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8/3/2019 Visa Form for Indian Nationals
1/4
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__________________________________________________________________________
_____________________________________
_____________________________________