c-form

Foreigner's Surname *

Foreigner's Full Name *

Special Category *

Nationality *

Permanent Address

Permanent Address City *

Permanent Address State/Province

Permanent Address Country

Address Reference in India

City Of (Address Ref. in india) *

State Of (Address Ref. in india)

Passport Number *

Place (City) of Issue - Passport *

Visa Number *

Select Visa Type *

Place Of Issue Of Visa (City) *

Visa - Date Of Issue (DD/MM/YYYY) *

Arrived from which country to India *

Arrived from City of above country *

Date Of Arrived in india (DD/MM/YYYY) *

Recently Arrived from Place/Location/Hotel *

Foreigner Contact Number (Permanent Residing Country) *

Contact Number (In India Only) *

Foreginer Employed In India? *YesNo

Select your purpose Of Visit *

Next Destination City *

Intended duration (Days) of stay in Savista Retreat *

Email *

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