
*
Select Nationality
Afghanistan
Albania
Andorra
Angola
Anguilla
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Barbados
Belarus
Belgium
Belize
Benin
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burundi
Canada
Cambodia
Cameroon Union Republic
Cape Verde
Cayman Island
Chile
Colombia
Comoros
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guernsey
Guinea
Guyana
Haiti
Honduras
Hungary
Iceland
Indonesia
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kyrgyzstan
Laos
Latvia
Lesotho
Liberia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Mali
Malta
Marshall Islands
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Netherlands
New Zealand
Nicaragua
Niger Republic
Niue Island
Norway
Oman
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Republic of Korea
Romania
Russia
Rwanda
Saint Christopher and Nevis
Saint Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
South Africa
Spain
Sri Lanka
Suriname
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Turks & Caicos Island
Tuvalu
UAE
Uganda
Ukraine
United Kingdom
Uruguay
USA
Uzbekistan
Vanuatu
Vatican City-Holy See
Venezuela
Vietnam
Zambia
Zimbabwe
Spouse's Previous Nationality (if applicable)
Select Nationality
Afghanistan
Albania
Andorra
Angola
Anguilla
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Barbados
Belarus
Belgium
Belize
Benin
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burundi
Canada
Cambodia
Cameroon Union Republic
Cape Verde
Cayman Island
Chile
Colombia
Comoros
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guernsey
Guinea
Guyana
Haiti
Honduras
Hungary
Iceland
Indonesia
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kyrgyzstan
Laos
Latvia
Lesotho
Liberia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Mali
Malta
Marshall Islands
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Netherlands
New Zealand
Nicaragua
Niger Republic
Niue Island
Norway
Oman
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Republic of Korea
Romania
Russia
Rwanda
Saint Christopher and Nevis
Saint Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
South Africa
Spain
Sri Lanka
Suriname
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Turks & Caicos Island
Tuvalu
UAE
Uganda
Ukraine
United Kingdom
Uruguay
USA
Uzbekistan
Vanuatu
Vatican City-Holy See
Venezuela
Vietnam
Zambia
Zimbabwe
Spouse's Place of birth
*
Spouse's Country of birth
*
Select Country
Afghanistan
Albania
Andorra
Angola
Anguilla
Antigua & Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Barbados
Belarus
Belgium
Belize
Benin
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burundi
Canada
Cambodia
Cameroon Union Republic
Cape Verde
Cayman Island
Chile
Colombia
Comoros
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Guatemala
Guernsey
Guinea
Guyana
Haiti
Honduras
Hungary
Iceland
Indonesia
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kyrgyzstan
Laos
Latvia
Lesotho
Liberia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Mali
Malta
Marshall Islands
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Netherlands
New Zealand
Nicaragua
Niger Republic
Niue Island
Norway
Oman
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Republic of Korea
Romania
Russia
Rwanda
Saint Christopher and Nevis
Saint Lucia
Saint Vincent & the Grenadines
Samoa
San Marino
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
South Africa
Spain
Sri Lanka
Suriname
Sweden
Switzerland
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Turks & Caicos Island
Tuvalu
UAE
Uganda
Ukraine
United Kingdom
Uruguay
USA
Uzbekistan
Vanuatu
Vatican City-Holy See
Venezuela
Vietnam
Zambia
Zimbabwe
Were your Parents/Grandparents (paternal/maternal) Pakistan Nationals or Belong to Pakistan held area?
*
Yes
No
If yes, please provide details
*
Applicant's Occupation Details
Present Occupation
*
Air Force
Business Person
Cameraman
Charity/Social Worker
Chartered Accountant
College/University Teacher
Defence
Diplomat
Doctor
Engineer
Film Producer
Government Service
House Wife
Journalist
Labour
Lawyer
Media
Military
Missionary
Navy
News Broadcaster
Official
Others
Paramilitary Police
Press
Private Service
Publisher
Reporter
Researcher
Retired
Sea Man
Security
Self Employed/Freelancer
Student
Trader
TV Producer
Un-Employed
UN Official
Worker
Writer
If other occupation, please specify
*
Employer Name/Business
*
Employer Address
*
Employer Phone Number
Please enter your employer's phone number including the country code.
Past Occupation (if any)
Air Force
Business Person
Cameraman
Charity/Social Worker
Chartered Accountant
College/University Teacher
Defence
Diplomat
Doctor
Engineer
Film Producer
Government Service
House Wife
Journalist
Labour
Lawyer
Media
Military
Missionary
Navy
News Broadcaster
Official
Others
Paramilitary Police
Press
Private Service
Publisher
Reporter
Researcher
Retired
Sea Man
Security
Self Employed/Freelancer
Student
Trader
TV Producer
Un-Employed
UN Official
Worker
Writer
If other past occupation, please specify
*
Are/were you in a Military/Semi-Military/Police/Security Organization?
*
Yes
No
Organization
*
Designation
*
Rank
*
Place of Posting
*
Next
Places to be visited in India
*
Have you booked any room in Hotel/Resort etc. through any Tour Operator?
*
Yes
No
Name of the tour operator
*
Address of the tour operator
*
Name of Hotel/Resort etc
*
Place/City of Hotel/Resort etc
*
Expected Port of Exit from India
*
Ahmedabad Airport
Amritsar Airport
Bagdogra Airport
Bengaluru Airport
Bhubaneshwar Airport
Calicut Airport
Chandigarh Airport
Chennai Airport
Chennai Seaport
Cochin Airport
Cochin Seaport
Coimbatore Airport
Delhi Airport
Gaya Airport
Goa Airport (Dabolim)
Goa Airport (Mopa)
Goa Seaport
Guwahati Airport
Hyderabad Airport
Indore Airport
Jaipur Airport
Kannur Airport
Kolkata Airport
Lucknow Airport
Madurai Airport
Mangalore Airport
Mangalore Seaport
Mumbai Airport
Mumbai Seaport
Nagpur Airport
Portblair Airport
Pune Airport
Tiruchirapalli Airport
Trivandrum Airport
Varanasi Airport
Vishakhapatnam Airport
Previous Visa/Currently valid Visa Details
Have you ever visited India before?
*
Yes
No
If so, when and by whom (Mention Control No. and date)
*
Has permission to visit or to extend stay in India previously been refused?
*
Yes
No
Other Information
Countries Visited in Last 10 years
*
Afghanistan
Albania
Andorra
Angola
Anguilla
Antigua & Barbuda
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Have you visited SAARC countries (except your own country) during last 3 years?
*
Yes
No
Have you visited "South Asian Association for Regional Cooperation" (SAARC) countries (except your own country) during last 3 years?
Select any SAARC countries visited during last 3 years
*
Afghanistan
Bhutan
Pakistan
Maldives
Bangladesh
Sri Lanka
Nepal
Year of visit
*
2021
2022
2023
2024
No. of visits
*
Date of Birth
*
Please enter your date of birth.
Place of Birth
*
Please enter your place of birth, as in your passport.
Mother's Name
*
Please enter your Mother's first name.
Address at Destination
Address Line 1
City
State / Province / Region
Postal Code
If known, please enter the address where you will be staying in India. This field is optional.
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