Refer to Instructions in our website

for Guidance:

HIGH COMMISSION OF INDIA

SRI LANKA
High Commission of India Asst. High Commission of India
36 -38, Galle Road, Colombo -3. No. 31, Rajapihilla Mawatha, Kandy
Telephone(011)2422788, 2327587 Telephone(081)2222652, 2223786
Fax: (011)2472685, 2448166 Fax(081)2232479
E.Mail:cons3.colombo@mea.gov.in E.Mail:hoc.kandy@mea.gov.in
Website :www.hcicolombo.org visakandy@sltnet.lk
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Visa Application Form
The Visa Application Form is available free of cost at our Missions in Colombo & Kandy or can be
photocopied or downloaded from our website www.hcicolombo.org or www.vfs - in - lk.com
(FILL IN BLOCK CAPITAL LETTERS)
R NR
Please affix S D T M Please affix
Photo <3M 6M 12M Photo
(3.5 cm X 3.5 cm) T B M MX S E TR R C J X (3.5 cm X 3.5 cm)
with light with light
background background

1. Full Name (Surname)

Mr./Mrs./Ms.:
(As in your passport)
Other Names:

2. Name of spouse (if applicable)

3. Father’s Name:

4. Date of Birth: N.I.C. Number (For Sri Lankan Nationals)

DD MM YY
5. Place of Birth:
City/Town/Village District/Province Country
6. Applicant’s Nationality:
7. Passport No: __________________ Place of issue: _________________ Date of Issue:
8. Previous Passport No: Place of Issue: Date of Issue: Valid till:

9. Give details of previous nationality, dual nationality, green card, resident visa of any other
Country (attach photocopy)

10. Profession:

11. Name & address of relatives/friends/business associates/employer, with contact telephone

numbers:
In India In your country

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12. Exact purpose and place(s) of visit in India

a) Date of propose entry into India

b) Date of proposed exit from India

13. Are you visiting any other country from India? If so, name of country (ies)
(If you intend to re - enter India from any of these countries, please specify country and
Airport/Check -post from where re-entering)

14. Details of last visit to India (if any)

Dates:

Purpose:

Date of return:

15. Have you ever reported a passport lost? If so, the details to be attached, including copy of
Police report:

16. Previous Applications and Travel

a) Have you had a visa for India cancelled: Yes No

b) Have you been refused a visa or entry clearance Yes No

by an Indian Mission/Post

c) Have you ever been refused permission to leave India Yes No

d) Have you ever been refused visa for an other country Yes No

e) Have you ever been deported, removed or otherwise Yes No

required to leave India

f) Have you ever been deported, from any other country Yes No

g) Have you ever overstayed in India Yes No

If the answer to any of the a bove questions is ‘Yes’, please attach details:
Details: (e.g. reason/s for the same, outcome, reference number, visa number, etc.)

17. Additional Information:

a) Whether the applicant or his/her parents or grand parents Yes No

(both paternal and maternal) were holding the nationality
of Pakistan at any time
b) Countries visited during the last 10 years.

c) Whether one has acquired citizenship of the country by birth or by naturalization

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 d) Citizenship of any other country held previously.

e) The addresses of friends/relatives/places of stay during the previous travel to India.

f) From where the visa was acquired during previous visits.

g) Telephone number and mobile number of the applicant as well as the sponsor in
India.

18. a)

Present Residential Address Permanent Address (if different)

Phone No.
(R) (O) Mobile

E-mail

b) Business Address (In case of Business person):

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19. Documents enclosed: (a)

(b)

(c)

20. Declaration:

i) I have read and understood the instructions in the High Commission of India
website ( www.hcicolombo.org ), with regard to Indian visa application. I am
willing and able to abide fully by them. I declare that the information given by me in
this form is complete and correct and the visit to India will be undertaken for the
purpose indicated in this application. I shall not, on arrival in India, try to obtain
employment, set up business or extend my stay for any other purpose.

ii) I undertake that in case the information provided by me in this form is found to be
inco rrect, I shall be liable for denial of visa/entry, deportation and/or other penalties,
during my visit, as provided by Indian law.

iii) I undertake that I shall subject myself to a medical test(s) including for AIDS if
required by Indian authorities and will have no objection to either quarantine or leaving
India immediately if required in accordance with Indian Government regulation.

Place: _____________ ___________________

Signature of Applicant
(As in Passport)

Date: _______________ Tel/Mobile No: _________________

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For Official Use only:

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