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gill, jasleen

India Visa Summary - ID: 520246063


Applying: In Person
** Reservation: Monday Nov 16, 2009 10:20am **
(Same Day Processing - Upon Approval) - It is very important to arrive within
10 minutes of your scheduled time.
Departure Date: December 06, 2009
Citizenship: United States
Passport Number: 465996413
Visa Type: Tourist Visa
Visa Length: 10 Years Multiple Entry
Consular Fee: $150.00
Outsourcing Fee: $13.00
Shipping from Travisa Outsourcing back to You: $0.00
Total Fee: $163.00
Payment Method: Cash

Shipping From Travisa Outsourcing back to You: Pickup in person at window

Home Phone: 4082598170


Cell Phone: 4084138350
Email: harjotgill85@yahoo.com
*** Alert! Since the applicant is younger then 18 years old, the application must be signed by
both parents and/or guardians. ***

Please include this summary sheet along with the application. The checklist on Page 4 is for your records, and does
not need to be included.
All Consular Fees and Processing Fees are NONREFUNDABLE, even if a visa is denied or if a visa is issued for a
shorter period of time or otherwise issued or returned at a time or on terms and conditions that vary from those
sought by the applicant.
Office Use Only Travisa Outsourcing is a service company only. Travisa Outsourcing does not issue visas or in any way determine
Name or control the issuance of, or terms and conditions of,visas all of which is determined and controlled solely
by the Consulates of the Embassy of India. Travisa Outsourcing is not and cannot be responsible for any
Passport # determinations, acts or omissions by the Consulates.
Date of Issue Important! When applying in person on behalf of someone else, only the following people are allowed to apply:
Relative of Visa Applicant, Co-worker of Visa Applicant (with Employee Identification) or Travel companions
Date of Exp. of Visa Applicant (same Itinerary).
Date of Birth Office Security Regulations in all Travisa Outsourcing offices do not permit you to carry the following:
All battery operated or electronic gadgets like cell phones, digital diaries, pagers, audio/video cassettes, compact
Object discs, palmtops or portable music players. Only a small ladies pouch in hand will be permitted. All bags such as travel
bags, back packs, briefcases, suitcases, leather, jute or cloth bags and zip folders. Only a plastic bag containing
$2.00 Copy
your application related papers would be permitted. Strollers are also not permitted. Any food item. Sealed envelopes
Initials: or packages. Any sharp objects such as scissors, pen knives or nail filers. Weapons or explosive material of any kind.
This list is not finite. Other items may be prohibited based onsecurity staff discretion. There is no facility at Travisa
Outsourcing to store prohibited items. You will have to make other arrangements to keep the same before entry.

Application ID: 520246063 - Generated on: 11/10/2009 11:50pm PST


Tourist Visa - 10 Years Multiple Entry - $150.00 - United States

Consulate General of India STAPLE


San Francisco
TWO
Visa Application Form
Handled by Indian Visa Center
PHOTOS
965 Mission Street, Suite #110 San Francisco, CA 94103
HERE
Application ID: 520246063

1. FULL NAME: jasleen kaur gill FOR OFFICE USE ONLY


(First) (Middle) (Last)
USAS08560409
2. LAST NAME AT BIRTH (IF DIFFERENT):

3. MARITAL STATUS: Married X Unmarried

4. IF MARRIED GIVE MAIDEN NAME:

5. DATE OF BIRTH: 18/10/2009 6. SEX: Male X Female


dd/mm/yyyy
7. PLACE OF BIRTH: san jose, CA, United States

8. CURRENT NATIONALITY: United States

9. ARE YOU A PERMANENT/LONG TERM RESIDENT IN THE USA? Yes X No

10. NATIONALITY AT BIRTH: United States

11. ANY OTHER NATIONALITY HELD PRESENT/PAST: United States; United States

12. PRESENT ADDRESS:

893 gilchrist walkway#3

san jose CA 95133 United States


(CITY) (STATE) (ZIP) (COUNTRY)
13. PHONE Home: 4082598170 Work:

14. PERMANENT ADDRESS:

893 gilchrist walkway#3

san jose CA, 95133 United States


(CITY) (STATE) (ZIP) (COUNTRY)
15. PROFESSION: none 16a. EMPLOYER'S NAME:

16b. EMPLOYER'S ADDRESS:

(CITY) (STATE) (ZIP) (COUNTRY)


17. PASSPORT NUMBER: 465996413 18. VALID UNTIL: 08/11/2014
dd/mm/yyyy
19. PASSPORT ISSUED AT: Department of State 20. ISSUE DATE: 09/11/2009
dd/mm/yyyy
21a. FATHER NAME: Harjot Gill 21b. FATHER NATIONALITY: United States

22a. SPOUSE NAME: 22b. SPOUSE NATIONALITY:

23a. MOTHER NAME: kulwinder kaur 23b. MOTHER NATIONALITY: United States

24. TYPE OF VISA REQUIRED: Tourist X Business Student Entry Transit Journalist

Conference Employment Other

Application ID: 520246063 - Generated on: 11/10/2009 11:50pm PST


Consulate General of India - Visa Application Form

25. PLACES YOU PLAN TO VISIT: punjab

26. PERIOD OF VISA: 15 Days Three Months Six Months One Year Five Years Ten Years X

27. HAVE YOU EVER VISITED INDIA BEFORE? Yes X No

28. IF YES ABOVE, GIVE DETAILS:

Address where you stayed:

Dates Stayed: Starting Date: Ending Date:


dd/mm/yyyy dd/mm/yyyy

29. HAVE YOU BEEN REFUSED AN INDIAN VISA OR EXTENSION OF THE SAME PREVIOUSLY?

Yes No X If yes above, give details:

30. ARE YOU HOLDING A VALID "NO OBJECTION TO RETURN TO INDIA" ENDORSEMENT?

Yes No X If yes above, give details:

31. OBJECT OF JOURNEY: going to a wedding and want to meet relatives.

32. ARE YOU TRAVELING ON BEHALF OF A COMPANY Yes X No

If yes, give details:

33. EXPECTED DATE OF DEPARTURE FROM USA: 06/12/2009


dd/mm/yyyy
34. EXPECTED DATE OF ARRIVAL IN INDIA: 08/12/2009 35. PORT OF ARRIVAL IN INDIA airplane
dd/mm/yyyy
36. ARE ANY CHILDREN IN YOUR PASSPORT ACCOMPANYING YOU?

Yes No X If yes above, give details:

37. NAME AND ADDRESS OF TWO REFERENCES

(a) In India: jaswant singh, 674 deep sandhu colony, patiala road Nabha, Patiala, Punjab

(b) In applicant's country: jaswinder gill, 86 pilgram loop, fremont, CA, 95133

I, jasleen gill hereby undertake that I shall utilize my visit to India for the purpose for which

the visa has been applied for and shall not, on arrival in India, try to obtain employment or set up business or extend my stay

for any other purpose.

Signature of applicant

Place: san jose, CA, United States If applicant is younger then 18 years old, application should be signed
by both parents and/or guardians.
Date: 11/11/2009

Application ID: 520246063 - Generated on: 11/10/2009 11:50pm PST


India Visa Checklist - Applying In Person
Tourist Visa: A Tourist Visa is given to those visiting India for tourism or other
non-business related purposes. Valid for 6 months to 10 years. Ten (10) year visa is
available only to US citizens under a bilateral arrangement. Irrespective of the
duration of validity of visa, on each visit maximum period of stay in India is limited
to 6 months (180 days). Multiple entry visas are given. Please note the visa is valid
beginning on the day it is issued. So a 6 Month visa issued on January 1 would be valid
until June 30.

This checklist applies to United States citizens applying for a Tourist Visa.

1. Application: Print and sign the application.


2. Passport: Passport must have a minimum validity of six months from the date of
application with at least two blank visa pages. Last 2 amendment pages are not
acceptable. Must be the actual passport not a copy because your visa will be stamped in
the actual passport.
3. Photographs: Photographs: 2 latest identical passport size photographs (black/white or
color) depicting front pose against light background on photographic paper.
4. Proof of Address: Applicants must submit a photocopy with proof of residence/address
that matches the address on the visa application exactly. Photocopy of state issued ID
(Driver License or ID), or major utility bill (Water, Gas, Electric, Sewage) must be
submitted. The following items are not accepted: cell phone bill, credit card
statement, bank statement or lease. The address cannot include a P.O. box.For minors, a
parent or guardian proof of address may be submitted instead. If you don't bring a copy,
we will make a photocopy for you for $2.00.
5. In Person Reservation: Please note the reservation time (Monday Nov 16, 2009 10:20am)
for visiting the office to drop off your application. It is very important to arrive
within 10 minutes of your scheduled time to ensure expedience in processing your
application.
6. Office Security Regulations: Security regulations in all Travisa Outsourcing offices
do not permit you to carry the following:
1. All battery operated or electronic gadgets such as cell phones, digital diaries, pagers,
audio/video cassettes, compact discs, palmtops or portable music players.
2. Only a small ladies pouch in hand will be permitted.
3. All bags such as travel bags, back packs, briefcases, suitcases, leather, jute
or cloth bags and zip folders. Only a plastic bag containing your application
related papers would be permitted. Strollers are also not permitted.
4. Any food item.
5. Sealed envelopes or packages.
6. Any sharp objects such as scissors, pen knives or nail filers.
7. Weapons or explosive material of any kind.
The list provided above is not finite. Other items may be prohibited based on
security staff discretion.
There is no facility at Travisa Outsourcing to store prohibited items. You will have
to make alternate arrangements to keep the same before entry into Travisa Outsourcing.

7. Processing Time: Applications received at the counter between 9:00am and 11:00am are
usually (once approved) processed the same day and serviced documents can be collected
from the counter between 5:30pm and 6:00pm. Applications received after 11:00am will
have the visa issued the following working day. This time schedule does not apply to
services where prior approval is required from authorities in India or other Indian
embassies or for Non-US citizens. Non-refundable tickets or reservations should not be
purchased until all visas and passports are secured and in your possession.
8. Fees: Preferable method of payment is Money Order (Payable to Travisa Outsourcing) or
Cash, payment with a Credit Card may cause a delay. If payment is not paid in full,
processing delays will occur. A Processing Service Fee of $13.00 will be charged by
Travisa Outsourcing per application, per passport. If you are a member of the US
Military and you are applying from Iraq, please enclose your prepaid airbill. All fees
are non refundable. Fees are broken down accordingly:

Processing
Consular Fee Service Fee Total Fee
$150.00 $13.00 $163.00

9. Location: Drop off completed requirements to the following location:


Travisa India Outsourcing
965 Mission Street, Suite #110
San Francisco, CA 94103
Dropoff Date/Time: Monday Nov 16, 2009 10:20am
Pickup Hours: 4:30pm - 6:00pm PST

Application ID: 520246063 - Generated on: 11/10/2009 11:50pm PST

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