Download Visa Application Form for Bangaladeshi Nationals

APPLICATIONThree copies to be completedFor use by the Bangladesh nationalsFORM FOR INDIAN VISA (OTHER THAN)DIPLOMATIC / OFFICIAL1. Full Name (Block Letters)Mr./Mrs./Miss _2. Date & Place of Birth _3. Educational Qualifications _4. Occupation _5. Nationality _6. Address(a) Permanent _(b) Present _(c) Telephone No _7. Name, Address and Nationality of Father _8. (i) Whether anyone of the following migrated from India to area now constitutingBangladesh on or after 1-3-1947(a)Applicant. (b) Applicant's father/husband(ii)If so,(a) Approximate date of migration(b)Address in India before migration9.Children accompanying the Applicant, if so,S.no1.Name SexDate& Place of Birth_2. _3., _4., _

10.Particulars of Passport:(a) Number _(b)Place of Issue_(c) Date of Issue _(d)Date ofExpiry_(e)If possessing international Passport whether it has been endorsed valid for India11. Whether previously in India and if so, Places of residence with date.Date of VisitAddressI========~====~==12. Whether permission to visit India or to extend stay in India has been refused previously,and if so, when and by whom?_13. (i) Purpose for which Visa required now _(ii) Period for which Visa required _(iii) Proposed date of departure _(iv) Proposed date ofretum _14. If traveling by land route specifies the Indian check post through which entry and exitdesiredEntry _ Exit -------------15. Places proposed to be visited with full address.PlacesAddress in full1================16. Whether Transit Visa/short -term single Entry/long-term Multiple Entry/visa required17. For Transit Visa only:-(i) Country of final destination _(ii) (a) Is passport valid for the Country _(b) Has visa/immigration permit of that country been obtained?_