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Applicant Detail

Name*

Surname*

Country of Birth*

Religion*

Visible Distinguish Mark*

Previous Nationality*

Present Address*

Address line 1

Mobile Number*

Marital Status*

Single
Married

Father Details

Name*

Nationality*

Previous Nationality*

Place of Birth*

Country of Birth*

Mother Details

Name*

Nationality*

Previous Nationality*

Place of Birth*

Country of Birth*

Spouse Details

Name*

Previous Nationality*

Present Nationality*

Place of Birth*

Country of Birth*

Present Occupation

Occupation*

Employer Name*

Designation*

Address*

Address line 1 Address Line 2

Reference Name in India

Name*

Address*

Address line 1 Address Line 2

Mobile Number*

Reference Name in Australia

Name*

Address*

Address line 1 Address Line 2

Mobile Number*

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Expected Date of Arrival*

Places Likely to be Visited*

Port of arrival in India*

Places visited in the last visit*

countries visited in the last 10 years*

Are you traveling on Non-Indian Passport for the first time to India?*

Yes
No

Were your Parents/Grandparents (paternal/maternal) Pakistan Nationals or Belong to Pakistan held area.*

Yes
No

Are/were you in a Military/Semi-Military/Police/Security. Organization?*

Yes
No

Have you booked any room in Hotel/Resort etc. through any Tour Operator?*

Yes
No

Tour Operator Details

Name of tour operator*

Address of tour operator*

Address line 1 Address Line 2

Name of Hotel/resort*

Place of Hotel/resort*

Address line 1 Address Line 2

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Have you lived for at least two years in India?*

Yes
No

Step 1 of 2

Applicant Detail

Father Details

Mother Details

Spouse Details

Present Occupation

Reference Name in India

Reference Name in Australia

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Tour Operator Details

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