Indian Visa Online Application Forms Page 3

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Indian Visa VIP Form
1. Personal Information (Exactly as in Your Passport)
Surname: __________________________________
First Name: _________________________________ Middle Name(s): ____________________________________
Previous Names (if applicable): _____________________________________________________________________
 Male
 Female
 Transgender
Sex:
Date of Birth: _____/______/__________ (dd/mm/yyyy)
Place of Birth (City/Town): ___________________________ Country of Birth: _______________________________
Religion:__________________________________________
List Here Any Visible Identification Marks (if applicable): _________________________________________________
Your Highest Educational Qualification: ______________________________________________________________
Current Nationality(ies): __________________________________________________________________________
Previous Nationalities (if applicable): ________________________________________________________________
2. Passport Information
Passport #: ________________________________ Place of Issue: _______________________________________
Passport Issue Date: ____ /_____/__________
Passport Expiry Date: _____/_____/___________
dd
mm
yyyy
dd
mm
yyyy
3. Address Details
Your Current Address:
House Name/Number and Street Name: ___________________________________________
Town/City: __________________________________
County: ____________________________________ Post Code: _______________________
Country: ___________________________________________________
TERMS AND CONDITIONS: Travel Visa Pro acts only as an agent, and only Embassy/Consular Officials make the final determination when deciding how fast and for what period of time (validity) visas can be
issued. Embassy/Consulate Officials also have the right to ask for additional documentation in order to issue a visa. Travel Visa Pro accepts no responsibility for the services of the Embassy/Consulate in
connection with the granting of visas, nor for any delays, loss of passports or other materials occasioned by such services or by any delivery services. Damage compensation is not available. In the case where
a visa or passport application has been cancelled or rejected, the service fee will be non-refundable. In case mistake is made on our part in dates/names, please notify us within 12 hours after receipt of your
visa for necessary corrections to be made. If your trip has been postponed or dates are changed, some consulates permit visa correction for a fee. An administrative fee of £10 will be added to all cancelled
orders.

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