Application Form For Persons Of Indian Origin (Pio) Card (Hci Ottawa / Cgi Toronto / Cgi Vancouver)
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4Please paste one
HCI OTTAWA / CGI TORONTO /
photo (35mm X
CGI VANCOUVER
35mm) and attach
three more.
(Make sure Signature is within the box
OR thumb impression in case of a child :)
APPLICATION FORM FOR PERSONS OF INDIAN ORIGIN (PIO) CARD
(TO BE SUBMITTED IN DUPLICATE with ENCLOSURES)
1. a) Name of the applicant
:_______________________________________
b) Surname at birth (if any)
:_______________________________________
c) Other names (if 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:
Present:
:________________________________________
________________________________________
Permanent:
:________________________________________
________________________________________
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)
:________________________________________
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