REGULAR VISA FORM

Country/Region you are applying visa from

Indian Mission/Office
Nationality/Region Date of Birth
Email ID Expected Date of Arrival
Visa Service Type Purpose(as shown in Annexure)

Applicant Details
Surname (as shown in your Given Name/s (Complete as
Passport) in passport)
Have you ever changed your name? If yes, give details
Gender Date of Birth
Town/City of birth Country/Region of birth
Citizenship/National Id No Religion
Visible identification marks Educational Qualification
Nationality

Have you lived for at least

Did you acquire Nationality
two years in the country
by birth or by naturalization
where you are applying visa?

Passport Details
Passport Number Place of Issue
Date of Issue Date of Expiry
Any other valid Passport/Identity Certificate(IC) held?
Passport / IC No. Date of Issue
Place of Issue Nationality mentioned therein

Present Address
House No./ Street Village/Town/City
Country State/Province/District
Postal/Zip Code Phone No
Mobile No Email Address

Permanent Address
House No./ Street Village/Town/City
Country State/Province/District
Father’s Details
Name
Nationality/Region Previous Nationality/Region
Place of Birth Country/Region of birth

Mother’s Details
Name
Nationality/Region Previous Nationality/Region
Place of Birth Country/Region of birth

Marital Status
Applicant’s Marital Status
Were your Grandfather/ Grandmother (paternal/maternal) Pakistan
Nationals or Belong to Pakistan held area? IF Yes give details

Visa Details
Places likely to be Visited
Duration of Visa(In Months) No. of Entries
Purpose of Visit Expected Date of Journey
Expected Port of Exit From
Port of Arrival in India
India

Previous Visa/Currently valid Visa Details

Have you ever visited India before?
Address
Cities previously visited in India
Last Indian Visa No / Currently
Type of Visa
valid Indian Visa No
Place of Issue Date of Issue
Has permission to visit or to extend stay in India
previously been refused?
If so, when and by whom (Mention Control No. and date
also)

Countries Visited
Countries Visited in Last 10 years

Profession / Occupation Details

Present Occupation Employer Name/business
Designation Address
Phone Past Occupation, if any
Are/were you in a Military/Semi-Military/Police/Security. Organization?
Organization Designation
Rank Place of Posting
SAARC Country Visit Details
Have you visited SAARC countries (except your own
country) during last 3 years?
Name of SAARC country Year No. of visits

Reference
Reference Name in India
Address
Phone
Reference Name in country applying visa
Address
Phone

Other Details
Have you ever been arrested/ prosecuted/ convicted by
Court of Law of any country?
If Yes Give Details
Have you ever been refused entry / deported by any
country including India?
If Yes Give Details
Have you ever been engaged in Human trafficking/
Drug trafficking/ Child abuse/ Crime against women/
Economic offense / Financial fraud?
If Yes Give Details
Have you ever been engaged in Cybercrime/ Terrorist
activities/ Sabotage/ Espionage/ Genocide/ Political
killing/ other act of violence?
If Yes Give Details
Have you ever by any means or medium, expressed views
that justify or glorify terrorist violence or that may
encourage others to terrorist acts or other serious criminal
acts?
If Yes Give Details
Have you sought asylum (political or otherwise) in any
country?
If Yes Give Details

Signature of Applicant
 Annexure
SERVICES PURPOSE
For those coming to establish an industrial/business venture, those required to travel
frequently on long-term business activities and for invest.
For sports persons and coaches including those engaged in commercial sports events in
India on contract with remuneration.
BUSINESS VISA For dependent of those coming to establish an industrial/business venture, those required
to travel frequently on long-term business activities and for investors
For dependent of business person coming for all other business activities (other than
those covered under B-1 and sports persons).
For all other business activities (other than those covered under B-1 and sports persons.
For recreation, sightseeing, casual visit to meet friends or relatives, attending short term
TOURIST VISA yoga programme and short duration medical treatment including treatment under Indian
systems of Medicine.
CONFERENCE VISA For attending international conferences/seminars/workshops.
Missionary / religious worker of approved organization.
MISSIONARY VISA
Dependent of missionary / religious worker of approved organization.
Dependent of diplomat(Diplomat assigned to non-UN international organization in India)
Dependent of diplomat(Diplomat assigned in India (on diplomatic passport only))
Diplomat assigned in India (on diplomatic passport only)
Diplomat on a visit to India for meetings and other official purpose (on diplomatic
DIPLOMATIC VISA passport only)
Diplomat assigned to non-UN international organization (such as ADB , ICRISAT, ICRC etc)
in India
Dependent of diplomat(Diplomat on a visit to India for meetings and other official purpose
(on diplomatic passport only)))
Dependent of non-diplomatic official visiting India
Dependent of non-diplomatic official assigned in India
OFFICIAL VISA Non-diplomatic official assigned to a diplomatic mission in India (official/service/special
passport only)
Non-diplomatic official on a visit to India for official purpose