Passport Type
E-mail

Applicant Details

Surname (as shown in your Passport)
Given Name/s (as shown in your Passport)
Have you ever changed your name?    
Gender    
Date of Birth
Town/City of Birth
Country of Birth
Citizenship/National Id No.
Religion
Visible identification marks
Educational Qualification
Nationality
Did you acquire Nationality by birth or by naturalization?
Have you lived for at least two years in the country where you are applying visa?    

Passport Details

Passport No.
Place of Issue
Date of Issue
Date of Expiry
Any other valid Passport/Identity Certificate(IC) held?    

Applicant's Address Details

Present Address
House No./Street
Village/Town/City
State/Province/District
Postal/Zip Code
Country
Phone No.
Mobile No.
Permanent Address
( - check if same address)
House No./Street
Village/Town/City
State/Province/District

Family Details

Father's Details
Name
Nationality
Previous Nationality
Place of Birth
Country of Birth
Mother's Details
Name
Nationality
Previous Nationality
Place of Birth
Country of Birth

Other Details

Applicant's Marital Status
 
Were your Grandfather/ Grandmother (paternal/maternal) Pakistan Nationals or Belong to Pakistan held area?    

Profession / Occupation Details of Applicant

Present Occupation
Employer Name/business
Designation
Address
Phone
Past Occupation, if any
Are/were you in a Military/Semi-Military/Police/Security Organization?    

Details of Visa Sought

Visa Type
E-Visa valid for 30 days with max 30 days stay (6 Business Days Processing) - $201.24
Places likely to be visited
Purpose of Visit
Expected Date of Arrival
Port Of Arrival in India
Port Of Exit from India
Friends/relatives details
Full Name of Friend/Relative
Address
State
District
Phone

Previous Visa/Currently valid Visa Details

Have you ever visited India before?    
Has permission to visit or to extend stay in India previously been refused?    

Other Information

Countries Visited in Last 10 years

SAARC Country Visit Details

Have you visited "South Asian Association for Regional Cooperation" (SAARC) countries (except your own country) during last 3 years?    

Reference

Reference Name in India
Address
Phone
Reference Name in Home Country
Address
Phone

Upload

Upload your photo (pdf, jpg, , jpeg, png, 350KB max)
Photo page of Passport containing personal details like name,date of birth, nationality , expiry date etc. to be uploaded by the applicant. (pdf, jpg, , jpeg, png, 350KB max)
Upload scanned copy of the letter from the Hospital concerned in India on its letterhead (pdf, jpg, , jpeg, png, 350KB max)
Upload scanned copy of applicant's business card (pdf, jpg, , jpeg, png, 350KB max)
Invitation of the host institute to the foreign faculty (pdf, jpg, , jpeg, png, 350KB max)
Copy of the sanction order under GIAN issued by National Coordinating Institute viz. IIT Kharagpur (pdf, jpg, , jpeg, png, 350KB max)
Copy of the synopsis of the courses to be taken up by the faculty (pdf, jpg, , jpeg, png, 350KB max)


PLEASE NOTE:
  • Photo page of Passport uploaded should be of the same passport whose details are provided in Passport Details section.
  • The application is liable to be rejected if the uploaded document is not clear and as per specification.
I have verified that the uploaded passport copy has the same details as mentioned in the passport details section.
 
  I agree to these Terms and Conditions of e-visa services by Visa Center.