Visa Application Form For Seychelles Commission
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1
2FOR OFFICIAL
HIGH COMMISSION OF INDIA
USE ONLY
P.O. Box 488, Le Chantier,
Victoria, Mahe (Seychelles)
FEE: SR …………
Phone: +248 610301
AFFIX ONE
Fax:
+248 610308
RECEIPT No. ……..
PHOTO HERE
VISA APPLICATION FORM
(TO BE FILLED IN CAPITAL LETTERS)
Application received between 0800 hrs – 1200 hrs only
The other photo to be
stapled with the application.
PART A
1.
(a) Full Name: Mr./Ms.:________________________________________________________________
(b) Father's Name: ____________________________________________________________________
(c) Spouse's Name (if applicable): _______________________________________________________
2.
Whether any children accompanying the applicant are included in his / her passport. YES /NO, give the
following details: Name: _____________________________Place of Birth: ______________________
Date of Birth: ____________________________ Relationship: ________________________________
3.
Address:
(a) Permanent: ___________________________________________________________________
(b) Present: ______________________________________________________________________
(c) Tel. Number: (office) ________________ (home) _________________ (mobile) ____________
(d) Email address_________________________________________________________________
4.
Date of Birth: ________________________________________________________________________
5.
Place and Country of Birth: _____________________________________________________________
6.
Present Nationality: ___________________________________________________________________
7.
Any other Nationality? YES/NO ________ Previous: ________________ Present: _________________
If YES: Passport No _____________________________ Place of Issue: _______________________
Date of Issue ________________________ Date of Expiry____________________________________
8.
Occupation: _______________________ Name of the Organization: ___________________________
9.
Particulars of Passport or other travel document:
(a) Number: __________________________ (b) Place of Issue: _______________________________
(c) Date of Issue: _____________________ (d) Date of Expiry: _______________________________
10.
Have you visited India previously, if so indicate places with dates: _____________________________
___________________________________________________________________________________
___________________________________________________________________________________
11.
Whether permission to visit India or extended stay in India has been refused previously if so when?
___________________________________________________________________________________
12.
Period for which visa is required: _____________________ No. of entries: single/double/triple/multiple
Date of entry into India: _________________ Date of departure from India: _____________________
13.
Object of entry into India: Tourism/Medical/Medical escort/ Business / Education / Employment / Visit
Relatives or any other_________________________________________________________________
14.
Port of entry in India: _______________________________________________________________
15.
Port of departure from India: ___________________________________________________________
16.
Place / Areas to be visited: _____________________________________________________________
P.T.O
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