Application For a Visa For Mauritius
trent 6 fer ra GI ITPA (To be filled in English)
‘Answers should be typed or clearly weitten in capital feters -
Photographs | ara afer areata Huet Safe |
‘Surname
fear
First name
we
Maiden name
_ eae a efeT aT (for TATA) .
Date and place of birth
fe ora -faltt HET we
Present nationality
aaa eT :
State whether Married, Single, Divorced, Widow
frartea, afore, TarEgA sree free
| Profession
2 Recent
Rae “
Purpose of visit and period of stay
apa aT TET TTR HH SAT
‘Address in Mauritius (Telephone No.)
wife a FA, FATT
I business visit, give names and addresses of firm or individuals or other organisation
sek eras Tar Br i OH Taf WT aT TSA
Date of arrival in Mauritlus flight No. Return Flight No.
ara fat Exiahials Date
fists Sus EEEEEEeepresessseseesss au JETESLESSSEES
‘Amount of money on which you rely for your upkeep during your stay pg: m0.
rare raf fare aT TR F-T ‘
Have you visited Mauritius before 7 If so give dates. From Te
‘ear erg eaters Sr TT a Fe fel THT AH
__ Names, date and place of birth and nationality of accompanying dependents
an ETT A, FP, A TT TTT
Passport No. place and date fo issue :
said ea eT, BUT BTR a fafe
Present address & Telephone No
eee TT AT eh
Re-entry Visa No, date of issue, date of expiry of passport
uae ra 1 eRe, TET fae TT fee
Particulars of passage ticket no,
rat few 1 FT
T have taken cognizance ofthe requirements forthe gran of visa ax per the guidelines
agg ae Fe ee fea er 2 .
‘Signature: GENT
Date + fafa + Applicants Telephone No. :
. ar Office use : RRR fer,
No. ot Vina.
‘Submitted by
Agency Name
And Address
Teleplione No.
Reference No.