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FORM A FORM B REPORT
 
( Form for Long Term Visa Extension for Pakistani and Bangladeshi Nationals )
Form A
Information under reference in respect of Mr. /Mrs./ Master/ ___________________ ______ __________________________________ _________ national is furnished below: -
1. Name of applicant :
2. Date of Birth, place of Birth, :
  (Tal., Dist., State., etc.)
3. Age at the time of application :
4. Father’s name Mother's name , their :
particular if died, proof to be produced
if available
5. Occupation of father, mother, brother, sister,:
whether they were/are holding any passport,
if so their particular
6. Husband’s/wife’s name his particulars, :
holding any Passport, if so its particular.
7. Date of Marriage, Marriage Certificate :
to be produced if divorced or widowed
necessary certificate to be produced. :
8. Date of arrival in India particular of the :
Passport including Visa extension given to
the applicant, whether he /she has over
stayed without previous permission
detailed information about previous arrival
in and departure from India.
9. When/ he she had first gone to outside India,:
Circumstances in which he/she was a major
that time
10. Applicant's relative/s in Out of India, their :
particular.
11. Applicant’s relative/s in India their particulars:
(Whether they are Indian nationals)
12. Whether the applicant was holding a gainful :
employment in Pakistan :
13. Whether the applicant was or is a member of:
Armed forces of Pakistan or a Civil Government.
14. Whether the applicant is having any property,:
in Pakistan/Bangladesh if there is any property
in India whether it has been declared
15. Purpose of visit for India reason for further stay :
and ground on which the applicant want facility for
permanent stay in India
16. whether the applicant has produced the usual :
guarantee of maintenance and accommodation from
Indian national
17. Activities before leaving and during stay in :
India whether there is anything adverse known
against the Pakistani/Bangladeshi national on
Police Record.
18. any additional information considered necessary :
in report of the applicant.
 
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Form B
Form for Long Term Visa /Short Term Visa extension for Pakistani and Bangladeshi Nationals desiring to extend stay in India.
1. Name of the applicant ( in full, Block letters).
2. Father /Husband’s name and if alive present :
address.
3. Place of Birth (with Tehsil, District. and :
province of State)
4. Age and exact date of Birth :
5. Present Nationality. :
6. Present Nationality of Father/ husband. :
7. Nationality by Birth :
8. (a) Profession or present occupation :
( in case of minors or studied, give name,
occupation and address of guardian:
(b) Whether you are or have previously been :
a member of the armed forces of Pakistan/
Bangladesh
Or a Civilian Govt. Servant in any Defence
services of Pakistan/Bangladesh
9. Passport Particulars :
  i) Number :
ii) Place and date of issue :
iii) Date upto which valid :
iv) Name of issuing authority :
10. Number and date of the Visa for (India :
and where issued).
11. Date and place of arrival in India :
12. Purpose of Visit to India. :
13. Date of expiry of authorised period of :
residence in India:
14. Period for which extension is required. :
15. Whether permission to extend stay in India
has been granted /refused previously and,
if so when :
16. Reasons for extension of stay ( The :
reasons should be stated fully and in detail.
Failure or refusal or request).
17. Name and address of person in India who :
will furnish financial guarantee for
maintenance and repatriation; on behalf of
the applicant when he is in India (if such
guarantee was not already furnished
at the time of the entry in India. )
   
 
Signature of the applicant.
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CATEGORICAL REPORT IN RESPECT OF :--
1. (a) The date on which the applicant went to the Pakistan:
/Bangladesh
(b) Date of his/her arrival in India for the first time after :
migration.
2. Reason for his /her going to Pakistan /Bangladesh :
3. Reason when he/ she did apply for permanent facilities
of resettlement in India earlier during stay in Pakistan/
Bangladesh :
4. Whether any immovable property in India stand in the name :
of the applicant and whether such property and all
proceedings connected with the property have been
completed and period of appeal is over.
5. applicant is family member. :
6. Are there any special reasons which justify his/her :
permanent return to India.
7. Whether there is any objection from the point of view of :
the applicant., If so, it should be supported with specific
evidence.
8. The nationality of the applicant’s father/husband. :
9. Whether the applicant is accompanied with minor children.:
If so , their name/s and dates of birth may be furnished.
10. Whether the applicant has relations in Pakistan / :
Bangladesh with whom she/ he was staying there.
11. Whether the applicant’s father/ husband in India willing :
and in a position to maintain his/her case resettlement
facilities are granted , if so, written under taking from
him may please be obtained and enclosed with support. :
12. The correct date of birth of the applicant to be furnished
after careful verification and documentary evidence if available.
13. The applicant’s occupation in Pakistan/Bangladesh in case
she/ he is a student. Please state , how she/he was waiting so
in Pakistan. /Bangladesh
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