Application Form For Persons Of Indian Origin (Pio) Card

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Please paste one
photo (35mm X
CONSULATE GENERAL OF INDIA - TORONTO
th
35mm) and attach
365 Bloor Street East, 7
Floor, Toronto, ON M4W 3L4
three more.
Tel; 416 960 0751 Fax: 416 960 9812
Email: cgindia@cgitoronto.ca
(Make sure Signature is within the box)
APPLICATION FORM FOR PERSONS OF INDIAN ORIGIN (PIO) CARD
(TO BE SUBMITTED IN DUPLICATE with ENCLOSURES)
1. (a) Name of the applicant :--------------------------------------------------------------------------------
(b) Other names (where applicable):---------------------------------------------------------------------
(d) Date of birth : -------------------------------------------------------------------------------------------
(e) Place of birth : (town, city, country):----------------------------------------------------------------
2. Father's/Mother's/Spouse's name & nationality :
(a) Father :---------------------------------------------------------------------------------------------------
(b) Mother :--------------------------------------------------------------------------------------------------
(c) Spouse (where applicable):----------------------------------------------------------------------------
3. Address with telephone number :
(a) Present :--------------------------------------------------------------------------------------------------
(b) Permanent :----------------------------------------------------------------------------------------------
(c) Address in India (verifiable) :-------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------
4. Profession or Occupation :---------------------------------------------------------------------------------
5. Business/Office address :----------------------------------------------------------------------------------
6. Sex
: Male/Female
7. Marital status:
Married/Unmarried
8. Nationality (at the time of birth):-------------------------------------------------------------------------
9. (a) Present nationality (if different):----------------------------------------------------------------------
(b) Date on which acquired: ------------------------------------------------------------------------------

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