VISA APPLICATION FORM Please attach 2 latest

passport size colour photos 1. The validity of visa is counted from the date of its issue. 2. Visa fee once paid is non-refundable. The High Commission reserves the right to refuse visa.

1. Full Name (in capital): _________________________________________ 2. Last name at birth: __________________________________________ (if different) 3. Marital status – Married / Unmarried: _______________________________________________ 4. If married, give maiden name: _________________________________________________________ 5.Date & place of Birth: ____________________________________________ 6. Sex (Male/Female): ___________________________________________ 7. Current Nationality: ___________________________________________ 8.Nationality at birth: ___________________________________________ 9.Any other nationality held at present: ____________________________________________ 10. Are you a permanent/long term resident in this country? Yes / No If yes, please furnish photocopy of such document / green card/ Long-term visa status (For Non-US passport holders only): _________________________________________________________________

11. Present complete address with phone no. Office: ________________________________________________________ Residence 12 Permanent Addresses: ___________________________________________ 13. Profession with name & address of employer: _________________________________________________________

14. Passport No: ____________________ Valid till: ____________________

Issued on: _____________________

Issued at: _________________________ 15. Father's / Husbands' name: ______________________________________________ 16. Nationality of father / Husband: ____________________________________________ 17. Name & Nationality of Mother: ____________________________________________

18. Type of visa required: Tourist / Business / Student / other; please specify 19. Period of visa: 15days (for transit only/Six months/ I year/5years 20. Have you ever-visited India before? If yes, give address where you stayed with _____________________________________

dates

:

21. Has Indian visa or extension of the same ever been refused to you previously? Yes/No If yes, give details : ____________________________________ 22. Are you holding a valid "NO OBJECTION TO RETURN TO INDIA" endorsement? : _____________________________________ 23. Have you been arrested/convicted/or tried in court? 24. i) Purpose of journey : ___________________________________________ ii) Places to be visited: ___________________________________________ iii) Period of stay: ___________________________________________ 25. Are you traveling on behalf of a company: ________________________________ 26. If yes, give name & address of the company: _______________________________ 27. Expected date of departure from Suva: ____________________________________ 28. Expected date of arrival in India: ________________________________________________ 29. Port of arrival in India: _______________________________________________________

30. Are any children included in your passport who are accompanying you? Yes/No. If yes, give details full name: ________________________ Date of birth: ________________ Sex: _______________________ Name & address of two references 31.A) In India _________________________ _________________________ B) In applicants country I _____________________________________

_________________________ _________________________ II __________________________________

32. I _____________________________hereby undertake that I shall utilize my visit to India for the purpose for which the visa has been applied for and shall not on arrival India, try to obtain employment or set up business or extend my stay for any other purpose.

Signature: __________________________Date: ____________Place: ______________

ADDITIONAL FORM TO BE FILLED IN BY NON-RESIDENTS (VISITORS) OF FIJI ALONG WITH A VISA APPLICATION FORM. TO BE FILLED IN CAPITAL LETTERS SURNAME OF THE APPLICANT ____________________________________________________________________ FIRST NAME & MIDDLE NAME _____________________________________________________________________ NAME OF SPOUSE

____________________________________________________________________

(Surname) (First Name) (Middle Name) NATIONALITY OF APPLICANT

____________________________________________________________________

DATE AND PLACE OF BIRTH

____________________________________________________________________

PASSPORT NUMBER

___________________________________________________________________

DATE & PLACE OF ISSUE

____________________________________________________________________

OCCUPATION

____________________________________________________________________

PERMANENT ADDRESS

_____________________________________________________________________

State _________________________ Post Code ________________________ Country ________________________________________________________________

TYPE OF VISA REQUIRED _________________________________________________________ PERIOD FOR WHICH REQUIRED ___________________________________________________

__________________________ SIGNATURE OF APPLICANT (FOR OFFICIAL USE ONLY)

FORWARDED TO INDI IBASSY'HKC'OMINDI'CONGENDIA ......................……….. WITH REQUEST TO CONVEY THEIR OBJECTIONS IF ANY TO GRANT OF VISA TO THE APPLICANT AS ABOVE. IF NO REPLY IS RECEIVED WITHIN THE STIPULATED PERIOD, VISA SHALL BE ISSUED AS PER RELEVANT INSTRUCTIONS/ LOCAL CHECKS.

Assistant Consular Officer

Additional form for non residents Page 1 of I

GUIDELINES FOR ISSUE OF VISA 1. Applications to be sent along with passport, 2 coloured photographs and visa fee payable by cash or bank draft. Personal cheques will not be accepted, if correct amount is not enclosed, application will not be processed. 2. If passport is to be received by mail, the courier service may be informed to collect it from this office. 3. A copy of airline ticket or confirmed itinerary duly stamped by airlines or travel agency should be enclosed. 4. Latest bank statements showing balance of F$5000 each person. 5. A copy of supporting letter in case of following visas: Student Visa : A letter from University for a confirmed admission. Business Visa : An invitation letter from the company in India. Conference Visa : An invitation letter from the organization in India. Please provide a copy of recent bank statement as supporting document to your application. 6. The persons of Indian origin visiting India to meet their relatives must write the complete address of relatives in India in the application form. 7. No separate application / photograph / visa fee is required for child / children entered in the parent’s passport. 8. Applicants applying for long-term visa must mention their period of stay in India. 9. All visa fees and postage are subject to change.

F$115.00 for 6 months

GUIDELINES FOR ISSUE OF MEDICAL VISA (KIDNEY PATIENT/DONOR) 1. Valid Passport & 2-passport size colour photos. 2

Local doctor's letter in original.

3

Indian doctor's letter of confirmation for date of admission, cost of treatment and treatment time (Days/Months) for the patient.

4. Please provide a recent personal bank statement of patient as supporting document to your application OR if fully financed by Ministry or an Insurance Company and their covering letter stating of financial support.

5. A copy of airline ticket or confirmed itinerary duly stamped by Travel Agency or airlines should be enclosed.

6. Employees of Government sectors are required to enclose leave letters in original.

7. Patient can only be accompanied by 2 persons and they all should register themselves with relevant authorities (FRRO) upon arrival in India. 8. Lodgment of visa to be done 1-2 weeks ahead of flight date. 9. Donor needs to submit an additional form, birth certificate and documents to support blood relation with the patient. 10. Application Fee- $115.00-per applicant on Fijian Passport .