APPLICATION FORM

( Visa Extension )

210819QB6ND4

Application ID No. 210819QB6ND4 Final Submission Date Wed Aug 21 23:26:13 IST 2019

FOR OFFICE USE ONLY

Reg. No. S 0 5 5 A F G 2 0 1 9

Personal Details
Surname BAHAR
Given Name MUNIRA Paste your
Sex Female Date of Birth 01/01/1999 Height (in cm) 0 Recent passport size
Age as on today Year(s) 20 Month(s) 7 Day(s) 20 photograph here
Place of Birth SAMANGAN,SAMANGAN,AFGHANISTAN
Father's Name MOHAMMAD ALI
Mother's Name
Spouse's Name
Religion ISLAM Any Identification mark(s) preferably MOLE ON THE LEFT SIDE
visible FACE

Present nationality AFGHANISTAN Previous nationality

Manner of acquiring present nationality Birth
Date of acquiring present nationality 01/01/1999
Whether holding dual NO
nationality? If yes, Name of the country of second nationality
provide the following:- Passport No. of second country
Date of Issue
Date of Expiry
Whether travelled on this passport earlier to
India

Whether person of Indian Origin NO

Address of last residence (Outside India)

Address MAZAR
City MAZAR Country AFGHANISTAN

Address intended for longer stay in India (Registration)

Address GIRLS HOSTEL
City/ District SRINAGAR State JAMMU AND KASHMIR
Pin Code
Phone Number Mobile Number
Any Other Address in India
Address
City/ District State
Pin Code
Phone Number Mobile Number
Email/Occupation/Profession Details
E-Mail Id Janhalim090@gmail.com
Profession/Occupation STUDENT

Passport Details
Passport Number P02216788 Place of Issue AFGHANISTAN, KABUL
Date of Issue 19/06/2019 Expiry Date 19/06/2024

Visa Details
Visa Number VL0409241 Place of Issue AFGHANISTAN, MAZAR
Date of Issue 30/06/2019 Expiry Date 29/09/2019
Valid For Single Entry Visa Type STUDENT VISA
Special endorsement, if any

Organization/Company/Institute/Hospital Details
Name KASHMIR UNIVERSITY
Address SRINAGAR

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 210819QB6ND4
Application ID No. 210819QB6ND4

State JAMMU AND KASHMIR City SRINAGAR

Telephone Number Email ID
Employer EPFO ID Establishment ID
Arrival Details
Place of embarkation/boarding for India KABUL,KABUL,AFGHANISTAN
Date of arrival in India 11/07/2019
Place of disembarkation/arrival in India DELHI
Mode of Journey Air Flight/ Ship/ Bus/ Train No.
Purpose of visit to India Studies

Previous Registration Details in India

Registration Number Place of Registration Visa Type Duration From To
Details of family members/attendant/dependents, if any accompanying.
Name Nationality Passport Number Relationship
Person to be contacted in Case of Emergency
Name Relationship
Address City
Country Phone Number
Category Missionaries-Student

Military service details

Organisation Designation
Rank Place of Last Posting
Country of Last Posting

Current Registration Details

Are you registered in current locality FRRO/FRO in the current visit? YES Current JK11/RCF/AFG/28/2019
Registration No.

Current Extension Details

Have you got extended visa in current visit in current locality NO Current
FRRO/FRO? Extension No.

Visa Extension Details

Whether previously in India? NO
Whether permission to stay in India has been previously refused? NO
Whether permission to extend stay in India has been previously granted? NO
Period of Extension requried Year(s) Month(s) 8 Day(s) 11
Reason for extension STUDY
In case of Missionary - Nature of work

Signature of the Applicant

Date_ _ _ _ _ _ _ _ _ _ _ _ _

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Application ID No. 210819QB6ND4

List of mandatory and non mandatory documents

Mandatory Documents.
1. Residence proof : Residence Certificate from Hostel/Updated Form ‘C’ generated by Hotel/Lodge or Registered/Notarized Lease Deed, Utility Bill, Copy of photo-ID of the landlord along
with declaration and Tenant Police Verification

2. Photo : Applicant's Photo

3. Financial resource proof : NRO account details and Scholarship letter (if any)
4. Visa : Indian Visa
5. Passport : Bio-Data page of Passport along with page bearing last Indian Immigration arrival stamp
6. Bonafide certificate : Bonafide Certificate to be obtained from a UGC or AICTE recognized Institute/College/University mentioning Foreign Students’ Information System (FSIS) No.,
course undertaken, duration of course and e-mail ID of the Institute/College/University

7. Registration Certificate : FRRO/FRO Registration Certificate/Residential Permit of the Student (S-3) Visa holder

Registration office address

Office Name : FRO KASHMIR

Address : Shervani Road, Near Sheri-Kashmir park
City/District : SRINAGAR
State : JAMMU AND KASHMIR
Pin Code : 190001
Phone Number : 2486431

Office opening time: 10.30 closing time: 17.00

There is no need to submit hard copy to concerned

FRRO/FRO

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