Consulate General Of India Application For The Grant/renewal Of Pio Card Page 2
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215) Details of previous PIO Card (wherever applicable):
Date of issue: _________________Date of expiry: __________________Place of issue: ______________________
16) Name & complete addresses of two persons known to the applicant living in India:
Name: _________________________________________________________Telephone No:____________________
Address:________________________________________________________________________________________
Name: _________________________________________________________Telephone No:_____________________
Address:________________________________________________________________________________________
17) Details and mode of payment of fee: ______________________________________________________________
DECLARATION
I hereby declare that the above statements are true to the best of my knowledge and belief.
_________________________________________
SIGNATURE OF THE APPLICANT/BOTH PARENTS IN CASE OF MINOR
Date: ___________________________
Place: ___________________________
Two specimen signatures of the applicant/Thumb impression in case of infant
* Expression ‘India’ as given in sub-section (1) of the section 311 of the Government of India act, 1935 means British
India together with all territories of any Indian ruler under the suzerainty of His Majesty, all territories under the
suzerainty of such an Indian ruler, the tribal areas, and any other territories which His Majesty in Council may, from
time to time, After ascertaining the views of the federal Government and the Federal legislature, declare to be part of
India.
Instructions
1) Application to be filled in duplicate
2) Please enclose all relevant documents substantiating your claim as a person of Indian origin. (also see 13 & 14 in
the application)
3) Attach 4 recent passport size photographs.
4) Appropriate PIO Card fee (US $ 365.00 for adult; US $ 185.00 for children below the age of 18 year) should be
deposited along with the application. The fee should be paid either by Cashier Check or Money Order in favor of
Embassy of India/Consulate General of India (as applicable).
5) NOTE: Furnishing of false information will result in summary rejection of the application. Acceptance of application
does not confer any right on the applicant to the PIO Card.
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