Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                

Application Form: Page 1 of 3

Download as pdf or txt
Download as pdf or txt
You are on page 1of 3

APPLICATION FORM

( Visa Extension )

260520ER0OKN

Application ID No. 260520ER0OKN Final Submission Date Tue May 26 11:57:24 IST 2020

FOR OFFICE USE ONLY

Reg. No. B 0 0 3 C H N 2 0 2 0

Personal Details
Surname CHEN
Given Name GUOCAI Paste your
Sex Male Date of Birth 01/06/1963 Height (in cm) 168 Recent passport size
Age as on today Year(s) 56 Month(s) 11 Day(s) 25 photograph here
Place of Birth FUJIAN,QUANG ZHOU,CHINA
Father's Name CHEN YINFA
Mother's Name CHEN BAOYU
Spouse's Name YANG MOLI
Religion BUDDHISM Any Identification mark(s) preferably FACE MOLE
visible

Present nationality CHINA Previous nationality


Manner of acquiring present nationality Birth
Date of acquiring present nationality 01/06/1963
Whether holding dual NO
nationality? If yes, Name of the country of second nationality
provide the following:- Passport No. of second country
Date of Issue
Date of Expiry
Whether travelled on this passport earlier to
India

Whether person of Indian Origin YES

Address of last residence (Outside India)


Address ROOM906 NO9 HAITIAN ROAD HULI
City FUJIAN XIAMEN Country CHINA

Address intended for longer stay in India (Registration)


Address F-2 BLOCK A SHIVAGANGA GALAXY APARTMENT, NEAR MARAMMA TEMPLE, VAJARAHALLI VILLAGE, THALAGATTAPURA
POST
City/ District BANGALURU State KARNATAKA
Pin Code 560109
Phone Number Mobile Number 9663195073
Any Other Address in India
Address
City/ District State
Pin Code
Phone Number Mobile Number
Email/Occupation/Profession Details
E-Mail Id exports@freeworldgranites.com
Profession/Occupation BUSINESS

Passport Details
Passport Number E52317715 Place of Issue CHINA, FUJIAN
Date of Issue 01/06/2015 Expiry Date 31/05/2025

Visa Details
Visa Number 1085V153A019 Place of Issue CHINA, FUJIAN
Date of Issue 31/05/2019 Expiry Date 29/05/2020
Valid For Multiple Entry Visa Type e-VISA
Special endorsement, if any

Organization/Company/Institute/Hospital Details
Name

Page 1 of 3
260520ER0OKN
Application ID No. 260520ER0OKN

Address
State City
Telephone Number Email ID
Employer EPFO ID Establishment ID
Arrival Details
Place of embarkation/boarding for India FUJIAN,FUJIAN,CHINA
Date of arrival in India 02/11/2019
Place of disembarkation/arrival in India BANGALORE
Mode of Journey Air Flight/ Ship/ Bus/ Train No. KA619
Purpose of visit to India Business

Previous Registration Details in India


Registration Number Place of Registration Visa Type Duration From To
Details of family members/attendant/dependents, if any accompanying.
Name Nationality Passport Number Relationship
Person to be contacted in Case of Emergency
Name R M GOPINATH Relationship MANAGER MARKETING
Address MILESTONE 45 FIRST MAIN ROAD GANDHI NAGAR City CHENNAI
ADYAR
Country INDIA Phone Number 04424414277
Category Others

Military service details


Organisation Designation
Rank Place of Last Posting
Country of Last Posting

Current Registration Details


Are you registered in current locality FRRO/FRO in the current visit? NO Current
Registration No.

Current Extension Details


Have you got extended visa in current visit in current locality NO Current
FRRO/FRO? Extension No.

Visa Extension Details


Whether previously in India? NO
Whether permission to stay in India has been previously refused? NO
Whether permission to extend stay in India has been previously granted? NO
Period of Extension requried Year(s) Month(s) 6 Day(s)
Reason for extension BUSINESS MEETINGS
In case of Missionary - Nature of work

Signature of the Applicant


Date_ _ _ _ _ _ _ _ _ _ _ _ _

Page 2 of 3
260520ER0OKN
Application ID No. 260520ER0OKN

List of mandatory and non mandatory documents

Mandatory Documents.
1. Residence proof : Residence proof i.e. updated form 'C' generated by hotel/ lodge or Registered / Notarized Lease Deed or Utility Bill copy along with copy of photo-ID of landlord with
declaration.

2. Photo : Applicant's Photo


3. Visa : Copy of latest Indian visa
4. Passport : Bio-data page of passport

Registration office address

Office Name : FRRO BENGALURU


Address : 5th Floor, A Block, TTMC, BMTC Bus Stand Building, K.H. Road, Shantinagar
City/District : BANGALURU
State : KARNATAKA
Pin Code : 560027
Phone Number : 0

Office opening time: 9.30 closing time: 18.00

There is no need to submit hard copy to concerned


FRRO/FRO

Page 3 of 3

You might also like