San Francisco India - Visa Application Form Page 7
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10VISA QUESTIONNAIRE
INDIA
YOUR WORK INFORMATION:
Your Occupation:_______________________________
Your Position:_____________________________________
Name of Employer or School:__________________________________________________________________________
Work Address:______________________________________________________________________________________
City:__________________________________________
State:_____________________
Zip Code:___________
Work Telephone:________________________________
Work Email:______________________________________
Previous Occupation, if any:____________________________________________________________________________
Have you ever been a member of the military?
No
Yes (complete details below)
Country and Branch of Service (i.e. US Navy):__________________________________________________________
Specialization:__________________________________________________________________________________
Highest Rank Obtained:___________________________________________________________________________
Service Location: City:________________________
State:____________
Country:______________________
YOUR TRAVEL TO INDIA:
Type of Visa Required:
Tourist
Conference, valid 3 months
Business
Flight Crew
Employment - Indian Employer’s EPFO Number:____________________________________
For visas other than tourist or conference, select the requested validity of the visa:
1 Year
5 Years
10 Years
Validity is granted at consular discretion; a shorter validity may be issued without refund.
Are you applying for a new visa, or to transfer a valid visa from a cancelled passport to a new passport?
New Visa
Visa Transfer
Expected Date of Arrival to India: _____ / _____________ / ________
Day
Month
Year
Arrival City in India:______________________________
Exit City from India:__________________________________
Other Indian Cities to be Visited:________________________________________________________________________
Have you previously visited India?
No
Yes, details of most recent visit below:
Address of Hotel or Residence:_____________________________________________________________________
Cities Visited in India:_____________________________________________________________________________
Indian Visa Number:______________
Issued By (consulate location, i.e. Washington, DC):_____________________
Type of Visa:
Tourist
Conference
Business
Employment
Flight Crew
Other:_______________________________________
When was your visa issued? _____ / _____________ / ________
Day
Month
Year
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