Visa Form for Indian Nationals

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    APPLICATION FOR PAKISTAN VISA (OTHER THAN

    DIPLOMATIC/OFFICIAL) FOR INDIAN NATIONALS

    1. Full Name: Mr/Mrs/Miss _____________________________________________________________

    2. Date of Birth _____________________________________________________________

    3. Place of Birth _____________________________________________________________

    4. Religion _____________________________________________________________

    5. Nationality (a) Present ___________________________________________________

    (b) At birth ___________________________________________________

    6. (i) Distinguishing marks: _____________________________________________________________

    (ii) Colour of (a) eyes ___________ (b) hair ___________

    (iii) Height ___________ m ____________ cm

    7. Occupation (including designation, rank, etc.)

    ___________________________________________________________________________________

    8. Address (indicate Village, Thana, District & Province)

    ___________________________________________________________________________________

    ___________________________________________________________________________________

    9. Do you belong or have you belonged to military/semi-military/police organisation? YES/NOIf so, give details.

    ___________________________________________________________________________________

    9 (a). International Passport No. _____________________________________________________________

    Place & Date of Issue _____________________________________________________________

    Valid for Pakistan up to _____________________________________________________________

    10. Fathers/Husbands Name: _____________________________________________________________

    Nationality _____________________________________________________________

    Address _____________________________________________________________

    _____________________________________________________________

    11. Has permission to visit or extend stay in Pakistan previously been refused? If so, when and by whom?

    ___________________________________________________________________________________

    12. Whether previously visited Pakistan and, if so, state

    (a) Place of visit _____________________________________________________________

    (b) Place of residence _____________________________________________________________

    (c) Period of stay & dates _____________________________________________________________

    13. Category, Number, Date and Office of Issue of visas previously or now held, if any:

    ___________________________________________________________________________________

    Applicantsphotograph

    Five copies of the Application Form are to be sent along with original passport and: Five photographs Five copies of passport Five copies of sponsor letter and other documents supporting the purpose of journey. A$ 3.00 as Bank Cheque or Money Order in the name of Pakistan High Commission. Pre-paid return Registered Post or Courier.

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    14. Children accompanying the applicant, if any

    S. No. Name Sex Date of Birth

    _____ _______________________________________ _______________ __________________

    _____ _______________________________________ _______________ __________________

    _____ _______________________________________ _______________ __________________

    _____ _______________________________________ _______________ __________________

    15. Object of visit (Give detailed information including documentary evidence, if any)

    ___________________________________________________________________________________

    16. Precise relationship with the person(s) to be visited in Pakistan

    ___________________________________________________________________________________

    17. Visa applied for (a) Duration: __________________________________

    (b) Commencing from: __________________________________

    18. Place of visit/break of journey in transit desired:

    S. No. Place Purpose of visit/halt Full address

    Probable duration ofbreak of journey intransit

    _____ _______________________ _______________ _______________ __________________

    _____ _______________________ _______________ _______________ __________________

    _____ _______________________ _______________ _______________ __________________

    _____ _______________________ _______________ _______________ __________________

    19. FOR TRANSIT VISA ONLY

    (i) Place of final destination: ___________________________________

    (ii) (a) Is passport valid for that country? ___________________________________

    (b) Has visa/immigration permit of that country been obtained? __________________

    20. Whether the applicant would travel by road/air/sea, and if by air/sea, name of Airline/Ship:

    ___________________________________________________________________________________

    21. Checkpost of entry into/exit from Pakistan: _________________________________________________

    22. Date of Departure: ____________________________________________________

    23. Additional particulars for Seamens visit:

    (a) Name of last ship ____________________________________________________

    (b) Post held ____________________________________________________

    (c) Port and date of recruitment ____________________________________________________

    (d) Port and date of discharge ____________________________________________________

    (e) Whether you desire a transit visa? If so, probable date ___________________________________

    (f) Whether you desire a re-entry visa? If so, probabledate of commencement of journey for return to India ___________________________________

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    24. Names and addresses of two persons to whom applicant is well known:

    (a) In the country of the applicant

    1. ____________________________________________________________________________

    ____________________________________________________________________________

    2. ____________________________________________________________________________

    ____________________________________________________________________________

    (b) In Pakistan

    1. ____________________________________________________________________________

    ____________________________________________________________________________

    2. ____________________________________________________________________________

    ____________________________________________________________________________

    25. If you have migrated from Pakistan to India, state:

    (a) Approximate date of migration ___________________________________

    (b) Address in Pakistan before migration ___________________________________

    ____________________________________________________________________________

    26. I hereby declare that all the statements and information given by me in this application are true to thebest of my knowledge and belief. I realize that should any of the above statements be found to be false,untrue or incorrect, my visa will be liable to cancellation by any competent authority and I will be liable tosuch other penalties as may be prescribed.

    27. I belong/do not belong/have previously belonged/have not previously belonged to a Military/Semi Military/Police/Semi Police Organisation. (Give details if the answer is in the affirmative).

    28. I herewith enclose five copies of this application, five copies of my photograph and the prescribed visafee in Bank Cheque/Money Order.

    _____________________________Signature

    _______________________________Place

    __________________Date

    FOR USE BY PAKISTAN EMBASSY ONLY

    1. Granted Visa No. _______________________________ dated _________________________ for

    journey/journeys, valid for ________________days/months for stay at places specified below:

    (i) ____________________________________________________________________________

    (ii) ____________________________________________________________________________

    (iii) ____________________________________________________________________________

    2. No. and date of letter issued by the Interior Division, Islamabad, authorising grant of visa :

    ___________________________________________________________________________________

    3. Visa should be utilised within one month from the date of issue.

    4. Special endorsements, if any: ___________________________________________________________

    ___________________________________________________________________________________

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    5. Duplicate copy given to applicant, who should carefully note the conditions of the visa stated above andhand it over to the Pakistan checkpost of entry.

    ___________________________________(VISA OFFICER)

    Office of the__________________________________________________________________________

    _____________________________________

    _____________________________________