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APPENDIX-6

INDIAN COUNCIL FOR CULTURAL RELATIONS


PERSONAL PARTICULARS OF THE CANDITATE
1. Name in Full( In
CAPITALS):_____________________________________________________________
Surname
First Name
Middle Name
2. Nationality:_____________________________________________________________
3. Date of birth (in Christian era):______________________________________________
4. Parentage:
a. Fathers name in full(All CAPITALS) with nationality:
Surname
First Name
Middle Name
Nationality:__________________________________________________________
b. Mothers name in full (ALL CAPITALS) with nationality:
Surname
First Name
Middle Name
Nationality :__________________________________________________________
5. Name of Spouse (in CAPITALS) with nationality for married person only:___________
6. Contact Address/Telephone no. /Mobile
________________________________________________________________________
________________________________________________________________________
7. Permanent
Address:________________________________________________________________
________________________________________________________________________
________________________________________________________________________
e-mail address:____________________________________________
8. Passport , if available:
Passport No.____________________
Date of Issue:__________________________
Date of Expiry:__________________
Place of Issue:_________________________
9. Occupation:_____________________________________________________________
10. Whether previously visited India , If so mention the date and place of previous visit:

*Please Note Do Not Use Initials for Name .

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