Submit this form to the Embassy of India in Washington, DC, or the applicable Consulate. Ensure all required fields are filled accurately. Submit via mail to the specified address: 2536 Massachusetts Avenue, NW, Washington, DC 20008. You can also fax to (202) 797-4693 or email to the provided contact email on the form. For specific submission requirements, refer to the Embassy or Consulate's guidelines online. Always ensure you attach all required documents including your photograph and identification proof.

Important dates for this form in 2024 and 2025 will depend on your specific travel plans and the processing time needed for your VISA application. Plan ahead and check with the Embassy or Consulate for deadlines.

The purpose of this form is to apply for a VISA to enter India. It collects essential personal information, travel details, and other relevant data required for processing your VISA application. By completing and submitting this form, applicants ensure they meet the necessary requirements and provide all needed documentation to the Embassy or Consulate of India.

• 1. FULL NAME:: Enter your full name including first, middle, and last names.
• 2. LAST NAME AT BIRTH (IF DIFFERENT):: Provide your last name at birth if it differs from your current last name.
• 3. MARITAL STATUS:: Select your marital status from the options provided.
• 4. IF MARRIED GIVE MAIDEN NAME:: If applicable, enter your maiden name.
• 5. DATE OF BIRTH:: Provide your date of birth in the format mm/dd/yyyy.
• 6. SEX:: Indicate your gender by selecting either male or female.
• 7. PLACE OF BIRTH (CITY, STATE & COUNTRY):: Enter the city, state, and country where you were born.
• 8. CURRENT NATIONALITY:: Specify your current nationality.
• 9. ARE YOU A PERMANENT/LONG-TERM RESIDENT IN USA?: Select yes or no and provide relevant documentation if applicable.
• 10. NATIONALITY AT BIRTH:: State your nationality at birth if different from your current nationality.
• 11. ANY OTHER NATIONALITY HELD AT PRESENT/PAST:: List any other nationalities you currently hold or have held in the past.
• 12. PRESENT ADDRESS:: Enter your current address.
• 13. PHONE: (HOME): Provide your home phone number.
• 14. PERMANENT ADDRESS:: Enter your permanent address if different from your current address.
• 15. PROFESSION:: State your current profession.
• 16. EMPLOYER'S NAME AND ADDRESS:: Provide the name and address of your current employer.
• 17. PASSPORT NUMBER:: Enter your passport number.
• 18. VALID UNTIL:: Provide the validity date of your passport.
• 19. ISSUED AT:: State the place where your passport was issued.
• 20. ISSUE DATE:: Enter the date your passport was issued.
• 21. FATHER'S/HUSBAND'S NAME:: Provide the full name of your father or husband.
• 22. NATIONALITY OF FATHER/HUSBAND:: State the nationality of your father or husband.
• 23. NAME AND NATIONALITY OF MOTHER:: Provide the full name and nationality of your mother.
• 24. TYPE OF VISA REQUIRED: Select the type of VISA you require by circling the appropriate option.
• 25. PERIOD OF VISA:: Specify the desired period for the VISA.
• 26. HAVE YOU EVER VISITED INDIA BEFORE?: Indicate whether you have visited India before and provide details if applicable.
• 27. HAS INDIAN VISA OR EXTENSION OF THE SAME EVER BEEN REFUSED TO YOU PREVIOUSLY?: State if you have ever been refused an Indian VISA or extension and provide details if applicable.
• 28. ARE YOU HOLDING A VALID 'NO OBJECTION TO RETURN TO INDIA' ENDORSEMENT?: Indicate if you have a valid endorsement with details.
• 29. OBJECT OF JOURNEY:: State the purpose of your journey to India.
• 30. ARE YOU TRAVELLING ON BEHALF OF A COMPANY?: Indicate if you are traveling on behalf of a company and provide details if applicable.
• 31. EXPECTED DATE OF DEPARTURE FROM USA:: State the expected date of your departure from the USA.
• 32. EXPECTED DATE OF ARRIVAL IN INDIA:: State the expected date of your arrival in India.
• 33. PORT OF ARRIVAL IN INDIA:: Provide the port of arrival in India.
• 34. ARE ANY CHILDREN IN YOUR PASSPORT ACCOMPANYING YOU?: Indicate if any children listed on your passport are accompanying you and provide details if applicable.
• 35. NAME AND ADDRESS OF TWO REFERENCES:: Provide the names and addresses of two references, one in India and one in your home country.
• 36. Signature of applicant:: Sign the form to confirm the accuracy of the information provided.
• 37. Place:: Enter the place where you are filling out the form.
• 38. Date:: Enter the date you are filling out the form.

If you fail to submit this form, your VISA application will not be processed. This may result in delays or inability to travel.

• Delayed Processing: Failure to submit means your application is not reviewed on time, causing travel delays.
• Inability to Travel: Without a submitted form, you cannot obtain the necessary VISA for your visit to India.
• Missed Deadlines: Failure to submit may result in missing critical deadlines for VISA applications.

• 1. Tourist VISAs: Apply if you are visiting India for tourism.
• 2. Business VISAs: Apply if you are traveling for business purposes.
• 3. Student VISAs: Apply if you plan to study in India.
• 4. Journalist VISAs: Apply if you are visiting for media coverage.
• 5. Conference VISAs: Apply if you are attending a conference or event in India.