3/22/23, 3:14 PM Indian e-Visa

Confirm Details
The applicant is requested to verify the
particulars filled in the application Form.The
applicant may face legal action(including
refusal to enter India or deportation) in case
of provision of wrong information.
Please verify your Registration Details. If all details are correct please Press "Verified and
Continue".
For any corrections press "Modify/Edit"

Please note down the Temporary Application ID: 3622A5X32NA8JXU

Applicant Details
Surname (as shown in KAKAR Surname/Family Name (As
your Passport) in Passport)

Given Name/s (Complete EHSANULLAH Given Name/s (As in

as in Passport)* Passport)

Have you ever changed NO

your name? *
Gender* MALE Gender

Date of Birth* 03/05/1999 Date of Birth as in Passport

in DD/MM/YYYY format
Town/City of birth* KABUL Province/Town/City of birth

Country of birth* AFGHANISTAN Country of birth

Citizenship/National Id 1400120004578 If not applicable Please Type

No.* NA

Religion* ISLAM If Others .Please specify

Visible identification NA Visible identification marks

marks*
Educational Qualification GRADUATE Educational Qualification
*
Nationality * AFGHANISTAN Nationality

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Did you acquire BY BIRTH Did you acquire Nationality

Nationality by birth or by by birth or by naturalization?
naturalization? *
Have you lived for at least two years in the country
where you are applying visa? NO
Passport Details
Passport Number * P01870143 Applicant's Passport Number

Place of Issue * KABUL Place of Issue

Date of Issue * 14/01/2019 In DD/MM/YYYY format

Date of Expiry * 14/01/2024 In DD/MM/YYYY format

Any other valid Passport/Identity Certificate(IC)

held, NO
Applicant's Address Details
House No./Street* STREET 2 Applicant's Present Address.
Maximum 35 characters
(Each Line)
Village/Town/City* KART-E-NEW Village/Town/City

State/Province/District* DISTRICT 8 State/Province/District

Postal/Zip Code 1005 Postal/Zip Code

Country* AFGHANISTAN Country

Phone No. One Contact No is

Mandatory

Mobile No. +93791717506 Mobile Number

Email Address EHSANPASON@GMAIL.COM Email Address

Permanent Address
House No./Street* STREET 2 Applicant's Permanent
Address(with Postal/Zip
Code)
Village/Town/City KART-E-NEW Village/Town/City

State/Province/District DISTRICT 8 State/Province/District

Family Details
Father's Details
Name * NASRATULAH Applicant's Father Name

Nationality* AFGHANISTAN Father's Nationality

Previous Nationality Previous Nationality of

Father
Place of birth * KABUL Place of birth

Country of birth * AFGHANISTAN Country of birth

Mother's Details
Name * ASMA KAKAR Applicant's Mother Name

Nationality* AFGHANISTAN Mother's Nationality

Previous Nationality Previous Nationality of

Mother
Place of birth * KABUL Place of birth

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Country of birth * AFGHANISTAN Country of birth

Applicant's Marital Status SINGLE Applicant´s Marital Status

*
Were your Grandfather/ Grandmother
(paternal/maternal) Pakistan Nationals or Belong to
Pakistan held area. NO
Were your Grandfather /
Grandmother
(paternal/maternal) Pakistan
Nationals or belong to
Pakistan held area? Yes / No
Profession / Occupation Details of Applicant
Present Occupation* STUDENT If Others,please specify

Occupation details of Father

Employer Name/business PERSONAL BUSINESS Employer Name / Business
*
Designation Designation

Address * KABUL Address

Phone Phone

Past Occupation, if any NA Past Occupation, if any

Are/were you in a Military/Semi-

Military/Police/Security. Organization? NO
If yes,give details
Details of Visa Sought
Visa Type* e-Visa
Visa Service* e-Emergency X-Misc
Places to be visited 1* NEW DELHI
Places to be visited 2
Have you booked any NO
room in Hotel/Resort etc.
through any Tour
Operator?
Duration of Visa* 180 days
No. of Entries * Double
Purpose of Visit* EMERGENCY TRAVEL TO
INDIA
Expected Date journey * 03/05/2023
Port of Arrival in India * DELHI AIRPORT
Port of Exit from India DELHI AIRPORT
Previous Visa/Currently valid Visa Details
Have you ever visited YES If Yes Please give Details
India before?*
Address* WZ-9, GALI NO-8, KRISHNA
PARK, NEW
NEW DLEHI-110018

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Cities previously visited NEW DELHI Cities in India visited

in India* (comma separated)

Last Indian Visa VL2807562 Last Indian Visa no /

No/Currently valid Indian Currently valid Visa no
Visa No.*
Old Visa Type* TOURIST VISA Type of Visa

Old Visa Issue Place* KABUL Place of Issue

Old Visa Issue Date* 29/01/2020 Date of Issue

Has permission to visit or to extend stay in India

previously been refused? No
Other Information
Countries Visited in Last INDIA
10 years
SAARC Country Visit Details
Have you visited SAARC countries (except your own
country) during last 3 years? No
Reference
Reference Name in RAJNI PRAKASH Reference Name and
India* Address in India

Address* C-52, DUGGAL COLONY,

DAVLI ROAD
KHANPUR, NEW DELHI-
110080

State* DELHI
District* DELHI
Phone* +919810078845 Phone no

Reference Name in SAID MURTAZA Reference Name and

AFGHANISTAN* Address in AFGHANISTAN

Address* KABUL

Phone* +93745732866 Phone no

Verified and Continue Modify

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