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    2011198sy507 PDF

    Uploaded by

    Yohan Thiwanka Dambadeniya
    This document is an application form for registration extension submitted by Yohan Thiwanka Dambadeniya. It contains personal details like name, date of birth, passport information, address and contact details. It also provides details of the applicant's current visa, registration number, reason for extension and documents required to be submitted for registration extension. The registration office address in Pune, Maharashtra is also listed along with its contact details and timings.

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

    2011198sy507 PDF

    Uploaded by

    Yohan Thiwanka Dambadeniya
    125 views3 pages
    This document is an application form for registration extension submitted by Yohan Thiwanka Dambadeniya. It contains personal details like name, date of birth, passport information, address and contact details. It also provides details of the applicant's current visa, registration number, reason for extension and documents required to be submitted for registration extension. The registration office address in Pune, Maharashtra is also listed along with its contact details and timings.

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    This document is an application form for registration extension submitted by Yohan Thiwanka Dambadeniya. It contains personal details like name, date of birth, passport information, address and contact details. It also provides details of the applicant's current visa, registration number, reason for extension and documents required to be submitted for registration extension. The registration office address in Pune, Maharashtra is also listed along with its contact details and timings.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    125 views3 pages

    2011198sy507 PDF

    Uploaded by

    Yohan Thiwanka Dambadeniya
    This document is an application form for registration extension submitted by Yohan Thiwanka Dambadeniya. It contains personal details like name, date of birth, passport information, address and contact details. It also provides details of the applicant's current visa, registration number, reason for extension and documents required to be submitted for registration extension. The registration office address in Pune, Maharashtra is also listed along with its contact details and timings.

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    of 3

    APPLICATION FORM

    ( Registration Extension )

    2011198SY507

    Application ID No. 2011198SY507 Final Submission Date Sat Nov 23 09:42:22 IST 2019

    FOR OFFICE USE ONLY

    Reg. No. S 4 7 7 L K A 2 0 2 0

    Personal Details
    Surname DAMBADENIYA ARACHCHIGE
    Given Name YOHAN THIWANKA DAMBADENIYA Paste your
    Sex Male Date of Birth 18/07/1997 Height (in cm) 172 Recent passport size
    Age as on today Year(s) 22 Month(s) 6 Day(s) 10 photograph here
    Place of Birth COLOMBO,COLOMBO,SRI LANKA
    Father's Name DAC DAMBADENIYA
    Mother's Name BK PREMASEELI
    Spouse's Name
    Religion BUDDHISM Any Identification mark(s) preferably BIRTH MARK ON THE RIGHT
    visible SIDE OF THE FACE

    Present nationality SRI LANKA Previous nationality


    Manner of acquiring present nationality Birth
    Date of acquiring present nationality 18/07/1997
    Whether holding dual NO
    nationality? If yes, Name of the country of second nationality
    provide the following:- Passport No. of second country
    Date of Issue
    Date of Expiry
    Whether travelled on this passport earlier to
    India

    Whether person of Indian Origin NO

    Address of last residence (Outside India)


    Address SURIYA SEWANA,FINANCE WATTA,INGIRIYA WATTA B INGIRIYA
    City INGIRIYA Country SRI LANKA

    Address intended for longer stay in India (Registration)


    Address 1E,GOMTI BLOCK,INS SHIVAJI,LONAVLA
    City/ District PUNE State MAHARASHTRA
    Pin Code 410402
    Phone Number Mobile Number 9403438749
    Any Other Address in India
    Address
    City/ District State
    Pin Code
    Phone Number Mobile Number
    Email/Occupation/Profession Details
    E-Mail Id [email protected]
    Profession/Occupation NAVY

    Passport Details
    Passport Number N7910829 Place of Issue SRI LANKA, COLOMBO
    Date of Issue 05/11/2018 Expiry Date 05/11/2028

    Visa Details
    Visa Number VL0778130 Place of Issue SRI LANKA, COLMBO
    Date of Issue 12/11/2018 Expiry Date 20/08/2020
    Valid For Multiple Entry Visa Type ENTRY VISA
    Special endorsement, if any

    Organization/Company/Institute/Hospital Details
    Name
    Address

    Page 1 of 3
    2011198SY507
    Application ID No. 2011198SY507

    State City
    Telephone Number Email ID
    Employer EPFO ID Establishment ID
    Arrival Details
    Place of embarkation/boarding for India BANDARANAIKE INTERNATIONAL AIRPORT,COLOMBO,SRI LANKA
    Date of arrival in India 17/11/2018
    Place of disembarkation/arrival in India MUMBAI AIRPORT
    Mode of Journey Air Flight/ Ship/ Bus/ Train No.
    Purpose of visit to India Education

    Previous Registration Details in India


    Registration Number Place of Registration Visa Type Duration From To
    MH1200073118 MAHARASHTRA,PUNE ENTRY VISA 29/11/2018 29/11/2019
    Details of family members/attendant/dependents, if any accompanying.
    Name Nationality Passport Number Relationship
    Person to be contacted in Case of Emergency
    Name DAC DAMBADENIYA Relationship FATHER
    Address SURIYA SEWANA,FINANCE WATTA,INGIRIYA WATTA City INGIRIYA
    B, INGIRIYA
    Country SRI LANKA Phone Number 0094763959139
    Category Others

    Military service details


    Organisation SRI LANKA NAVY Designation TRAINEE
    Rank ERA APPRENTICE Place of Last Posting COLOMBO
    Country of Last Posting SRI LANKA

    Current Registration Details


    Are you registered in current locality FRRO/FRO in the current visit? YES Current MH1200073118
    Registration No.

    Registration Extension Details


    Current Registration Valid Upto 29/11/2019 Required for period of Year(s) 0 Month(s) 9 Day(s) 15
    Reason Of Extension EXPIRY OF REGISTRY RP

    Signature of the Applicant


    Date_ _ _ _ _ _ _ _ _ _ _ _ _

    Page 2 of 3
    2011198SY507
    Application ID No. 2011198SY507

    List of mandatory and non mandatory documents

    Mandatory Documents.
    1. Residence proof : Updated Form 'C' generated by Hotel/Lodge or Registered/ Notarized Lease Deed, Utility Bill, Copy of photo-ID of the landlord along with declaration and Tenant
    Police Verification

    2. Undertaking from Sponsor/ Parents : Undertaking of parents along with Passport and Visa/OCI copies (in case of minors)
    3. Photo : Applicant's Photo
    4. Registration Certificate and Stay Visa : FRRO/FRO Registration Certificate and Stay Visa (if any) of the applicant and the principal visa holder
    5. Visa : Indian Visa
    6. Passport : Bio-Data page of Passport along with page bearing last Indian Immigration arrival stamp
    7. Registration Certificate : FRRO/FRO Registration Certificate/Residential Permit of the Entry (X-Misc) Visa holder

    Registration office address

    Office Name : FRO PUNE RURAL


    Address : Superentendent of Police, Chavan Nagar, Pashan Road, Pune-8
    City/District : PUNE
    State : MAHARASHTRA
    Pin Code : 0
    Phone Number : 02026128977

    Office opening time: 10.00 closing time: 17.00

    There is no need to submit hard copy to concerned


    FRRO/FRO

    Page 3 of 3

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