Consulate General Of India - mein

Consulate General Of India
Friedrich Ebert Anlage 26
Frankfurt
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069 1530050
Visa Application Form
Signature
DEUF01960715
A. Personal Particulars (As in Passport)
Surname (As in Passport)
BAUMANN
Given Nam e (As in Passport) MELANIE
Previous/other Name if any
Sex
Web Registration Date : 27-MAY-2015
Application Id :DEUF01960715
Date of birth
Place of Birth Town/City
Citizenship /National ID No
Visible identification marks
Current Nationality
Female
13-NOV-1981
MUSTERSTADT
NA
NA
GERMANY
Marital Status
Religion
Country of Birth
Educational Qualification
Married
CHRISTIAN
GERMANY
POST GRADUATE
Nationality by Birth/ Naturalization
BY BIRTH
Date of issue ( dd/mm/yyyy )
01-MAR-2013
31-DEC-2023
Any Other Previous/Past Nationality
B. Passport Details
CXXXXXXXX
MUSTERSTADT
Passport No.
Place of issue
Date of expiry (dd/mm/yyyy)
Any other Passport/Identity Certificate held (if yes ,please fill in the following) NO
Country of issue
Place of issue
Passport/IC No
Date of issue(dd/mm/yyyy)
Nationality/status
C. Applicant’s Contact Details
Present
address
MUSTERSTRASSE 1
TROISDORF
NRW, GERMANY 53844
+49 228 123456
Phone No
Mobile /Cell No
Email address info@mein-visum.de
Permanent MUSTERSTRASSE 1
Address
TROISDORF
NRW
D. Family Details
Relation
Name
Nationality
Prev. Nationality
Place/Country of Birth
Father’s
JACK MUSTERMANN
GERMANY
GERMANY
BOCHUM
GERMANY
Mother’s
ANITA MUSTERFRAU
GERMANY
GERMANY
BOCHUM
GERMANY
Spouse
JOHANN MUSTERMANN
GERMANY
GERMANY
KOELN
GERMANY
Were your Grandfather/Grandmother(Paternal/Maternal) Pakistan Nationals Or belong to Pakistan held area : NO
E. Details of Visa Sought
TOURIST VISA
(Month) 6 Month
DELHI
Type Of Visa Required
Period of Visa
Port Of Arrival
(Visa shall be valid from the Date of Issue and not from the Date of Journey)
MELANIE BAUMANN
No of Entries
Expected Date of Journey
Port of Exit
Multiple
01-JUL-2015
DELHI
Required Detail of
TOURIST VISA
DELHI, BANGALORE, MUMBAI
Purpose of Visit : TOURISM
F. Previous Visit Details
Have You Ever visited India ?
Address where You stayed in
India
YES
LE PASSAGE TO INDIA
E-29 HAUZ KHAS, NEW DELHI 110016
Application Id :DEUF01960715
Places to be Visited
Cities in India Visited DELHI
Type of Visa TOURIST VISA
Visa Number
VJ123456
Visa Issued Place FRANKFURT
Date of Issue
01-JAN-2013
Countries visited in last 10 years
EUROPA,CHINA,RUSSLAND
Have you been refused an Indian Visa or extension of the same previously or deported from India ?
If yes above mention when and by whom with control
No/Date
G. Profession/Occupation Details
Present Occupation WORKER
Designation/Rank
Employer name/business MEIN VISUM GMBH
Employer Address ZUR SIEGAUE 2, 53844 TROISDORF
Phone Number
+49 228 9453051
Past occupation if any
Are/have you worked with Armed forces/ Police/ Para Military forces ? NO
Organization
Designation
Place of Posting
Rank
H. Address of Place of Stay / Hotel
Place/Hotel Name
Address of Place / Hotel
I. Details of Two Reference
In India
Nam e DOUBLETREE BY HILTON HOTEL AGRA
Address B/H - 1&2, TAJ NAGRI PHASE I
AGRA, 282001, INDIA
Phone
+91-562-7102323
Number
In
JOHANN MUSTERMANN
State
Phone No.
GERMANY
MUSTERSTRASSE 13
53844 TROISDORF
+49 228 1234567
J. DECLARATION:
a.
b.
c.
d.
I 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.
27-MAY-2015
Date :……………………….
..……………………………………
Applicant’s signature (as in Passport)