Application For Person Of Indian Origin (Pio) Card printable pdf download

Application For Person Of Indian Origin (Pio) Card

APPLICATION FOR

PERSON OF INDIAN ORIGIN (PIO) CARD

(This form may also be used for issue of duplicate/renewal of PIO card)

EMBASSY OF INDIA

BOGOTA

Tel.(57-1)6373259, 279, 280, 289

Fax (57-1) 6373451, 516

Calle 116 #7-55 Int. 2 Of 301,

Torre Cusezar, Santa Barbara,

Bogota.D.C., Colombia

E-mail: indembog@cable.net.co

Note: This application can be used at the Embassy of India, Bogota

(IN BLOCK LETTERS WITH BLUE/BLACK INK ONLY)

Paste a

PHOTO here

1) Name of the applicant:____________________________ _______________________

_______________________

(Expanded Initials) (First Name) (Middle Name) (Last Name)

Date of birth: _______/________/______Place of birth: (town, city & country):____________

(dd)

(mm)

(yyyy)

2) Male/Female:________ 3) Married/Unmarried:________ 4. Profession/Occupation:_________

3) Father’s Name__________________________________Nationality:________________

4) Mother's Name: _________________________________Nationality: ________________

5) Spouse Name: __________________________________Nationality: ________________

6) Address _______________________________________________________

___________________ _________________ __________

Telephone No.: Home:(_____)____-_______ Work: (_____)_____-______

7) Address in India (verifiable):

________________________________________________________________________

_____________________________________________________________________________

__________________________________________________________________________

Telephone No.:______________________________

8) Nationality (at the time of birth):__________________ Present Nationality:______________

Application For Person Of Indian Origin (Pio) Card