REQUEST FORM ****************************************************************************

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1 REQUEST FORM **************************************************************************** TRAVELER INFORMATION: Last Name (Traveler 1): First Name: Last Name (Traveler 2): First Name: Return Documents to (if returned by mail) : Home or Business (Name & c/o): EXACT address (No P.O.Boxes): Apt/Ste#: City: State: Zip Code: Phone (required): (required): Date you need your passport (Please allow maximum processing time for regular processing) Date of your departure from U.S.: Name of the Tour Operator: Services Requested: INDIA E-VISA Visa Type: Tourist Business Payment Method for Applicable Fees: 3% surcharge will be added to All credit card transactions Check (Preferred): # Amount to be Charged (for CC transactions) Name on Card (MC; VISA; AMEX): Card Number: Exp.Date: / Signature: Amount: $ SVV: Zip Code: ****************************************************************************************** Mail materials to: GENERATIONS VISA SERVICE 2233 WISCONSIN AVE N.W. # WASHINGTON D.C

2 India Tourist E-Visa Service: $164 per application E-Visa is available for holders of passport of following countries Australia, Brazil, Cambodia, Cook Islands, Djibouti, Fiji, Finland, Germany, Indonesia, Israel, Japan, Jordan, Kenya, Kiribati, Laos, Luxembourg, Marshall Islands, Mauritius, Mexico, Micronesia, Myanmar, Nauru, New Zealand, Niue Island, Norway, Oman, Palau, Palestine, Papua New Guinea, Philippines, Republic of Korea, Russia, Samoa, Singapore, Solomon Islands, Thailand, Tonga, Tuvalu, UAE, Ukraine, USA, Vanuatu, Vietnam. Processing time: 10 business days. Add $45 to expedite within 5 business days. Eligibility 1. International Travelers whose sole objective of visiting India is recreation, sightseeing, casual visit to meet friends or relatives, short duration medical treatment or casual business visit. a. Passport should have at least six months validity. b. International Travelers should have return ticket or onward journey ticket, with sufficient money to spend during his/her stay in India. c. International Travelers having Pakistani Passport or Pakistani origin may please apply for regular Visa at Indian Mission. d. Not available to Diplomatic/Official Passport Holders. Instructions for E-Visa (Enabled by ETA) 1. Applicants of the eligible countries may apply on-line minimum 4 days in advance of the date of arrival with a window of 120 days. Example: If you are applying on 1st September then applicant can select arrival date from 5 th of September to 4th of January. 2. E-Visa fee once submitted is nonrefundable. 3. Applicant should carry a copy of E-Visa along with him/her at the time of travel. 4. Biometric details of the applicant will be captured at Immigration on arrival in India. 5. The validity of E-Visa will be 60 days from the date of arrival in India. 6. E-Visa is valid for entry through 25 designated Airports (i.e. Ahmedabad, Amritsar, Bagdogra, Bengaluru, Calicut, Chennai, Chandigarh, Cochin, Coimbatore, Delhi, Gaya, Goa, Guwahati, Hyderabad, Jaipur, Kolkata, Lucknow, Mangalore, Mumbai, Nagpur, Pune, Tiruchirapalli, Trivandrum,Varanasi & Vishakhapatnam) and 5 designated seaports (Cochin, Goa, Mangalore, Chennai, Mumbai). 7. Tourist E-Visa is allowed for a maximum of two visits in a calendar year. 8. Tourist E-Visa once issued on arrival is non-extendable

3 DOCUMENTS REQUIRED: 1. Perfect legible copy of First (Data) Page of Passport in actual size (professional copy only!) 2. Professional passport photograph meeting the following requirements: a. Photo should present full face, front view, eyes open. Do not wear glasses! b. Background should be plain white background. c. No shadows on the face or on the background. 3. GenVisa Order Form (enclosed) with pertinent contact and payment information. Please simply answer legibly and completely ALL the questions below in pen and return to GenVisa with the rest of the required information listed on Tourist Visa Requirements for India form. Please Note: The online visa application form is an Indian government run website; therefore GenVisa is unable to offer technical support to applicants completing their own applications. Applicants, who chose to complete online application themselves, should take great care to fill in the information correctly. Any mistakes will delay processing and/or require the process to be repeated. QUESTIONS ANSWERS APPLICANTS INFORMATION 1. Surname, as in passport 2. Given Names (first, middle) 3. Other names used (maiden, etc.) 4. Place of Birth (TOWN, State, Country) 5. Driver s License Number 6. Religion 7. Visible Identification Marks (moles, scars, tattoos on your face or arms) 8. Education (List your highest education) 9. Marital Status Single Married Divorced Widowed 10. Spouse s Full Name as in passport 11. Spouse s Nationality 12. Spouse s Previous Nationality 13. Spouse s Place of Birth (TOWN, State, Country) PASSPORT DETAILS 14. Passport number 15. Place of Issue 16. Date of issue (dd/mm/yyyy)

4 17. Date of expiry (dd/mm/yyyy) 18. Current Nationality APPLICANT S ADDRESS DETAILS 19. House Number and Street (NO PO BOX) 20. City and State 21. Zip Code 22. Phone Number 23. Address (please print) FAMILY DETAILS 24. Father s Full Name 25. Father s Nationality 26. Father s Place of Birth (TOWN, State, Country) 27. Mother s Full Name 28. Mother s maiden name, if known 29. Mother s Nationality 30. Mother s Place of Birth (TOWN, State, Country) 31. Were your Grandfather/Grandmother Pakistan Nationals or Belong to Pakistan Held Area? PROFESSION/OCCUPATION DETAILS OF APPLICANT 32. Present Occupation 33. Employer/Business Name 34. Designation/Position 35. Employer s Full Address 36. Employer s Phone Number 37. Past Occupation 38. Military Service (if yes, please list organization, designation, rank and station) VISIT DETAILS 39. Type of Visa TOURIST 40. Places to be visited (cities in India)

5 41. Number Of Entries Double Entry 42. Visa Validity 60 days 43. Date of arrival (dd/mm//yyyy) 44. Port of Arrival (specify by air or sea) 45. Port of Exit 46. Have you ever visited India? If Yes, Please list details why and when? PREVIOUS VISA DETAILS 47. Has permission to visit or to extend stay in India previously have been refused? 48. Have you visited South Asian Association for Regional Cooperation (SAARC- Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, Pakistan, Sri Lanka) countries in past 3 year? If yes, please indicate when and list details. 49. Countries visited in past 10 years (list just Names of the countries you have visited In last 10 years) _ 50. Reference Name in India (Name and Address of first hotel) 51. Reference Name in United States (Name, Complete physical address and phone Number) _ Signature: Date: Additional Information:

6 Smart Traveler Enrollment Program Stay Informed, Stay Connected, Stay Safe! For a nominal fee Generations Visa Service will register you and your travel details with the nearest U.S. Embassy or Consulate in the countries you are visiting. This registration allows the US government to efficiently safeguard its citizens while overseas. Benefits of Enrolling in Smart Traveler Enrollment Program: Receive important information from the Embassy about up-to-the-minute safety conditions in your destination country, helping you make informed decisions about your travel plans. Help the U.S. Embassy contact you in an emergency, whether natural disaster, civil unrest, or family emergency. Help family and friends get in touch with you in the case of an emergency. Personal Information (Pease fill out legibly in block letters) Traveler #1 s full name (LAST, First, Middle): Traveler #2 s full name (LAST, First, Middle): Date of Birth (MM/DD/YYYY): Gender: Male Female Passport Number: P Address*: Phone Number: * addresses will not be used for solicitation purposes Travel Information Date of Birth (MM/DD/YYYY): Gender: Male Female Passport Number: P Address*: Phone Number: Country #1: Approx. Date of Entry (MM/DD/YYYY): Approx. Date of Exit (MM/DD/YYYY): Name and Address of the first hotel: Country #2 (if applicable): Approx. Date of Entry (MM/DD/YYYY): Approx. Date of Exit (MM/DD/YYYY): Name and Address of the first hotel: Name of the Tour Operator: Tour Operator Phone # Name of the Tour Operator: Yes, please enroll me in Smart Traveler Program. I have added an additional $15.00 per person for this service. Please include STEP enrollment fees in the total payment for visa processing. Use Credit Card payment option below ONLY if you are applying for STEP enrollment separately on its own: Card Holder Name: Signature Credit Card Number: Security Code: Expires: / Billing Address: Zip Code: Please note: If you receive an confirmation from the Department of State titled Smart Traveler Enrollment Program Invitation, one of our agents has enrolled you in the Program with the information provided. No further action is necessary on your part. Inidia E-VISA