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    INDIA VISA APPLICATION

    Uploaded by

    earafat96789

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    INDIA VISA APPLICATION

    Uploaded by

    earafat96789
    5 views2 pages

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    Copyright:

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    5 views2 pages

    INDIA VISA APPLICATION

    Uploaded by

    earafat96789

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    ASSISTANT HIGH COMMISSION OF INDIA

    CHITTAGONG(BANGLADESH) Paste your unsigned


    recent color photograph.
    Size: 2" X 2"

    Visa Application Form

    Signature

    BGDCV0AA8D24

    A. Personal Particulars (As in Passport)


    Surname (As in Passport) ARIYA
    Application Id : BGDCV0AA8D24

    Given Name (As in Passport) AYESHA SALSABIL


    Previous/other Name if any Not Applicable
    Gender FEMALE Marital Status SINGLE
    Date of Birth 23-OCT-2021 Religion ISLAM
    Place of Birth Town/City LAKSHMIPUR Country of Birth BANGLADESH
    Citizenship /National ID No 20215114335120938 Educational Qualification OTHERS
    Visible identification marks NO
    Current Nationality Nationality by Birth/
    BANGLADESH Naturalization BY BIRTH
    Any Other Previous/Past Nationality Not Applicable
    B. Passport Details
    Passport No. A06479639 Date of Issue ( dd/mm/yyyy ) 10-JAN-2023
    Place of Issue DHAKA Date of Expiry ( dd/mm/yyyy ) 09-JAN-2028
    Any other Passport/Identity Certificate held (if yes ,please fill in the following) NO
    Country of Issue Place of Issue
    Web Registration Date : 07-MAR-2024

    Passport/IC No. Date of issue (dd/mm/yyyy)


    Nationality/Status
    C. Applicant's Contact Details
    KA 42/10(2ND
    Present FLOOR,B1)KALACHANDPUR, Phone No 01755674960
    Address GULSHAN Mobile /Cell No 88001755674960
    DHAKA, BANGLADESH 1212 Email address ARIF11101@GMAIL.COM

    Permanent WEST LAKSHMIPUR,WORD#08


    LAKSHMIPURSADAR,DALAL
    Address BAZAR-3701,
    LAKSHMIPUR

    D. Family Details
    Relation Name Nationality Prev. Nationality Place/Country of Birth
    LAKSHMIPUR
    Father's ARIF HOSSAIN BANGLADESH BANGLADESH BANGLADESH
    LAKSHMIPUR
    Mother's SABRINA MAHMUD BANGLADESH BANGLADESH BANGLADESH
    Marital Status Single
    Were your Grandfather/Grandmother(Paternal/Maternal) Pakistan Nationals Or belong to Pakistan held area : NO

    AYESHA SALSABIL ARIYA


    E. Details of Visa Sought (Visa shall be valid from the Date of Issue and not from the Date of Journey)
    Type Of Visa Required TOURIST VISA No of Entries MULTIPLE
    Period of Visa ( Month) 12 Month Expected Date of Journey 29-MAR-2024
    Port Of Arrival BY ROAD RANIGANJ/PHULBARI Port of Exit BY ROAD RANIGANJ/PHULBARI
    Required Detail of TOURIST VISA
    Places to be Visited KOLKATA INDIA

    Purpose of Visit : TOURISM,RECREATION,SIGHT-SEEING


    F. Previous Visit Details
    Have You Ever visited India ? NO
    Address where You stayed in
    India ,
    Cities in India Visited
    Type of Visa Visa Number
    Visa Issued Place Date of Issue
    Countries visited in last 10 years
    Have you been refused an Indian Visa or extension of the same previously or deported from India ? NO
    G. Profession/Occupation Details :

    Application Id : BGDCV0AA8D24
    Present Occupation DEPENDEND ON FATHER Designation/Rank MANAGING DIRECTOR
    Employer name/business APPLEONE INTERNATIONAL LIMITED
    Employer Address
    Phone Number KA-42/10,2ND FLOOR B1,KALACHANDPUR,DHAKA
    Past occupation if any
    Are/have you worked with Armed forces/ Police/ Para Military forces ? NO
    Organization Designation
    Place of Posting Rank
    H. Address of Place of Stay / Hotel
    Place/Hotel Name Address of Place / Hotel State Phone No
    1 HYATT REGENCY KOLKATA JA-1, JA BLOCK, SECTOR 3, BIDHANNAGAR KOLKATA WEST BENGAL. 913368201234,
    2 .,
    3 .,
    4 .,
    I. Details of Two Reference
    In India In BANGLADESH
    Name HYATT REGENCY KOLKATA ARIF HOSSAIN
    JA-1, JA BLOCK, SECTOR 3,
    Address BIDHANNAGAR K 42/10 2ND FLOOR,KALACHANDPUR
    KOLKATA, WEST BENGAL
    KOLKATA WEST BENGAL GULSHAN 1212,DHAKA
    Phone Number 913368201234 01755674960
    K. DECLARATION
    a. I do not hold any other passport(s) other than those detailed above.
    b. I have read and understood all the conditions for the visit to India and I am willing and able to abide fully by them.
    c. I declare that the information given in the form is complete and correct and the visit to India will be undertaken for the purpose
    indicated in the application.
    d. I understand that in case the information provided in the form is found to be incorrect, I will be liable for denial of visit/ entry or
    deportation and/ or other penalties during the visit as provided by Indian law.
    e. I will also submit hard-copy all the uploaded documents along with the print of application to submit to the concerning Indian Mission
    or Agency for processing of visa application.

    07-MAR-2024 ................................
    Date : ...................... Applicant's signature (as in Passport)

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