What's your contact information?

Please enter your details exactly as they appear on your passport.

Given Name

Last Name

Email

Phone Number

Alternative Phone Number

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Visa & Travel Details

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How long do you want your visa to last?

30 Days

1 Year

5 Years

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What is the main purpose of your trip to India?

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When do you plan to travel to India?

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When do you plan to leave India?

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What city will you land in first when you arrive in India?

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Which cities or places are you planning to visit in India?

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What city will you fly out of when leaving India?

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Have any of your parents or grandparents ever been from Pakistan or lived in a Pakistan-controlled area?

This question is required by the Indian government for security reasons.

Yes

No

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🧍More about you

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What is your date of birth?

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What is your gender?

Male

Female

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Have you ever changed your name?

No

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Where were you born?

City

State

Country

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What is your religion?

Christian

Muslim

Hindu

Buddhist

Jewish

Sikh

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What is your current nationality?

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What is your address?

Address

Address line 2

City

State

Zip

Country

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🛂 Your passport & identification

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What type of passport do you have?

Ordinary / Normal (most common)

Official

Diplomatic

Service

Special

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Please upload a photo of your Passport ID page

You can drag & drop or paste as well

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Is your passport damaged in any way?

Damage includes tears, loose pages, water exposure, stains, bent corners, or anything that affects the photo or the chip.

Yes

No

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Upload photos of the damaged page and the front/back cover.

You can drag & drop or paste as well

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Do you have another valid passport or identity document?

Example: Passport from another country or an Identity Certificate issued by the Indian government.

No

Yes

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If yes, what country issued it?

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What is the passport or identity certificate number?

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What was the Date of Issue?

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-What was the Place of Issue?

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👨‍👩‍👧 Your family

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What is your father's name?

First Name

Last Name

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Where was your father born?

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What’s your mother’s full name?

First Name

Last Name

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Where was your mother born?

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What is your current marital status?

Single

Divorcee

Married

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If married, what is your spouse's full name?

First Name

Last Name

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If married, where was your spouse born?

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Employment & Security

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What is your highest education level?

High school

Bachelor’s

Master’s

PhD

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What University did you go to if you went? ^*

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What is your current occupation?

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What is your current employer or company name and phone number?

Company Name

Phone Number

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What is your current employer's or company's address?

Address

Address line 2

City

State

Zip

Country

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Have you ever served in the military, police, or any security organization?

This includes any government or armed security service, even if you’re no longer active.

No

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Previous Travel & History

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Have you ever visited India before?

Yes

No

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Enter your previous India visa number

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Where and when was the visa issued?

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Has any application for an Indian visa or extension of stay ever been refused?

No

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In the past 3 years, have you visited any SAARC countries (other than your country of nationality)?

SAARC countries include Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, Pakistan, and Sri Lanka.

No

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Please list the countries you've visited in last 10 years

/

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References

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Who can we contact in India as your reference?

First Name

Last Name

Phone Number

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What is your reference’s address in India?

Address

City

State

Zip

Country

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Who should we contact in case of an emergency (someone outside India)?

First Name

Last Name

Phone Number

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What is your emergency contact’s address?

Address

Address line 2

City

State

Zip

Country

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Please upload a photo of yourself against a white wall

You can drag & drop or paste as well

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