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Get Additional Particulars Form

ADDITIONAL PARTICULARS FORM FOR VISA/OCI/PIO CARD SERVICES Name of applicant Passport Number and Nationality Please specify whether holding dual nationality. If yes name of Organization Designation Place of Posting and Rank should be given specify details Current Employment status along with full details of employer currently facing criminal charges in any court of law If yes DECLARATION I hereby declare that the above particulars are true. I also agree that in case any false information is given in the above form appropriate action as per Government of India rules and regulations may be taken against me including but not limited to revoking of issued Visa/OCI/PIO card and any other action as deemed fit by the Government of India or its agencies. If yes please provide name of countries and passport numbers Any previous Nationality held If yes specify Name of Spouse and current Nationality Any other Nationality previously held by spouse. If yes please provide name of countries and passport numbers Has the applicant ever changed his/her name If yes specify details and submit appropriate documentation for the same Did the applicant or his/her parents or his/her grandparents ever hold the citizenship of Pakistan Bangladesh Afghanistan Bhutan China Nepal or Sri Lanka at any point of time If yes please provide details Forces/Police/Para-Military Forces/Government service. If yes name of Organization Designation Place of Posting and Rank should be given specify details Current Employment status along with full details of employer currently facing criminal charges in any court of law If yes DECLARATION I hereby declare that the above particulars are true. I also agree that in case any false information is given in the above form appropriate action as per Government of India rules and regulations may be taken against me including but not limited to revoking of issued Visa/OCI/PIO card and any other action as deemed fit by the Government of India or its agencies. I am applying for a PIO card strike off whichever not applicable - as a spouse a of an Indian origin person not as a spouse of Indian origin person* b In case of a I undertake to intimate the Consulate immediately about the dissolution of such marriage if it occurs. Date Place Signature of the Applicant Please note In case of minor child both parents/legal guardian should sign the declaration. If yes please provide name of countries and passport numbers Any previous Nationality held If yes specify Name of Spouse and current Nationality Any other Nationality previously held by spouse. If yes please provide name of countries and passport numbers Has the applicant ever changed his/her name If yes specify details and submit appropriate documentation for the same Did the applicant or his/her parents or his/her grandparents ever hold the citizenship of Pakistan Bangladesh Afghanistan Bhutan China Nepal or Sri Lanka at any point of time If yes please provide details Forces/Police/Para-Military Forces/Government service. .

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