Travisa india eta_v4 (1)
- 1. India Tourist On Arrival ETA Form by Travisa Fields marked * are required. Some fields are only required if you answer “Yes” to preceding questions. Important! Please print this form for your records before you save and upload. *Date of Birth: Section 1: Traveler Information *Last Name: * First and Middle Name: *Have you ever changed your name? Yes No If yes, Previous Name: *Gender: * Town of Birth* Country of Birth: *Religion: *Visible Identification Marks: *Education Level: *Did you Acquire your Citizenship by Birth or Naturalization: If you were Naturalized to your Current Citizenship, what was your Past Citizenship: *Have you Lived in your Current Country for at Least Two Years: Section 2: Passport Information *Passport Number: *Place of Issue, Town and Country: *Date of Issue: *Date of Expiry: *Do you have any other Valid Passports? Passport Number: Place Issued: Nationality mentioned in second Passport: Yes No Day: Month: Year: Day: Month: Year: If Yes please answer the following: Country of Issue for second Passport: Date of Issue:
- 2. Section 3: Address Information Present Address *Street Address: *Town: *State/District: *Postal Code:*Country: *Phone Number: Is your permanent address different from the above? If so please answer the following: Permanent Street Address: Town: State: Country: Section 4: Family Details *Fathers First and Last Name: *Nationality: Father's Previous Nationality (if applicable): *Father's City and Country of Birth: *Mothers First and Last Name: *Nationality: Mother's Previous Nationality (If applicable): *Mothers' City and Country of Birth: *Marital Status: Were any of your grandparents Pakistani Nationals or from areas held by Pakistan? Yes No If yes, please contact Travisa. * If Married: Spouse Name: Spouse Nationality: Previous Nationality (If applicable): City and Country of Birth:
- 3. Section 5: Professional Details *Occupation: *Employer Name: *Work Address: Are you employed by the military, semimilitary group, police or security organization? Yes No If Yes: Organization: Designation: Rank: Location: Section 6: Visa Details *Places likely to be visited: Have you ever visited India before? Yes No Has Permission to Visit India ever been Denied?* If Yes, please explain, mention the control number, date and other information: What Countries have you visited in the past 10 years: *Have you visited any SAARC countries in the past 3 years? If Yes Country, year of visit, and number of visits? Please enter all SAARC countries visited: Place of Issue: Date of Issue: Day: Month: Year: Yes No SAARCS Countries are: Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, Pakistan and Sri Lanka If Housewife, Student or Minor, please provide Spouse/Parent's Occupation details below: If Yes: Address of past visit: Last Indian Visa Number: Type of Visa: Previous Cities Visited: Main Purpose of Visit (Tourism, Familiy, Medical, Business):* Yes No