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Electronic Visa Application Form
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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)
*
Nome
Sobrenome
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
Próximo
Previous Name (if applicable)
Nome
Sobrenome
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
Anterior
Próximo
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.
Próximo
Present Address
*
Endereço linha 1
Cidade
Estado
Código Postal
--- Selecionar country ---
Afeganistão
Albânia
Alemanha
Andorra
Angola
Anguilla
Antártida
Antígua e Barbuda
Argelia
Argentina
Armênia
Aruba
Arábia Saudita
Austrália
Azerbaijão
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belize
Benin
Bermuda
Birmânia
Bolívia (Estado Plurinacional da)
Bonaire, Santo Eustáquio e Saba
Botsuana
Brasil
Brunei Darussalam
Bulgária
Burkina Faso
Burundi
Butão
Bélgica
Bósnia e Hezergovina
Cabo Verde
Camarões
Camarões
Camboja
Canadá
Catar
Cazaquistão
Chade
Chile
China
Chipre
Colômbia
Congo
Congo (República Democrática do)
Coréia (Republica da)
Coréia (República Popular Democrática da)
Costa Rica
Costa do Marfim
Croácia
Cuba
Curaçao
Dinamarca
Djibouti
Dominica
Egito
El Salvador
Emirados Árabes Unidos
Equador
Eritréia
Eslováquia
Eslovênia
Espanha
Estado da Cidade do Vaticano
Estados Unidos da America
Estônia
Eswatini (Reino de)
Etiópia
Federação Russa
Fiji
Filipinas
Finlândia
França
Gabão
Gana
Georgia
Geórgia do Sul e Ilhas Sandwich do Sul
Gibraltar
Grenada
Groenlândia
Grécia
Guadalupe
Guam
Guatemala
Guernsey
Guiana
Guiana Francesa
Guiné
Guiné Equatorial
Guiné-Bissau
Gâmbia
Haiti
Holanda
Honduras
Hong Kong
Hungria
Ilha Bouvet
Ilha Heard e Ilhas McDonald
Ilha Norfolk
Ilha de Man
Ilha do Natal
Ilhas Aland
Ilhas Cayman
Ilhas Cocos (Keeling)
Ilhas Cook
Ilhas Falkland (Malvinas)
Ilhas Faroe
Ilhas Marianas do Norte
Ilhas Marshall
Ilhas Menores Distantes dos Estados Unidos
Ilhas Salomão
Ilhas Turks e Caicos
Ilhas Virgens (Britânicas)
Ilhas Virgens (EUA)
Indonésia
Iraque
Irlanda (República da)
Irã (República Islâmica do Irã)
Islândia
Israel
Itália
Iêmen
Jamaica
Japão
Jersey
Jordânia
Kiribati
Kosovo
Kuwait
Lesoto
Letônia
Libéria
Liechtenstein
Lituânia
Luxemburgo
Líbano
Líbia
Macau
Macedônia do Norte (república de)
Madagáscar
Malavi
Maldivas
Mali
Malta
Malásia
Marrocos
Martinica
Mauritânia
Maurício
Mayotte
Micronésia (Estados Federados da)
Moldávia (República da)
Mongólia
Montenegro
Montserrat
Moçambique
México
Mônaco
Namíbia
Nauru
Nepal
Nicarágua
Nigéria
Niue
Noruega
Nova Caledônia
Nova Zelândia
Níger
Omã
Palau
Palestina (estado de)
Panamá
Papua Nova Guiné
Paquistão
Paraguai
Peru
Pitcairn
Polinésia Francesa
Polônia
Porto Rico
Portugal
Quirguistão
Quênia
Reino Unido da Grã-Bretanha e Irlanda do Norte
República Central Africana
República Democrática Popular do Laos
República Dominicana
República Tcheca
República Árabe da Síria
Reunião
Romênia
Ruanda
Saara Ocidental
Samoa
Samoa Americana
Santa Helena, Ilha de Ascensão e Tristão da Cunha
Santa Lúcia
Seicheles
Senegal
Serra Leoa
Singapura
Sint Maarten (parte holandesa)
Somália
Sri Lanka
Sudão
Sudão do Sul
Suriname
Suécia
Suíça
Svalbard e Jan Mayen
São Bartolomeu
São Cristóvão e Névis
São Marinho
São Martinho (parte francesa)
São Pedro e Miquelon
São Tomé e Príncipe
São Vicente e Granadinas
Sérvia
Tailândia
Taiwan, República da China
Tajiquistão
Tanzânia (República Unida da)
Território Britânico do Oceano Índico
Territórios Franceses do Sul
Timor-Leste
Togo
Tokelau
Tonga
Trindade e Tobago
Tunísia
Turcomenistão
Turquia
Tuvalu
Ucrânia
Uganda
Uruguai
Uzbequistão
Vanuatu
Venezuela (República Bolivariana da)
Vietnã
Wallis e Futuna
Zimbábue
Zâmbia
África do Sul
Áustria
Índia
País
Is the above your permanent address?
*
Yes
No
Permanent Address
*
Endereço linha 1
Cidade
Estado
Código Postal
--- Selecionar country ---
Afeganistão
Albânia
Alemanha
Andorra
Angola
Anguilla
Antártida
Antígua e Barbuda
Argelia
Argentina
Armênia
Aruba
Arábia Saudita
Austrália
Azerbaijão
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belize
Benin
Bermuda
Birmânia
Bolívia (Estado Plurinacional da)
Bonaire, Santo Eustáquio e Saba
Botsuana
Brasil
Brunei Darussalam
Bulgária
Burkina Faso
Burundi
Butão
Bélgica
Bósnia e Hezergovina
Cabo Verde
Camarões
Camarões
Camboja
Canadá
Catar
Cazaquistão
Chade
Chile
China
Chipre
Colômbia
Congo
Congo (República Democrática do)
Coréia (Republica da)
Coréia (República Popular Democrática da)
Costa Rica
Costa do Marfim
Croácia
Cuba
Curaçao
Dinamarca
Djibouti
Dominica
Egito
El Salvador
Emirados Árabes Unidos
Equador
Eritréia
Eslováquia
Eslovênia
Espanha
Estado da Cidade do Vaticano
Estados Unidos da America
Estônia
Eswatini (Reino de)
Etiópia
Federação Russa
Fiji
Filipinas
Finlândia
França
Gabão
Gana
Georgia
Geórgia do Sul e Ilhas Sandwich do Sul
Gibraltar
Grenada
Groenlândia
Grécia
Guadalupe
Guam
Guatemala
Guernsey
Guiana
Guiana Francesa
Guiné
Guiné Equatorial
Guiné-Bissau
Gâmbia
Haiti
Holanda
Honduras
Hong Kong
Hungria
Ilha Bouvet
Ilha Heard e Ilhas McDonald
Ilha Norfolk
Ilha de Man
Ilha do Natal
Ilhas Aland
Ilhas Cayman
Ilhas Cocos (Keeling)
Ilhas Cook
Ilhas Falkland (Malvinas)
Ilhas Faroe
Ilhas Marianas do Norte
Ilhas Marshall
Ilhas Menores Distantes dos Estados Unidos
Ilhas Salomão
Ilhas Turks e Caicos
Ilhas Virgens (Britânicas)
Ilhas Virgens (EUA)
Indonésia
Iraque
Irlanda (República da)
Irã (República Islâmica do Irã)
Islândia
Israel
Itália
Iêmen
Jamaica
Japão
Jersey
Jordânia
Kiribati
Kosovo
Kuwait
Lesoto
Letônia
Libéria
Liechtenstein
Lituânia
Luxemburgo
Líbano
Líbia
Macau
Macedônia do Norte (república de)
Madagáscar
Malavi
Maldivas
Mali
Malta
Malásia
Marrocos
Martinica
Mauritânia
Maurício
Mayotte
Micronésia (Estados Federados da)
Moldávia (República da)
Mongólia
Montenegro
Montserrat
Moçambique
México
Mônaco
Namíbia
Nauru
Nepal
Nicarágua
Nigéria
Niue
Noruega
Nova Caledônia
Nova Zelândia
Níger
Omã
Palau
Palestina (estado de)
Panamá
Papua Nova Guiné
Paquistão
Paraguai
Peru
Pitcairn
Polinésia Francesa
Polônia
Porto Rico
Portugal
Quirguistão
Quênia
Reino Unido da Grã-Bretanha e Irlanda do Norte
República Central Africana
República Democrática Popular do Laos
República Dominicana
República Tcheca
República Árabe da Síria
Reunião
Romênia
Ruanda
Saara Ocidental
Samoa
Samoa Americana
Santa Helena, Ilha de Ascensão e Tristão da Cunha
Santa Lúcia
Seicheles
Senegal
Serra Leoa
Singapura
Sint Maarten (parte holandesa)
Somália
Sri Lanka
Sudão
Sudão do Sul
Suriname
Suécia
Suíça
Svalbard e Jan Mayen
São Bartolomeu
São Cristóvão e Névis
São Marinho
São Martinho (parte francesa)
São Pedro e Miquelon
São Tomé e Príncipe
São Vicente e Granadinas
Sérvia
Tailândia
Taiwan, República da China
Tajiquistão
Tanzânia (República Unida da)
Território Britânico do Oceano Índico
Territórios Franceses do Sul
Timor-Leste
Togo
Tokelau
Tonga
Trindade e Tobago
Tunísia
Turcomenistão
Turquia
Tuvalu
Ucrânia
Uganda
Uruguai
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Vietnã
Wallis e Futuna
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África do Sul
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Índia
País
Phone Number
*
Father's details
Father's Name
*
Please enter your Father's name.
Father's Nationality
*
Select Nationality
Afghanistan
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Vatican City-Holy See
Venezuela
Vietnam
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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
*
Próximo
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
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
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
Endereço linha 1
Cidade
Estado
Código Postal
If known, please enter the address where you will be staying in India. This field is optional.
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