Consulate General of Pakistan Chicago
333 N Michigan Ave, Suite 728, Chicago IL 60601
Tel: 312-781-1831 Ext 2008 fax: 312-781-1839
(Please read these instructions carefully before filling in the application form)
1. No column should be left blank. Incomplete forms with vague entries will not
Photograph must be:
be accepted. Where applicable copies of supportive documents should be
submitted along with the application form.
Passport size 2x2
2. Applicants may use extra sheets, in case of in sufficient space in the form.
Recent
and
true
3. Applicants may be asked to appear for an interview if required.
likeness, showing full
face,
with
no
hat,
4. On arrival, immigration formalities are mandatory. (police registration is
helmet or sunglasses.
applicable in certain cases)
Although reading/sight
5. Attach bank statement for business visit.
glasses may be worn.
6. Applicants family” includes spouse, son, daughter, father, and mother.
7. Use BLACK INK ONLY and write in BLOCK CAPITAL ONLY
PART – 1
1. Type of Visa Applied for:
Diplomatic
Official
Military
Business
Tourist
Family
Transit
Journalist
Others Please Specify: __________
2. Purpose of Visit:
3. Duration of Stay:
4. Visa required for:
Less than 01 Month
06 Months
1Year
2Years
5Years
Single
5. Type of Visa
Double
Multiple
i.
Port of Entry_______________ ii. Port of Departure_______________
iii.
Places to be visited in Pakistan
a_____________b_____________c______________d______________
6. Section I (Applicants Details)
i.
Name as in Passport: __________________________________________________________
First
Middle
Last
ii:
Date of Birth
___________________
dd
/
mm /
yyyy
iii:
Place of Birth:
City:___________________
Country:____________________
Male
Female
iv:
Sex:
v.
Married
vi:
Marital Status:
Single
vii:
Identification Mark:
_________________________ viii:
Native Language:________
ix:
Nationality:
a.Present ___________b.Previous__________ c.Dual___________
x.
Religion:
___________________
xi:
PASSPORT DETAILS:
Diplomatic Official / Service Ordinary
Type of Passport:
UN Travel Document
Passport Number___________Place of Issue___________
Date of issue
___________ Date of Expiry___________
Issuing Authority__________________________________
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