Consulate General Of India Application For The Grant/renewal Of Pio Card

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Consular wing
1990 Post Oak Blvd. Suite 600
Houston, TX 77056
Tel: (713) 626-2148/2149
Fax: (713) 626-2450
Note: This application can be used at the Consulate General of India, Houston, TX or at any other
Consulate Generals of India provided the applicant resides in states of Consulate’s jurisdiction.
1) Name of the applicant:__________________________________________________________________________
Surname at birth (if any): ___________________Other names (where applicable): ____________________________
Date of birth: _________________________Place of birth: (town, city & country):_____________________________
2) Father's/Mother's/Spouse's name & nationality: Father: ________________________________________________
Mother: __________________________________Spouse:_______________________________ (where applicable)
3) Present Address:______________________________________________________________________________
Home Phone : _______________________Work Phone: _______________________ Fax :____________________
Permanent Address:______________________________________________________________________________
Address in India (verifiable): _______________________________________________________________________
4) Profession or Occupation:____________________________________ 5) Male/Female:______________________
6) Married/Unmarried:_______________________7) Nationality (at the time birth):____________________________
8) Present Nationality (if different):____________________________Date acquired:___________________________
9) Passport Number: ____________________Date of issue: ___________________ Date of expiry:______________
Country which issued the Passport:___________________________ Place of issue: __________________________
10) Does the applicant hold dual nationality: (If so, give details including the details of all the passports held etc.)
11) Did the applicant at any time held the nationality of any country other than the present nationality, if so, please give
details including the period: ____________________________________________________________________
12) Whether the applicant or either of his/her parents or grand parents or great grand parents held an Indian passport
at any time, if so details thereof: (enclose photocopy of relevant documents)
Passport Number:______________________ Date of issue:________________ Place of issue: _________________
13) Whether the applicant or either of his/her parents or any of his/her grand parents or great grand parents was born
and was permanently resident in India as defined in the Government of India Act, 1935 * at any time. If so, following
details may be indicated:
Date of birth: __________________________Place of birth_______________________________________________
Proof of residence etc: _____________________________ (Enclose photocopy of relevant documents; Note: If
applicant is the spouse of a citizen of India or a person of Indian origin, his/her particulars should be indicated). 
14) Has the applicant ever been refused Indian passport/travel document or visa for visiting India, if so, give complete
details: (i.e. place & date of application, purpose, reasons for refusal etc.)


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