D Milil?!Y D Business D Tourist D
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1 ""LI,-- :..< ~',:. J:'~' ç-- ~ e=m '5, !Üil-- -,- f ~~.....!W;f::M"-'>".. ftl --=te - 'ditrt«~ 1 GOVERNMENT OF PAKISTAN VISA APPLlCATION FORM <><><> -. L :='-; (Please read these instructions carefully before fillihg in form) 1. Nocolumn should beleftblanl<. Incomp!eteformsy.,'iİrı.yague entries shall not be accepted. Where 'applic?ple;;popiqs of supportive documents should be submitted eıöı.ig"" 'Wifu the application form. 2. Applicants rnay use extra sheets, in case of insuffi.ciemt spa.ce in the columns of the Visa Form Two (02) Passport size photographs should be attacl1~d with the visa form. ~C 4. Normal processing time for visa could be 4-6~'6el<s>.. 5. Applicants could be asked to appear for interview ITr~ıJirşd 6. On arrival, immigration forrnalities are mandatery. (pollceiegıstration is applicable in certain cases). 7. Attach bank statement for business visit. 8.. Applicarıt's family "(ncludes spouse, son, daughter, J?th~i.mother" Yolll'.photograph be: mııst Passport sıze (45mm high x 35mm wide) A recen!' and true likeness,showing full face, wi!h no hat, helmetor sunglasses, although you can wear everydayglasses PART--I 1. Typeof Vi sa applied for: Diplomatie Family O O Offieial D Milil?!Y D Business D Tourist D Transit D Joumalist D OthersO (Specify) ~ ~~ 2. Purpose of Visit: 3. Duration of Staty: 4. Visa required for: less than 01 month D 06 monthsd 1 year D 02 years D 05 years 5. Type of Visa: Single Entry D DoubleEntry D Multiple EntryO i. Port of Entry ~~ il Port of Departure: iii. Places to be visitedin Pakistan: a. b. c. d. ~ 6. SECTION-IJAPPLlCANT'S DETAILS) i. Name as in Passport: Firsf Middle Last ii. Date of Birth: i i dd/rrirtı/yyyy iii. Place of Birth: Gity: Country: iv. Sex: MaleO Female O V. vi. Marital Status: Single D Married D Blood Group: ~ Page 1 of 6
2 Identification Mark: ix. Nationality: (a) Pre~.ent,,-~---=...,.,.,.-' x. Religion: PASSPORT OHAlLS: Type of passport: UN Travel Document Passport Number: Date öf Issue: Issuing Authority: xii. ADDRESS & a. Abroadl Country of Tslephone: i) Home: iii) Cell: b. In Pakistan. xiii. Telephone: i) Home: -'-~ ii) Work: iii) Cell: ~--~= '"~--'- ls your visifsponsored? If yes, give details. Yes O NoD Name of Sponsor Address Contact Number xiv, DETAILS OF PROFESSION a. Profession (In case of armed forces i defense personnell uniformed personnel please specify rank i service and fill in the attaobed Perfcmna): b. Employer's sponsor's details (in Pakistan i Abroad (if applicable) Name Address Telephoıte No. address Home pffice Cellular PageZof 6
3 ~'=~-c;------=-=-=" ""'" xv. DETAILSaFJa8S HELD IN THEPAST:.a. Designation: -'-- c. puration (from e. Address & Phone No.: ----:-~,~ f. Name, address andihmact'.', colleague, (useextra st~etr ~-~=:-~----,~--- :~ xvi. Are you applying visa from Ş tbi{q coı.il5y?",=-:1eso NoO If yes, please provide copy cf.resid~ ıwwkpe...mnof that country 7. SEOTıaN ii (FAMILY DETAlLS) i. Name ot ii. NaUonalityof Mother.,,;;..-.,,;;..-~~~"';;"- iii. Name of Father iv. Nationality of Father v. Spouse details: Name: ~ ~~~~. Nationality:...", Date and place of birth,.-=,.-= ,.,., ~-~-o=-- Profession:,., Name, address and contacthumeer of empioyer of spouse (if any):, ---- vi. Do you have any children? ' YesO NoO If yes, please provide detai[s(or each of your chlld. Name Date of B/rth vii. Please list any of accompanying person i family member (including childrerı) travellingwith your to PakIstan: Fuf{nClrne Date ofbiith Passpoit NumbetOf any) Address viii. Do you have any bank account in Pakistan? YesO NoO Bankname Branch AlCNumber Address Verifier detaus Page 3 of 6
4 "-----"~--"" "...., ;-~ am; - S.TRAVEL HISTORY: L Have you ever visited Pakistan please ptovide det8il$; ifyes Date Duration.;;..,...,. LL #j: Date -Purpose iii. Have you ever been refuseda vıs4~raoyoountry,incluı:iiııg Pakistan? Yes D Duration NoO iv. Have you everbeen refused entry-.çh'a.mv;aıtgt:iakistan? YesD If yes, please provide details of refusat NoO v. Have you ever been depörtedremoved or otherwise required to leave any country, including Pakistan? YesO No D If yes, please provide details. J Date COlJntry Reason Reference Number (ForPakistan i=-~ d ~~ vi. Do YO\J have any ç:riminalconvictions, or charged in anycöuntry? If yes, please provide oetaüs.. YesO NoO Date Country Offence Sentence DECLARATION: i declare that the information given in this forin is correct to thebest of my knowledge and belief and if any of the partibulars furnished above arefound to be incorrector withheld the visa is liabletobe rejected i cancelled at anytime. Date: (Signatü[e:öfApplicant) page 4 of 6
5 PART-II PROCESSING CERTlFJCAl'IDtt (FOR OFFICIAl ljse'-- NOT TO BE fnı818~::appucant) 1. Date of receipt of Visa Application: 2. Registration Number: 3. Visa fee received: 4. Additional decurnents received: a. c. 5. Particulars of official who eheckedfhe its.correctness and supporting documents: Name: Date: Designalion: Signature: 6. Details of elearance received from Minislry öf lnterior. No. Date: 7. Decision by office In-charge. a. Accepted D b. Regretted D c. Type of Visa issued: ~ ~ ~d. Duration: "---= e. Single Entry D f. Multiple Ehtry D g. No. of entries: Date: ---' (Signature of Visa lssuinq Authority Page50f6
6 DETAIL. OFMILlTARY'SERVICES (ATTACHADDITIONALSHEETS ASREQI.HREOJ StartData' End Dal,. Mandatory-:or Career SerVice Y,our Ranks (indlc.ı. dın.soj pro"",llöns} Your d piq1 desçrjpüçinslricl\.klıng!nijolvemeir-ıt In 'arrest, combal",detentlon; iriıer~~~~~~e~~pporı Commanding Ofiı;eers(Must pro'ilde fulln.mes,and ranks] Type of Unil., (a~i~ery, lofanw, speclal~ps;etc), N,ame/Nuq:ıtıer otunııs In;llcatelho,F61Iôwing: - 1,',uniVoelactı"",nl 2, bdmpanyıeatte", :;,,'eall.lloiılreg;riıeiivbrlgade 4.:PiviSl9n" 5,A~rrY/Corp, e Other' Your t.ccations (Ba'~' Ciıya~d ProvIndetT errllory) No, Of people.'y0u 5upeıvlse Medals} Awards (lndlcatename of medallaward, data, reason}: Initialiiad Training {hıdicafetype, locationjdatel: page (;ııfti ' ~'"~~...::-.i::~h\;~.;;.. ~::G;;;~~lli!I3Ioi~5'**L $ w.;)l., J:t(/'~\:;>: :~,. i:i,~: <~,~"~15,,~~;#l@L
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