Application For The Grant/renewal Of A Pio Card To Be Filled Up In Duplicate

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2 COLOURED
Consulate General of India, Geneva
 
PHOTOGRAPHS IN
th
6
Floor, 9 Rue du Valais, Geneva 1202, Switzerland
LIGHT
 
BACKGROUND
Telephone: (022) 906 8686 Fax: (022) 906 8676
( 4 cm x 4 cm)
Website –
 
REQUIRED 
 
APPLICATION FOR THE GRANT/RENEWAL OF A PIO CARD
TO BE FILLED UP IN DUPLICATE
PLEASE INDICATE SERVICE(S) REQUIRED
1. (a) Name of the applicant: ___________________________________________________________
(b) Surname at of birth (if any): _______________________________________________________
(c) Other names (where applicable): ___________________________________________________
(d) Date of birth: ____________________________________________________
(e) Place of birth: (town, city, country) ___________________________________________________
2. Father’s, mother’s, spouse’s name and nationality:
(a) Father: _________________________________________________________________________
(b) Mother: ________________________________________________________________________
(c) Spouse (when applicable): _________________________________________________________
3. Address:
(a) Present: ________________________________________________________________________
_________________________________________________________________________
(b) Permanent: _____________________________________________________________________
________________________________________________________________________
(c) Address in India (Verifiable): _____________________________________________________
_______________________________________________________________________
4. Profession or Occupation: ___________________________________________________________
5. Business/Office Address: ____________________________________________________________
_____________________________________________________________________
6. Male/Female: ___________________________________________________________
7. Marital Status:
Married/Unmarried ____________________________________
 

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