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Application Id :PHLM02164814

Web Registration Date : 22-DEC-2014

Id :PHLM02164814 Web Registration Date : 22-DEC-2014 PHLM02164814 Embassy of India Manila 2190 Paraiso Street,
Id :PHLM02164814 Web Registration Date : 22-DEC-2014 PHLM02164814 Embassy of India Manila 2190 Paraiso Street,

PHLM02164814

Embassy of India Manila

2190 Paraiso Street, Dasmarinas Village, Makati City

www.embindia.org.ph

632-8430101-02

Visa Application Form

Signature

Paste your unsigned recent color photograph. Size: 2” X 2”

A.

Personal Particulars (As in Passport)

 

Surname (As in Passport)

 

TANOY

Given Name (As in Passport)

 

ARNOLD GERONILLA

Previous/other Name if any

   

Sex

Male

Marital Status

 

Married

 

Date of birth

 

02-AUG-1976

Religion

 

CHRISTIAN

 

Place of Birth Town/City

 

ILOILO CITY

Country of Birth

 

PHILIPPINES

 

Citizenship /National ID No

 

NA

Educational Qualification

 

GRADUATE

 

Visible identification marks

 

MOLE IN LEFT SIDE OF FACE

Current Nationality

 

PHILIPPINES

Nationality by Birth/ Naturalization

BY BIRTH

 

Any Other Previous/Past Nationality

 

B.

Passport Details

 

Passport No.

 

EB1747429

Date of issue ( dd/mm/yyyy )

 

18-JAN-2011

 

Place of issue

 

ILOILO CITY

Date of expiry (dd/mm/yyyy)

 

17-JAN-2016

 

Any other Passport/Identity Certificate held (if yes ,please fill in the following)

NO

Country of issue

   

Place of issue

   

Passport/IC No

   

Date of issue(dd/mm/yyyy)

   

Nationality/status

   

C.

Applicant’s Contact Details

 

Present

       

Phone No

 
     

address

24 PEPITA AQUINO-DURAN STREETS ILOILO CITY ILOILO, PHILIPPINES 5000

 

Mobile /Cell No

 

09187229129

 

Email address

arnold.tanoy@hotmail.com

Permanent

24 PEPITA AQUINO-DURAN STREETS

 
Permanent 24 PEPITA AQUINO-DURAN STREETS  

Address

ILOILO CITY

ILOILO

D.

Family Details

 

Relation

 

Name

Nationality

Prev. Nationality

Place/Country of Birth

Father’s

ANANIAS A TANOY

   

PHILIPPINES

PHILIPPINES

AJUY, ILOILO

PHILIPPINES

Mother’s

ARACELI G TANOY

 

PHILIPPINES

PHILIPPINES

CANDON, ILOCOS SUR PHILIPPINES

Spouse

ANNALIZA M TANOY

 

PHILIPPINES

PHILIPPINES

BALANGA, BATAAN

PHILIPPINES

Were your Grandfather/Grandmother(Paternal/Maternal) Pakistan Nationals Or belong to Pakistan held area :

NO

E.

Details of Visa Sought

 

(Visa shall be valid from the Date of Issue and not from the Date of Journey)

 

Type Of Visa Required

EMPLOYMENT VISA

   

No of Entries

Multiple

 

Period of Visa

(Month)

12 Month

 

Expected Date of Journey

03-JAN-2015

 

Port Of Arrival

HYDERABAD

   

Port of Exit

HYDERABAD

 
ARNOLD GERONILLA TANOY
ARNOLD
GERONILLA
TANOY
Required Detail of EMPLOYMENT VISA Qualifiaction/Emp.EPFO ID TECHNICAL MARKETING MANAGER RNK AGRO AND CHEMICALS
Required Detail of
EMPLOYMENT VISA
Qualifiaction/Emp.EPFO ID
TECHNICAL MARKETING MANAGER
RNK AGRO AND CHEMICALS LIMITED
APHYD0038558000
Company Name
Address
5-9-191 1F, BRINDAVAN CMPLX, ABIDS, HYDERABAD
Designation
TECHNICAL MARKETING MANAGER
Salary
Purpose of Visit :
EMPLOYMENT
F.
Previous Visit Details
Have You Ever visited India ?
YES
Address where You stayed in
India
5-9-191 1ST FLR, BRINDAVAN COMPLEX
CHIRAG ALI LANE, HYDERABAD,
Cities in India Visited
HYDERABAD, CHENNAI, BHIMAVARAM, NELLORE
Type of Visa
EMPLOYMENT VISA
Visa Number
9051067
Visa Issued Place
MANILA, PHILIPPINES
Date of Issue
06-AUG-2013
Countries visited in last 10 years
MALAYSIA, PAPUA NEW GUINEA
Have you been refused an Indian Visa or extension of the same previously or deported from India ?
If yes above mention when and by whom
No/Date
with control
APO2 EXT PHL 186 2014 21/02/2014
G.
Profession/Occupation Details
Present Occupation
UN-EMPLOYED
Designation/Rank
Employer name/business
NA
Employer Address
NA
Phone Number
Past occupation if any
Are/have you worked with Armed forces/ Police/ Para Military forces ?
NO
Organization
Designation
Place of Posting
Rank
H.
Address of Place of Stay / Hotel
Place/Hotel Name
Address of Place / Hotel
State
Phone No.
I. Details of Two Reference
In India
In
PHILIPPINES
Name
MANISH SHARMA
ARACELI G TANOY
Address
5-9-191 1F, BRINDAVAN CMPLX
24 P. AQUINO-DURAN STS
CHIRAG ALI LANE, ABIDS, HYDERABAD
ILOILO CITY
Phone
9000551384
9999402628
Number
Application Id :PHLM02164814

J. DECLARATION:

a. I do not hold any other passport(s) other than those detailed above.

b. I have read and understood all the conditions for the visit to India and I am willing and able to abide fully by them.

c. I declare that the information given in the form is complete and correct and the visit to India will be undertaken for the purpose indicated in the application.

d. I understand that in case the information provided in the form is found to be incorrect, I will be liable for denial of visit/ entry or deportation and/ or other penalties during the visit as provided by Indian law.

22-DEC-2014

Date :……………………….

…………………………………… Applicant’s signature (as in Passport)