Application Form: Page 1 of 3
Application Form: Page 1 of 3
Application Form: Page 1 of 3
( Visa Extension )
260520ER0OKN
Application ID No. 260520ER0OKN Final Submission Date Tue May 26 11:57:24 IST 2020
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
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
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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
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260520ER0OKN
Application ID No. 260520ER0OKN
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.
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