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    Travisa India ETA v5

    Uploaded by

    Chamith Karunadhara
    This document is an India Tourist On Arrival ETA Form containing personal and travel information fields for a Sri Lankan national named Palpola Arachchige Chamith Kasun. The form requests information on name, date of birth, passport, address, family, occupation, travel history, and references. It contains fields for basic identification, citizenship, address, passport, family, professional, visa and travel details.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Travisa India ETA v5

    Uploaded by

    Chamith Karunadhara
    132 views4 pages
    This document is an India Tourist On Arrival ETA Form containing personal and travel information fields for a Sri Lankan national named Palpola Arachchige Chamith Kasun. The form requests information on name, date of birth, passport, address, family, occupation, travel history, and references. It contains fields for basic identification, citizenship, address, passport, family, professional, visa and travel details.

    Original Description:

    Travel Visa

    Copyright

    © © All Rights Reserved

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    This document is an India Tourist On Arrival ETA Form containing personal and travel information fields for a Sri Lankan national named Palpola Arachchige Chamith Kasun. The form requests information on name, date of birth, passport, address, family, occupation, travel history, and references. It contains fields for basic identification, citizenship, address, passport, family, professional, visa and travel details.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    132 views4 pages

    Travisa India ETA v5

    Uploaded by

    Chamith Karunadhara
    This document is an India Tourist On Arrival ETA Form containing personal and travel information fields for a Sri Lankan national named Palpola Arachchige Chamith Kasun. The form requests information on name, date of birth, passport, address, family, occupation, travel history, and references. It contains fields for basic identification, citizenship, address, passport, family, professional, visa and travel details.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    IndiaTouristOnArrivalETAFormbyTravisa

    Fields marked * are required. Some fields are only required if you answer Yes to preceding questions.
    To ensure the best result Travisa recommends using Adobe Acrobat Reader. Please save your completed PDF to your computer and then
    upload it to Travisa's online form.

    Section1:TravelerInformation
    *LastName:

    Karunadhara

    * First

    dd

    Version 5.8

    Name: Palpola Arachchige Chamith Kasun *Haveyoueverchangedyourname?

    Ifyes,PreviousFirst Name:

    PreviousLast Name:
    *Religion: Buddhism

    *Gender: Male

    If you selected "Other" in Religion, please provides details:


    *Date of Birth (dd/mm/yyyy): 10

    Oct

    * CountryofBirth: Please Select

    * TownofBirth

    1990

    Colombo

    * EducationLevel: Graduate

    *VisibleIdentificationMarks: None
    *DidyouAcquireyourCitizenshipbyBirthorNaturalization: By Birth

    IfyouwereNaturalizedtoyourCurrentCitizenship,whatwasyourPastCitizenship: Please Select


    *HaveyouLivedinyourCurrentCountryforatLeastTwoYears:

    Yes

    No

    Section2:PassportInformation
    *PassportNumber: N2867558

    *PlaceofIssue,TownandCountry:

    Colombo

    *DateofIssue: 12

    Apr

    2011

    *DateofExpiry: 12

    Apr

    2021

    *DoyouhaveanyotherValidPassports
    y

    Day

    Yes

    No

    Please Select
    Month

    PlaceIssued:
    NationalitymentionedinsecondPassport: Please Select

    PassportNumber:

    Year

    Yes No

    Section3:AddressInformation
    PresentAddress
    *StreetAddress:

    No.109, Ketewelamulla Lane, Colombo 09, Sri Lanka


    * State/District:

    *Town: Colombo
    *Country: Sri Lanka

    *PostalCode: 00900

    *PhoneNumber: +94768537200
    Isyourpermanentaddressdifferentfromtheabove?Ifsopleaseanswerthefollowing:
    PermanentStreetAddress:
    Town:

    State:

    Section4:FamilyDetails
    *FathersFirstandLastName:

    Palpola Arachchige Gamini Karunadhara

    *Nationality: Sri Lanka

    PreviousNationality(ifapplicable) Please Select


    *

    Place of Birth:

    Colombo

    Father's Country of Birth: Sri Lanka

    *MothersFirstandLastName: Jayaweera Arachchige Neeta Sriya Karunadhara *Nationality: Please Select


    PreviousNationality(Ifapplicable) Please Select
    *

    's PlaceofBirth:

    *MaritalStatus of

    Gampaha

    i a t: Single
    y Please Select

    Spouse's Place

    Mother's Country of Birth: Sri Lanka

    If Married - Spouse's Name:


    y(

    Spouse's Country

    ) Please Select

    Please Select

    * WereanyofyourgrandparentsPakistaniNationalsorfromareasheldbyPakistan? YesNo
    y

    ,please

    Section5:ProfessionalDetails
    *Occupation:

    Engineer

    If your Occupation is "Other" - Please enter details:


    d
    a e of o r o : Father

    e e t either ather or
    Spouse

    ea

    o ti

    * EmployerName:

    Aryans Consulting Group (PVT) Ltd

    * WorkAddress:

    L26 East Tower WTC Colombo Sri Lanka

    y d y

    m m

    their e

    e t etai

    Section6:VisaDetails
    *Placeslikelytobevisited:
    *

    Rajastan
    m

    m y

    ) Meeting Friends/Relatives

    HaveyouevervisitedIndiabefore? YesNo

    If the answer is Yes please provide details below. If you do not remember some information, please enter
    your best guess. If you do not remember your Last Indian Visa Number, please enter "Unknown".
    Address of past visit:
    d

    Day

    Please Select

    Month

    d
    *HasPermissiontoVisitIndiaeverbeenDenied

    IfYes,pleaseexplain,mentionthecontrolnumber,dateandotherinformation:

    WhatCountrieshaveyouvisitedinthepast10years:

    Malaysia
    Thailand
    France

    Year

    *HaveyouvisitedanySAARCcountriesinthepast3years

    SAARCS Countries are: Afghanistan, Bangladesh, Bhutan, Maldives, Nepal, Pakistan and Sri Lanka IfYes

    Country,yearofvisit,andnumberofvisits?PleaseenterallSAARCcountriesvisited:

    Country

    Year

    No. of Visits:

    Country

    Year

    No. of Visits:

    Country

    Year

    No. of Visits:

    Country

    Year

    No. of Visits:

    Section7:ReferenceDetails
    *NameofReferenceinIndia:
    * Address Line 1:
    Address Line 2:
    *Phone:
    *ReferenceinHomecountry:
    * Address Line 1:
    Address Line 2:
    *Phone:
    Ifyouneedanyadditionalspace,pleasewritethefullquestion a

    er

    e o :

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