Sample Indian Visa Application Form

Want to travel to India? Here is a sample Indian Visa Application Form.

Questions for Sample Indian Visa Application Form

1.

Surname (As in Passport) 

The answer should be a text input.
2.

Given Name (As in Passport)

The answer should be a text input.
3.

Previous/other Name if any

The answer should be a text input.
4.

Gender

The answer should be a single choice:
  1. Male
  2. Female
  3. Other
  4. Prefer not to say
5.

Marital Status

The answer should be a single choice:
  1. Single
  2. Married
  3. In a domestic partnership
  4. Divorced
  5. Widowed
6.

Date of birth

The answer should be a date input.
7.

Religion

The answer should be a text input.
8.

Place of Birth Town/City

The answer should be a text input.
9.

Country of Birth

The answer should be a country.
10.

Citizenship /National ID No

The answer should be a text input.
11.

Educational Qualification

The answer should be a single choice:
  1. Less than a high school diploma
  2. High school degree or equivalent
  3. Bachelor's degree
  4. Master's degree
  5. Doctorate
12.

Visible identification marks

The answer should be a text input.
13.

Current Nationality

The answer should be a text input.
14.

Any Other Previous/Past Nationality

The answer should be a text input.
15.

Passport Number

The answer should be a text input.
16.

Date of issue

The answer should be a date input.
17.

Date of expiry

The answer should be a date input.
18.

Place of issue

The answer should be a text input.
19.

Present Address

The answer should be a text input.
20.

Phone Number

The answer should be a phone number.
21.

Mobile /Cell Number

The answer should be a phone number.
22.

Email address

The answer should be a email input.
23.

Permanent Address

The answer should be a text input.
24.

                                        DECLARATIONI do not hold any other passport(s) other than those detailed above.I have read and understood all the conditions for the visit to India and I am willing and able to abide fully by them.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.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.

The answer should be a single choice:
  1. I agree
  2. I disagree
25.

Signature of Applicant

The answer should be a signature.
26.

Upload your photo

File needs to be uploaded.
27.

Date

The answer should be a date input.

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Sample Indian Visa Application Form

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