India Visa Application Form

For information about how we will use your personal details please see our Privacy Notice.
Surname*
First Name*
Previous Names/Maiden Name
Sex*
Date of Birth*
Place of Birth (town and country)*
Religion*
Citizenship/NIC No*
Identification Marks*
Education Qualification*
Nationality*
Did you acquire nationality by birth or naturalisation?*
Previous Nationality
Passport Details
Passport Number*
Place of issue*
Date of issue (dd/mm/yyyy)*
DD slash MM slash YYYY
Date of expiry (dd/mm/yyyy)*
DD slash MM slash YYYY
Do you hold any other Passport/Identity Certificate*
If yes, please confirm country of issue
Password ID/Number
Nationality/Status
Date of issue (dd/mm/yyyy)
DD slash MM slash YYYY
Place of issue
Applicant's Address Details
Present Address
Permanent Address
Phone Number
Email Address

Family Information
Father's Name
Father's Nationality
Father's Previous Nationality
Father's Place & Country of Birth
Mother's Name
Mother's Nationality
Mother's Previous Nationality
Mother's Place & Country of Birth
Spouse's Name
Spouse's Nationality
Spouse's Previous Nationality
Spouse's Place & Country of Birth
Applicant's Marital Status
Were your Grandfather/Grandmother Pakistani National or Belong to Pakistan herd area?
Please give details

Previous Visa/Currently valid visa details
Have you visited India before?
If yes, address of your last visit
Cities in India visited
Last Indian visa number
Type of last visa
Place of issue of last visa
Date of issue of last visa
Has permission to visit or to extend stay in India previously been refused?
If so, when and by who
Other Information
Please list countries you have visited in last 10 years
The South Asian Association for Regional Cooperation (SAARC) Country visit details
Have you visited SAARC countries (except your own country) during last 3 years?
If yes, please specify country
- Afghanistan
- Bhutan
- Pakistan
- Maldives
- Bangladesh
- Sri Lanka
- Nepal
Years of visit
Number of visits
Reference
Reference name in India
Address
Phone
Reference name in United Kingdom
Address
Phone

Declaration
a. I do not hold any other passport(s) other than those detailed above
b. I have read and fully understood all the conditions for the visit to India and I am willing and able to abide fully by them
c. I declare that the information given in the form is complete and correct and the visit to India will be undertaken for the purpose indicated in the application
d. I understand that in case the information provided in the form is found to be incorrect, I will be liable for the denial of visit/entry or deportation and/or other penalties during the visit as provided by Indian law
I accept the declaration shown above.*
- I AGREE

Passport Details