Please fill all the details including your spouse (if married) whether or not they are

accompanying you.
Details Primary Applicant Spouse Daughter Son
Name
Height
Date of Birth
Place of Birth
Color of eyes
Native Language
Will accompany you?
Highest Qualification
ccupation
Passport No!
Date of "ssue
Place of "ssue
Date of marriage anniversary #
$un%s availa&le #
Property availa&le #
'isa refusal %etails #
Current country of resi%ence #
Status in that country #
Any government positions hel% #
Any military service #
(em&ership of organi)ations #
Criminal Bac*groun% #
Details Primary Applicant+s (other Primary Applicant+s $ather
Name
Date of Birth
Place of Birth
Present A%%ress
Date of %eath
,if applica&le-
Education details 10
th
onwards for the Primary Applicant
$rom
,mm.yy-
/o
,mm.yy-
Name of "nstitution ,$0LL NA(1- City Qualification
Details of Primary Applicants Brother !ister
Name 2elationship Date of
Birth
Place of
Birth
(arital
Status
Present A%%ress
Addresses where the Primary Applicant has "een resident since the age of 1# years
$rom ,mm.yy- /o ,mm.yy- $ull A%%ress 3ith pin co%e
Acti$ities since the age of 1# years (Primary Applicant)
$rom ,mm.yy- /o ,mm.yy- Activity City./o3n Name of employer
%ra$el &istory (A"road) since the age of 1# years (Primary Applicant)
$rom ,%%.mm.yy- /o ,%%.mm.yy- Ho3 many Days? City.Country Purpose of travel
Details Primary Applicant+s Spouse+s (other Primary Applicant+s Spouse+s $ather
Name
Date of Birth
Place of Birth
Present A%%ress
Date of %eath
,if applica&le-
Education details 10
th
onwards for the Primary Applicants !pouse
$rom
,mm.yy-
/o
,mm.yy-
Name of "nstitution ,$0LL NA(1- City Qualification
Details of Primary Applicants !pouses Brother !ister
Name 2elationship Date of
Birth
Place of
Birth
(arital
Status
Present A%%ress
Addresses where the Primary Applicants !pouse has "een resident since the age of 1#
years
$rom ,mm.yy- /o ,mm.yy- $ull A%%ress 3ith pin co%e
Acti$ities since the age of 1# years (Primary Applicants !pouse)
$rom ,mm.yy- /o ,mm.yy- Activity City./o3n Name of employer
%ra$el &istory (A"road) since the age of 1# years (Primary Applicants !pouse)
$rom ,%%.mm.yy- /o ,%%.mm.yy- Ho3 many Days? City.Country Purpose of travel