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Country you are applying visa from (Nationality)*

Where am I Going?*

Passport Type*

Date of birth*

Email address*

Mobile*

Expected Date of Arrival

Visa Type*

Purpose of entry*

Visa Category *

Type of visa*

Visa Category *

Please type the characters*

Applicant Details

Surname (exactly as in your Passport)*

Given name/s (exactly as in your Passport)*

Gender*

Town/City of birth

Country of birth*

Religion*

Visible identification marks*

Educational Qualification *

Did you acquire Nationality by birth or by naturalization ? *

Prev. Nationality *

Have you lived for at least two years in the country where you are applying visa?

Yes

Passport Details

Passport Number *

Date of Issue *

Date of Expiry *

Place of Issue *

Country of Issue *

Any other valid Passport/Identity Certificate(IC) held,

Yes

Passport/IC No. *

Date of Issue*

Place of Issue *

Nationality mentioned therein*

Applicant's Address Details

Present Address

House No./Street*

Village/Town/City*

Country*

State/Province/District*

Postal/Zip Code*

Phone No.*

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Permanent Address

House No./Street*

Village/Town/City*

State/Province/District*

Family Details

Father's Details

Name *

Nationality*

Previous Nationality

Place of birth *

Country of birth *

Mother's Details

Name *

Nationality*

Previous Nationality

Place of birth *

Country of birth *

Applicant's Marital Status *

Spouse's Details

Name *

Nationality*

Previous Nationality

Place of birth *

Country of birth *

Profession / Occupation Details of Applicant

Present Occupation*

Employer Name/business *

Designation

Address *

Phone*

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Applicant Details

Passport Details

Applicant's Address Details

Family Details

Spouse's Details

Profession / Occupation Details of Applicant

Details of Purpose

Details of Purpose

Details of Purpose

Details of Purpose

Previous Visa/Currently valid Visa Details

Other Information

SAARC Country Visit Details

Reference

Reference

Reference

Reference

Reference

Reference

Reference

Reference

Reference

Reference

Reference

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Reference

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Reference

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Reference

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