Application Form For The Grant/renewal Of Pio Card - Embassy Of India (Page 3 of 3) in pdf

Application Form For The Grant/renewal Of Pio Card - Embassy Of India Page 3

14. Has the applicant ever been refused Indian passport / travel document or visa for visiting India, if so,

give complete details : (i.e. place & date of application, purpose, reasons for refusal etc.)

15. Details of previous PIO Card (wherever applicable) :

Date of issue : ...............................................................................................................

Date of expiry : .............................................................................................................

Place of issue : ..............................................................................................................

16. Name & complete addresses of two persons known to the applicant living in India :

Name : ........................................................................................................................

Full postal address : ....................................................................................................

Telephone No. : ...........................................................................................................

17. Details and mode of payment of fee : ..................................................................................

DECLARATION

I hereby declare that the above statements are true to the best of my knowledge and belief.

SIGNATURE OF THE APPLICANT

Date : .........................................................

Place : ........................................................

Two specimen signature of the applicant

Expression 'India' as given in sub-section (1) of the section 311 of the Government of India act,

1935 means British India together with all territories of any Indian ruler under the suzerainty of His

Majesty, all territories under the suzerainty of such an Indian ruler, the tribal areas, and any other

territories which His Majesty in Council may, from time to time, After ascertaining the views of the

federal Government and the Federal legislature, declare to be part of India.

Application Form For The Grant/renewal Of Pio Card - Embassy Of India Page 3