ADDITIONAL PARTICULARS FORM (FOR VISA/OCI/PIO CARD SERVICES)
1) Name of Applicant: ____________________________________________________________
2) Passport Number: _____________________________________________________________
3) Nationality: __________________________________________________________________
4) Does applicant currently hold dual nationality?
No
Yes. Please provide second nationality and passport number:
Nationality: ______________________ Passport Number: ________________________
5) Any previous Nationality held?
No
Yes. Please provide previous nationality:
Nationality: ______________________________________________________________
6) Is applicant married?
No
Yes: Please provide spouses name and current nationality:
Name: ________________________________ Nationality: _______________________
Has spouse previous held other Nationality?
No
Yes. Please provide previous nationality and passport number:
Nationality: ______________________ Passport Number: _______________________
7) Has the applicant ever changed his/her name?
No
Yes: Please specify details and appropriate documentation for same:
________________________________________________________________________