HIGH COMMISSION FOR PAKISTAN

2/50-G SHANTIPATH CHANAKYAPURI NEW DELHI

1.
2.

Your
photograph
must
be:
Passport Size
45mm high x
VISIT VISA APPLICATION
35mm wide)
A recent and
true
likeness,
(Please read these instructions carefully before filling in the application form)
showing
full
face, with no hat,
helmet
No column should be left blank. Incomplete forms with vague entries shall not be accepted. Where
or sunglasses,
applicable copies of supportive documents should be submitted along with the application form.although
you can wear
everyday
Two copies of this visa form should be filled in and signed in original along with 4 copies of the attached
Visa
glasses.

Information Form with photo on each.

of
3. Passport must be valid for the duration of visa applied (for long visit) or at least six months on the date
application (for short visits).

SECTION I (APPLICANT DETAILS)

1. Name as in the Passport:
First

Middle

/ /

2. Date of Birth:

dd/mm/yy
3. Place of Birth: City:
4. Sex:

Male

6. Marital Status:

Country:
Female

Single

5. Blood Group:
Married

7. Identification Mark:
9. Nationality : (a) Present
10. Religion:

8. Native Language:
(b) Previous
11. Educational qualification

(c) Dual

Last

12. Address & Email :

A. Full postal address (permanent):

Telephone: a. Home:

b. Work:

c. Cell:

b. Work:

c. Cell:

B. Present Address:

Telephone: a. Home:
13. Details of Profession & Jobs Held in the Past:
A. Profession:

B. Designation:

C. Department:

D. Employed Since:

E. Address & Phone No:

F. Name, Address and Contact numbers of immediate Boss/Head of department:
(attach certificate of no objection from employer)

NOTE:

In case of Armed Forces / Uniform Personnel and Military Serivices. Fill in the attached Perfoma.

SECTION II (PASSPORT DETAILS)

1. Type of Passport: Diplomatic

Official/ Service

2. Passport Number:

Ordinary

UN Travel Documents

3. Place of Issue:

4. Date of Issue:

Date of Expiry:

5. Pervious passport number:

(Attach copy)

6. Are you applying visa from a third country? Yes

No

7. If Yes, Provide copy of Residence / Work permit of that country

SECTION III (VISA DETAILS)

1. Type of Visa Applied for:
Diplomatic

Official

Pilgrimage

Others

Tourist
(Specify)

2. Purpose of Visit:
3. I will enter Pakistan before (specify date):

Family

Transit

Journalist

4. Duration of Visit: Less than 01 Month

5. Type of Visa:

Single Entry

06 Months

Double Entry

6. Port of Entry:

01 Year

02 Years

Multiple Entry
7. Port of Departure:

Bus

Air

Train

On Foot

Sea

8. Mode of Travel:

9. Places to be visited in Pakistan: (supporting documents may be attached)




Name of Host

Relationship

Full Address

Telphone


Office/Home
Cellular

Email
Address

1.
2.
3.
4.
5.
10. Is the Visit Self Financed?

Yes

No

(If No provide details of the sponsor below)

Contact Numbers
Name of Sponsor
1.
2.

Relationship with Sponsor

Address of Sponsor

(Home, Work & Cell)

SECTION IV (TRAVEL HISTORY)

1. Have you ever visited Pakistan during last five years? Yes

No

(If Yes, provide details of your travel, use extra sheet if required)
Date

Desitnation/ Address

Purpose

Duration

Purpose

Duration

1.
2.
3.
2. Details of other countries visited, during last five years. (use extra sheet if required)
Date

Desitnation/ Address

1.
2.
3.
3. Have you ever been refused a visa for any country, including Pakistan?

Yes

No

If Yes, Provide details of refusal.

4. Have you ever been refused entry on arrival to Pakistan?

Yes

No

If Yes, Provide details of refusal.

5. Have you ever been deported, removed or otherwise required to leave any country, including Pakistan?
Yes

No

Date

If yes, please provide details.

Country

Reason

6. Do you have any criminal convictions or charged in any country? Yes

Date

Country

Offence

Reference Number (for Pakistan)

No
Sentence

SECTION V (FAMILY DETAILS)

1. Name of Mother:

2. Nationality of Mother:

3. Profession:

4. Name of Father:

5. Nationality of Father:

6. Profession:

Spouse details:
7. Name:

8. Nationality:

9. Date of Birth & Place of Birth:

10. Profession:

11. Name, Address and contact number of employer of spouse (If any):
12. Do you have any children? Yes

No

If yes, Provide details for each of your child. (use extra sheet if required)
Name

Date of Birth

Place Of Birth

1.
2.
13. List any Person/ Family member (including Children) accompanying with you to Pakistan. (use extra sheet if required)
Name

Date of Birth

Passport No.

Address

1.
2.
3.

DECLARATION:
I declare that the information given in this form is correct to the best of my knowledge
and belief and if any of the particulars furnished above are found to be incorrect or withheld the visa is liable to be
rejected/cancelled at any time

Dated:
(Signature of Applicant)

Visa Information Form

(To be carried along visa stampted Passport for presentation to Border/Immigration authorites)

1. Name as in Passport:
First

Middle

Last

2. Date of Birth:
/ /
dd/mm/yy
3. Place of Birth: City:
4. Sex:

Country:

Male

Female

6. Marital Status:

Single

5. Blood Group:

Married

7. Profession:
9.

Your
photograph
must
be:
Passport Size
45mm high x
35mm wide)
A recent and
true
likeness,
showing
full
face, with no hat,
helmet
or sunglasses,
although
you can wear
everyday
glasses.

8. Native Language:

Nationality : (a) Present

(b) Previous

(c) Dual

10. Address in India:

11. Type of Visa Applied for:
Diplomatic
Others

Official

Tourist

Family

Transit

Journalist

Business

(Specify)

12. Purpose of Visit:

FOR OFFICAL USE

1. Visa No.
2. Type of Visa:
3.

Date
Single Entry

For
Double Entry

Port of Entry:

(Days)

Multiple Entry

4. Port of Departure:
Bus

5. Mode of Travel:

(Days) Valid for entry within

Air

Train

Mandatory

Exepmted

.
On Foot

Sea

6. Police Reporting:
Note: Places to be visited are mentioned in visa stamped in the passport

Visa Officer: