Professional Documents
Culture Documents
NLDMFAIND2311877229564
NLDMFAIND2311877229564
RECENT COLOUR
PHOTO
3 x 4 cm
Country of Application
1. Country of application India
Personal Details
Identity
2. Surname(s) Paul
3. Given name(s) Mukul
4. Nationality Indian
5. Gender Male
6. Marital status Single
Birth
7. Date of birth 29-08-2000
8. Place of birth Jalandhar
9. Country of birth India
Contact
10. Telephone number +916239415128
11. Email address Mukulpaul29@gmail.com
12. I hereby declare that I wish all correspondence regarding my visa Yes
application for the Caribbean parts of the Kingdom of the Netherlands
to be conducted via the email address as provided by me.
Address
13. Address 382 arya nagar
14. Additional address information kartarpur
15. Address line 3
16. Address line 4
17. Postal code 144801
18. City Jalandhar
19. Country India
Insurance
20. Do you have travel insurance that includes medical cover and/or Yes
health insurance?
21. Valid until 10-02-2024
Occupation
22. Occupation Clerk, White collar worker
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Journey
Travel Document
32. Type of travel document Normal passport
33. Document number W6780635
34. Valid from 30-11-2022
35. Valid until 29-11-2032
36. Issued by GOVERNMENT OF INDIA
Type of Visa
37. Number of entries Single entry (for a specific purpose of travel), valid for 90
days
First Entry
38. Country or island of first entry Sint Maarten
Destination(s)
39. Select all islands you will be visiting during your stay in the Caribbean [-] Aruba
[-] Bonaire
[-] Curaçao
[-] Saba
[-] Sint Eustatius
[x] Sint Maarten
Destination
Travel Dates
41. Date of arrival in Sint Maarten 15-12-2023
42. Date of departure from Sint Maarten 10-02-2024
43. Number of days in Sint Maarten 58
Invitation
45. Have you been invited to Sint Maarten? By a person
46. Surname(s) VASWANI
47. Given name(s) NARESH
48. Relationship to inviting person Uncle or Aunt
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Guarantor's Details
59. Is this person acting as a guarantor? Yes
60. Date of birth of guarantor 17-11-1971
61. Nationality of guarantor Dutch
62. Type of travel document of guarantor Normal passport
63. Travel document number NVCFJ5LKO
Accommodation
64. Where will you be staying during your visit to Sint Maarten? Staying with the person who invited you
Funding
Means of Support
65. Who is funding the travel and living expenses? Fully sponsored by someone else
66. Who will be sponsoring your travel or stay? [x] Sint Maarten: NARESH VASWANI
[-]
67. Indicate the sponsor's or financial guarantor's means of support [x] Cash
[x] Accommodation provided
[x] All expenses covered
[x] Prepaid transport
[-] Other, please specify
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Declaration:
- I have read and understood the information in the explanatory note and the guidelines for completing the form and have completed the form
in full, correctly and truthfully;
- I understand that the visa is a condition for entry to the Caribbean countries but does not give absolute right of entry. At each border control
I will need to be able to show that I satisfy all the requirements for the intended purpose of travel in the country in question. If I do not satisfy
all the conditions I will be refused entry;
- I will use the visa granted on the basis of this application correctly and lawfully. I will not overstay (exceed the permitted period of stay (for
each visit)). Misuse of the visa may mean my removal from the country. It may also mean that I may not be admitted to the Kingdom of the
Netherlands in the Caribbean in the future.
Such data, as well as data concerning the decision taken on my application or a decision whether to annul, revoke or extend an issued visa,
will be stored and will be accessible to the visa authorities, the authorities competent for carrying out checks on visas at external borders and
to immigration and asylum authorities in the (Caribbean parts) of the Kingdom of the Netherlands. This data will enable these authorities to
verify whether the conditions for the legal entry, stay and residence have been met, and identify persons who do not or who no longer fulfil
these conditions. The authority responsible for processing the data is: Ministry of Foreign Affairs, Consular Affairs and Visa Policy
Department (DCV), PO Box 20061, 2500 EB THE HAGUE.
I am aware that I have the right to obtain data relating to me, to request that data relating to me which is inaccurate be corrected, and to
request that any data relating to me that has been processed unlawfully be deleted. At my express request, the authority processing my
application will inform me how I may exercise my right to check data relating to me and have it corrected or deleted, including the related
remedies under national law. The national supervisory authority will hear claims concerning the protection of personal data. For the
Netherlands this is: the Dutch Data Protection Authority (Autoriteit Persoonsgegevens) PO Box 93374, 2509 AJ The Hague.
Please be aware that the use of email is subject to security risks. You should be aware of these risks if you choose to have correspondence
regarding your visa application sent by email. The Ministry of Foreign Affairs cannot guarantee the reliability of sending or receiving
messages by email, or the confidentiality and integrity of email correspondence via the internet and therefore accepts no responsibility for
any email messages which are subject to delay in delivery or which fail to reach you. All email messages received are processed in
accordance with Dutch legislation on privacy and security. If you believe the risks to be too great, correspondence regarding your application
can be sent by conventional mail. In this case please be aware that it may take longer to send and receive relevant correspondence.
Place and date Signature (for minors: the signature of the person(s)
with parental responsibility/the legal guardian)
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Visa: [ ] Granted
[ ] Territorially Limited Visa due to:
[ ] entry for specific purpose of travel
[ ] public order
[ ] national security
[ ] public health
[ ] Refused
Code for ground of refusal:
Code for explanation:
To ..........................................................
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