1. This document contains a visa application form for an individual named Abdus Samad from Bangladesh seeking a tourist visa to India.
2. The application provides personal details of Abdus Samad such as name, date of birth, passport details, family details, contact information, employment details, and addresses where he will stay in India.
3. Abdus Samad declares that he does not hold any other passports, has read and understood the visa conditions, and that the provided information is complete and correct. He agrees to abide by the conditions for visiting India.
1. This document contains a visa application form for an individual named Abdus Samad from Bangladesh seeking a tourist visa to India.
2. The application provides personal details of Abdus Samad such as name, date of birth, passport details, family details, contact information, employment details, and addresses where he will stay in India.
3. Abdus Samad declares that he does not hold any other passports, has read and understood the visa conditions, and that the provided information is complete and correct. He agrees to abide by the conditions for visiting India.
1. This document contains a visa application form for an individual named Abdus Samad from Bangladesh seeking a tourist visa to India.
2. The application provides personal details of Abdus Samad such as name, date of birth, passport details, family details, contact information, employment details, and addresses where he will stay in India.
3. Abdus Samad declares that he does not hold any other passports, has read and understood the visa conditions, and that the provided information is complete and correct. He agrees to abide by the conditions for visiting India.
1. This document contains a visa application form for an individual named Abdus Samad from Bangladesh seeking a tourist visa to India.
2. The application provides personal details of Abdus Samad such as name, date of birth, passport details, family details, contact information, employment details, and addresses where he will stay in India.
3. Abdus Samad declares that he does not hold any other passports, has read and understood the visa conditions, and that the provided information is complete and correct. He agrees to abide by the conditions for visiting India.
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N Surname (As in Passport)
N civen Name (As in Passpon) N ABDUS L! Previouslother Name if any Not Applicable
L! Gender MALE Marital Status SINGLE
Date of Binh 22-MAR-1999 Religion ISLAM o o (, Place of Birth Town/City GOPALGANJ Counby of Birth BANGLADESH co Citizenship, ational lD No 7354212234 EducationalQualification GRADUATE Visible identirication marks NIL E Current Nationality Nationality by Birrw ; BANGLADESH Naturalization BY BIRTH 'r= o Any Other PreviouslPast Nationalily Nor Appticabte i= B. Passpofl Details o- o- Passport No. A04816538 Date of lssue ( ddimm/yyyy i 21"5EP.2022 Place of lssue -DHAKA Date of Expiry ( dd/mm/yyyy ) 20-sEP-2032 N Any other Passport/ldentity Certificate held (if yes ,please fill in the following) NO N Country of lssue N -Place of lssue PassporUlC No. Date of issue (ddlmmry)ryy) o z NationalitylStatus C. Applkxm s Cor|ract lretaiE N Present H/F#DAG.196 Phone No 6) Address UTTAR BADDA Mobile /Cell No 89017 6662317 7 (o Email address o DHAKA, BANGTADESH 1212 [email protected]
Permanent BYASPUR, BYASPUR
'j= (E Address KASHIANI, JONAPUR-81 33
.9. 0) D. Family Details GOPALGANJ rffiffiffiffiffiffiffiffi]ilt u. Relation ame ilrtionality Prev. alk nality Placercountry of 0) GOPALGANJ Father's ABDUS SATTAR BANGLI.DESH BANGLADESH = GOPALGAN] Mother's .DOLENA BEGUM BANGLI,DESH BANGLADESH Marital Status Single were your G.andfather/Grandmother(Paternalniatemal) Pakistan Nationals Or belong to Pakistan held area : NO
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il Iil Iil[ ]t ABDUS SAMAD E. Det ils ot visa Sought (Visa shall b€ valid trorn the Date of lssu€ and not fronr the Date of Journey) Type Of Visa Required TOURIST VISA No ol Entries MULTIPLE Period of Visa ( Month) 12 Month Oate of Journey Pon Of Arrival Pon of Exit Requifed Derail ol TouRlsT vlsA Places to b€ visited KOLKATA
Have You Ever visited lndia ? NO
Address where You stayed in lndaa Cities in lndia Visited Type of Visa visa Number Visa lssued Place Date of lssue Countries visited in last 10 years **sed an lndian Visa or extension of tlre same previously or d€Poned N N ll3li trr,"Y. NO (\ l! Present Occupation PRIVATE SERVICE Oesignation/Rank SALES EXECUTIVE trl Employername/business BKENTERPRISE o Employer Address Phone Number 234/D, ELEPHANT ROAD, BANASREE, DHAKA 1219 o L9 Past occupation if any T Are/have you worked with Ann€d forces/ PoliceJ Para i,lilitary forces ? NO Organization Designation ; Place of Posting Rank '-(g H. Address of Place of St y/Holet .9 o o- Place/Hotel Na]ne Address of Place, Hotel stat€ Phon€ : o- 1 HOTEL NEW TIGER INN 1O/C, MRIGENDRALAL MITTER RD, iIASKARHAT I(OLKATA WEST BENGAL. +9170651'I1128, , 3 ., 4 l. Details ol Two R€ferenca h lnd. In BANGLADESH
Name HOTEL NEW TIGER INN
MRIGENDRALAL 1CI/C, Address MITTER RD JONAPUR-8133 ,T KOLKATA BENGAL GOPALGANJ Phone Numb€r +917065111',I28 +880] 792106382 t(. OECLARATIOI{ 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 lndia and and able to abide fully bY them. c I declare that the information given in the form is complete and lndia will be undenaken for the purPose indicated in the application. d. lundersland thal in case the information provided in ahe be liable for denial of visiu entry or depo(ation and/ or other penalties during the visit as P(ovl e. I will also submit hard-copy all the uploaded docur to the corrceming lndian irrssron or Agency for processing ot visa application.
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Address : TVF#DAC- I 96, UT.I.AR BADDA
Mcacr No:
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