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    Delhi Airport: E-Visa Application Form

    Uploaded by

    Frank Wild
    This document is an e-Visa application form submitted by Maria Sandoval Lopez, a Spanish national. She is applying for an eTourist visa to visit India for 60 days for recreation and sightseeing. She plans to visit some touristic areas in India but has not booked any accommodations through a tour operator. She declares that she has never been arrested, denied entry to any country, or engaged in criminal activities.

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

    Delhi Airport: E-Visa Application Form

    Uploaded by

    Frank Wild
    29 views2 pages
    This document is an e-Visa application form submitted by Maria Sandoval Lopez, a Spanish national. She is applying for an eTourist visa to visit India for 60 days for recreation and sightseeing. She plans to visit some touristic areas in India but has not booked any accommodations through a tour operator. She declares that she has never been arrested, denied entry to any country, or engaged in criminal activities.

    Original Title

    I004V3914F19

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    This document is an e-Visa application form submitted by Maria Sandoval Lopez, a Spanish national. She is applying for an eTourist visa to visit India for 60 days for recreation and sightseeing. She plans to visit some touristic areas in India but has not booked any accommodations through a tour operator. She declares that she has never been arrested, denied entry to any country, or engaged in criminal activities.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    29 views2 pages

    Delhi Airport: E-Visa Application Form

    Uploaded by

    Frank Wild
    This document is an e-Visa application form submitted by Maria Sandoval Lopez, a Spanish national. She is applying for an eTourist visa to visit India for 60 days for recreation and sightseeing. She plans to visit some touristic areas in India but has not booked any accommodations through a tour operator. She declares that she has never been arrested, denied entry to any country, or engaged in criminal activities.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    DELHI AIRPORT

    e-Visa Paste your unsigned


    recent color photograph.
    ENABLED BY ETA Size: 2" X 2"

    e-Visa Application Form

    Signature

    I004V3914F19

    A. Personal Particulars (As in Passport)


    Surname SANDOVAL LOPEZ
    Given Name MARIA
    Previous Name
    Gender FEMALE Marital Status SINGLE
    Date of Birth 12/03/1987 Religion CHRISTIAN
    Place of Birth MURCIA Country of Birth SPAIN
    File Ref No : I004V3914F19

    Nationality SPAIN
    Identification
    marks NA
    B. Passport Details
    Passport No. PAA170605 Date of Issue 30/01/2015
    Place of Issue MURCIA Date of Expiry 30/01/2020
    Any other Passport/Identity Certificate held (if yes ,please fill in the following) NO
    Country of Issue Place of Issue
    Passport/IC No. Place of Issue
    C. Applicant's Contact Details
    Present Address AVENIDA LIBERTAD 8 10M MURCIA MURCIA
    MARIA.SANDOVAL.136.0@GMAI
    Mobile Email L.COM
    D. Family Details
    Relation Name Nationality Prev. Nationality Place of birth
    Father's ANSELMO SANDOVAL SPAIN SPAIN MURCIA
    Mother's AGUSTINA LOPEZ SPAIN SPAIN FERROL
    Spouse's
    Were your Parents/Grandparents (paternal/maternal) Pakistan Nationals or Belong
    to Pakistan held area. NO
    E. Visa Details
    Visa Service eTOURIST VISA
    Period of visa 60 days No. of entries Double
    Journey Date 26/02/2019 Port of Exit COCHIN AIRPORT
    F. Purpose Details
    Purpose of Visit RECREATION/SIGHT-SEEING
    1) Places to be visited1 INDIA, SOME TOURISTIC AREAS IN INDIA
    2) Places to be visited2
    3) Have you booked any room in Hotel/Resort etc. through any
    Tour Operator? NO
    4) Name of the tour operator
    5) Address of the tour operator
    6) Name of Hotel/Resort etc
    7) Place/City of Hotel/Resort etc
    8) Have you ever been arrested/ prosecuted/ convicted by
    Court of Law of any country? NO
    9) Have you ever been refused entry / deported by any country
    including India? NO
    10) Have you ever been engaged in Human trafficking/ Drug
    trafficking/ Child abuse/ Crime against women/ Economic
    File Ref No : I004V3914F19 :: Registration Date :16/FEB/2019

    offense / Financial fraud? NO


    11) Have you ever been engaged in Cyber crime/ Terrorist
    activities/ Sabotage/ Espionage/ Genocide/ Political killing/
    other act of violence? NO
    12) Have you ever by any means or medium, expressed views
    that justify or glorify terrorist violence or that may encourage
    others to terrorist acts or other serious criminal acts? NO
    13) Have you sought asylum (political or otherwise)in any
    country? NO
    14) evisa_fee 80.00
    G. Profession/Occupation Details
    Present
    Occupation UN-EMPLOYED Designation/Rank
    Employer name/business NA
    Employer Address NA Employer Phone
    H. Details of Two Reference
    In India In SPAIN
    Name MOUSTACHE HOSTEL DELHI LUIS CARAVACA
    D 920 BLOCK D NEW FRIENDS
    COLONY CARRIL DE LOS LUISES
    Address 110025 MURCIA GUADALUPE
    Phone +91 98118 17864 0034639208103
    I. DECLARATION
    a. I do not hold any other passport(s) other than those detailed above.
    b. I have read and understood all the conditions for the visit to India and I am willing and able to abide fully by them.
    c. I declare that the information given in the form is complete and correct and the visit to India will be undertaken for the purpose
    indicated in the application.
    d. I understand that in case the information provided in the form is found to be incorrect, I will be liable for denial of visit/ entry or
    deportation and/ or other penalties during the visit as provided by Indian law.

    ..............................................
    Date :16/FEB/2019 Applicant's signature (as in Passport)

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