Application Form For Nri/ Pio Registration
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1APPLICATION FORM FOR NRI/ PIO REGISTRATION
** NOTE : All the date entries should be in the format MM/DD/YYYY. Please use additional sheet if necessary.
1. First Name : _____________________________________________________________
2. Other Name : _____________________________________________________________
3. Father’s/ Spouse Name : ____________________________________________________
4. Date of Birth :
5. Place of Birth :__________________________
6. Marital Status : S/M
7. Sex : M/F
8. Mother Tongue : ________________________
9. Passport Number
Date of Expiry
Date of Issue
Place of Issue
_____________
________________________
10. Occupation/ Profession : ____________________________
11.Nationality/ Citizenship : ____________________________
12.Email Address : ___________________________________
13.PIO card No.(if any) : _______________________________
14.First Arrival :
15. Expected Departure
:
16.Present Address in Switzerland:
17.Address in India :
______________________________
_____________________________________
______________________________
_____________________________________
______________________________
State _________________________________
Ph.#: ___________ Fax:___________
Ph.# ____________ Fax: ________________
18. Contact person in emergency
Name: ________________________________________Ph.# __________Fax#__________
Address:___________________________________________________________________
19. Membership of Associations/ Organisations
Association Name
Address
1.............................................................2………………………………………………….
20. Family details
Name
Occupation
Relationship
1..............................................................................................................................................
2..............................................................................................................................................
3..............................................................................................................................................
4..............................................................................................................................................
21. Any other information, you would like to share with us.
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Parent category: Business