CONSULATE GENERAL OF INDIA

VANCOUVER (CANADA)

FORM FOR REGISTRATION OF INDIAN NATIONAL

1. Name : Mr./Mrs. Km. ___________________________________________________________________________

(in BLOCK LETTERS)

2. Father's /Husband's name _________________________________________________________________________

3. Passport particulars 

   (a) Number                        :

   (b) Place and date of issue :

   (c) Date of validity             :

4. Profession / Occupation _________________________________________________________________________

5. Address in India with telephone number_____________________________________________________________

_____________________________________________________________________________________________

6. Address Abroad with telephone number

   (a) Residence_________________________________________________________________

_____________________________________________________________________________

  (b) Business/ Office_____________________________________________________________

_____________________________________________________________________________

7. Date of arrival             _________________________________________________________________________

8. Purpose of visit           _________________________________________________________________________

9. Approximate period of stay_____________________________________________________________________

10. Date of Departure    _________________________________________________________________________
(to be intimated when leaving the country for good)

11. Remarks if any to be filled :
(by Indian mission) 

 Signature of the applicant