Embassy of India Manila

2190 Paraiso Street,

Dasmarinas Village, Makati City

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Visa Application Form

Signature

PHLM02164814

A. Personal Particulars (As in Passport)

Surname (As in Passport)
TANOY
Given Nam e (As in Passport) ARNOLD GERONILLA
Previous/other Name if any
Sex

Web Registration Date : 22-DEC-2014

Application Id :PHLM02164814

Date of birth
Place of Birth Town/City
Citizenship /National ID No
Visible identification marks
Current Nationality

Male
02-AUG-1976
ILOILO CITY
NA
MOLE IN LEFT SIDE OF FACE
PHILIPPINES

Marital Status
Religion
Country of Birth
Educational Qualification

Married
CHRISTIAN
PHILIPPINES
GRADUATE

Nationality by Birth/ Naturalization

BY BIRTH

Date of issue ( dd/mm/yyyy )

18-JAN-2011
17-JAN-2016

Any Other Previous/Past Nationality

B. Passport Details

EB1747429
ILOILO CITY

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. Applicants Contact Details
Present
address

24 PEPITA AQUINO-DURAN STREETS

ILOILO CITY
ILOILO, PHILIPPINES 5000

Phone No

09187229129
Email address arnold.tanoy@hotmail.com

Mobile /Cell No

Permanent 24 PEPITA AQUINO-DURAN STREETS

Address
ILOILO CITY
ILOILO
D. Family Details
Relation

Name

Nationality

Prev. Nationality

Place/Country of Birth

Fathers

ANANIAS A TANOY

PHILIPPINES

PHILIPPINES

AJUY, ILOILO
PHILIPPINES

Mothers

ARACELI G TANOY

PHILIPPINES

PHILIPPINES

CANDON, ILOCOS SUR

PHILIPPINES

Spouse

ANNALIZA M TANOY

PHILIPPINES

PHILIPPINES

BALANGA, BATAAN
PHILIPPINES

Were your Grandfather/Grandmother(Paternal/Maternal) Pakistan Nationals Or belong to Pakistan held area : NO

E. Details of Visa Sought

(Visa shall be valid from the Date of Issue and not from the Date of Journey)

EMPLOYMENT VISA
(Month) 12 Month
HYDERABAD

Type Of Visa Required

Period of Visa
Port Of Arrival

ARNOLD GERONILLA TANOY

No of Entries
Expected Date of Journey
Port of Exit

Multiple
03-JAN-2015
HYDERABAD

Required Detail of

EMPLOYMENT VISA

Qualifiaction/Emp.EPFO ID
Company Name
Address
Designation
Salary

TECHNICAL MARKETING MANAGER

RNK AGRO AND CHEMICALS LIMITED
5-9-191 1F, BRINDAVAN CMPLX, ABIDS, HYDERABAD

APHYD0038558000

TECHNICAL MARKETING MANAGER

Purpose of Visit : EMPLOYMENT

F. Previous Visit Details
Have You Ever visited India ? YES
Address where You stayed in 5-9-191 1ST FLR, BRINDAVAN COMPLEX
India

Application Id :PHLM02164814

CHIRAG ALI LANE, HYDERABAD,

Cities in India Visited HYDERABAD, CHENNAI, BHIMAVARAM, NELLORE

Type of Visa EMPLOYMENT VISA
Visa Number
9051067
Visa Issued Place MANILA, PHILIPPINES
Date of Issue
06-AUG-2013
Countries visited in last 10 years
MALAYSIA, PAPUA NEW GUINEA
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
APO2 EXT PHL 186 2014 21/02/2014
No/Date
G. Profession/Occupation Details
Present Occupation UN-EMPLOYED
Designation/Rank
Employer name/business NA
Employer Address NA
Phone Number
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 MANISH SHARMA
Address 5-9-191 1F, BRINDAVAN CMPLX

CHIRAG ALI LANE, ABIDS, HYDERABAD

Phone
9000551384
Number

In
ARACELI G TANOY

State

Phone No.

PHILIPPINES

24 P. AQUINO-DURAN STS
ILOILO CITY
9999402628

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.

22-DEC-2014
Date :.

..
Applicants signature (as in Passport)