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TO BE FILLED IN DUPLICATE
EMBASSY OF INDIA
2536 MASSACHUSETTS AVE NW, WASHINGTON, DC-20008
TEL: (202) 939-9806 FAX: (202) 797-4693
WEBSITE: www.indianembassy.org
VISA APPLICATION FORM FOR BANGLADESHI NATIONALS
TWO
PHOTOGRAPHS
REQUIRED
(ONE ON EACH
APPLICATION
FORM)
1.
2.
3.
4.
5.
6.
ADDRESS:
(a) PERMANENT:____________________________________________________________________________________
(b) PRESENT:________________________________________________________________________________________
(c) TELEPHONE:_____________________________________________________________________________________
7.
8.
9.
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 RETURN:____________________________________________________________________________
14. IF TRAVELING BY LAND ROUTE, SPECIFY THE INDIAN CHECK POST THROUGH
WHICH ENTRY AND EXIT DESIRED:______________________________________________________________________
15. PLACES PROPOSED TO BE VISITED WITH FULL ADDRESS:
PLACES__________________________________________________________________________________________
ADDRESS IN FULL________________________________________________________________________________
16. WHETHER TRANSIT VISA/SHORT-TERM SINGLE ENTRY/LONG-TERM MULTIPLE ENTRY VISA
REQUIRED:__________________________________________________ ____________________________________________
17. FOR TRANSIT VISA ONLY:
(i) COUNTRY OF FINAL DESTINATION:____________________________________________________________________
(ii) (a) IS PASSPORT VALID FOR THAT COUNTRY:__________________________________________________________
(b) HAS VISA/IMMIGRATION PERMIT OF THAT COUNTRY BEEN OBTAINED:_____________________________
( FOR STUDENTS ONLY )
18. NAME AND ADDRESS OF THE INSTITUTION IN INDIA IN WHICH ADMISSION HAS BEEN SECURED
(ATTACH ATTESTED COPY OF ADMISSION CERTIFICATE OR OTHER RELEVANT DOCUMENT):
___________________________________________________________________________________________________________
_________________________________________________________________________________________________________
19. NAMES AND ADDRESS OF TWO PERSONS IN INDIA AND IN BANGLADESH TO WHOM APPLICANT IS
WELL KNOWN:
IN INDIA:
1.________________________________________________________________________________________________________
2.________________________________________________________________________________________________________
IN BANGLADESH:
1.________________________________________________________________________________________________________
2.________________________________________________________________________________________________________
20. HOW EXPENSES PROPOSED TO BE MET FOR STAT IN INDIA ( STATE FOREIGN
EXCHANGE AUTHORIZED) :__________________________________________________________________________
_____________________________________________________________________________________________________
SIGNATURE_______________________________________
DATE_____________________________________________