Application For Person Of Indian Origin (Pio) Card Page 2

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9) Visible Distinguish Mark: ______________________________
10) Current Passport Number: ______________________________Date of issue:
________________________________
Place of Issue: _________________________Date of expiry: ________________________
Country which issued the Passport:______________________________________________
11) Does the applicant hold dual nationality: (If so, give details including the details of all the
passports held etc.)
_____________________________________________________________________________
_________________
12) Did the applicant at any time hold the nationality of any country other than the present
nationality, if so, please give details including the period:
_______________________________________________________________________
Previous Passport Number:________________ Date of issue:________________ Place of issue:
_________________
13) Whether the applicant’s 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:
__________________
14) 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).
15) 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.)
16) Details of previous PIO Card (wherever applicable): Number:
____________________________________________
Date of issue: _________________ Place of issue: ______________________Date of expiry:
_____________________

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