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Miscellaneous Application Form

This document is an application form for miscellaneous consular services from the High Commission of India in London. It requests information such as the applicant's full name, date and place of birth, current passport details, visa status, residential and professional addresses, and spouse's details. The applicant must declare that all information provided is correct and that they have not lost, surrendered, or been deprived of Indian citizenship or hold any other passports.

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100% found this document useful (1 vote)
2K views1 page

Miscellaneous Application Form

This document is an application form for miscellaneous consular services from the High Commission of India in London. It requests information such as the applicant's full name, date and place of birth, current passport details, visa status, residential and professional addresses, and spouse's details. The applicant must declare that all information provided is correct and that they have not lost, surrendered, or been deprived of Indian citizenship or hold any other passports.

Uploaded by

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Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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HIGH COMMISSION OF INDIA Photograph of the

Applicant
INDIA HOUSE, ALDWYCH
LONDON, WC2B 4NA

APPLICATION FORM FOR MISCELLANEOUS CONSULAR SERVICES


Please specify the service applied for:
[a) Life Certificate b) Sponsorship Certificate c) Attestation of document
(s) d) NRI Certificate e) Attestation of Power of Attorney f) Attestation
of Affidavit / Will g) Other service (Please specify)]

1. Full Name :

2. Date of Birth :

3. Place of Birth :

4. CURRENT Passport Particulars: Passport No.: Place of Issue :


Date of Issue: Date of
Expiry:

5. Visa Status :
6. Residential Address:
In India In UK

Tel No.:
Email:

7. Professional / Business Address:

8. Name of Spouse, Nationality, Passport Particulars:

9. I solemnly declare that the information given above is correct and nothing
has been concealed and I am aware that it is an offence to knowingly furnish
false information or suppress material information.
I have not lost, surrendered or deprived of my Indian citizenship and I am not
in possession of any other passport or travel documents (applicable for Indian
Passport Holder).

Place:
Date: Signature
of the Applicant

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