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
Passport)
Given Name/s (Complete as
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
Did you acquire Nationality
by birth or by naturalization
Have you lived for at least
two years in the country
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
Port of Arrival in India
Expected Port of Exit From
India
Previous Visa/Currently valid Visa Details
Have you ever visited India before?
Address
Cities previously visited in India
Last Indian Visa No / Currently
valid Indian Visa No
Type of Visa
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
BUSINESS VISA
TOURIST VISA
CONFERENCE VISA
MISSIONARY VISA
DIPLOMATIC VISA
OFFICIAL VISA
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.
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
yoga programme and short duration medical treatment including treatment under Indian
systems of Medicine.
For attending international conferences/seminars/workshops.
Missionary / religious worker of approved organization.
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 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
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