استطيع العمل على اي شي
Resume:
Web Registration Date : **-DEC-**** Application Id : YEMS01839222
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YEMS01839222
EMBASSY OF INDIA SANA YEMEN
: 24th Street off Hadda Road in front of
Hadda Post office Sanaa, Yemen
www.eoisanaa.org
Visa Application Form
Signature
A. Personal Particulars (As in Passport)
Surname (As in Passport) AMRAN
Given Name (As in Passport) AMEEN ADEL SALEH MOHAMMED Previous/other Name if any Not Applicable
Gender MALE Marital Status SINGLE
Date of Birth 18-JAN-1993 Religion ISLAM
Place of Birth Town/City IBB Country of Birth YEMEN Citizenship /National ID No NA Educational Qualification OTHERS Visible identification marks NA
Current Nationality
YEMEN
Nationality by Birth/
Naturalization BY BIRTH
Any Other Previous/Past Nationality Not Applicable B. Passport Details
Passport No. 11932963 Date of Issue ( dd/mm/yyyy ) 25-SEP-2022 Place of Issue TAIZ Date of Expiry ( dd/mm/yyyy ) 25-SEP-2028 Any other Passport/Identity Certificate held (if yes,please fill in the following) NO Country of Issue Place of Issue
Passport/IC No. Date of issue (dd/mm/yyyy)
Nationality/Status
C. Applicant's Contact Details
Present SANAA Phone No 770695496
Address SANAA Mobile /Cell No
SANAA, YEMEN 00967 Email address *************@*****.*** Permanent SANAA
Address SANAA
SANAA
D. Family Details
Relation Name Nationality Prev. Nationality Place/Country of Birth Father's ADEL SALEH MOHAMMED AMRAN YEMEN YEMEN
IBB
YEMEN
Mother's
ASMA ALI ABDULLAH ADEL
MOHAMMED ALSAADI YEMEN YEMEN
IBB
YEMEN
Marital Status Single
Were your Grandfather/Grandmother(Paternal/Maternal) Pakistan Nationals Or belong to Pakistan held area : NO AMEEN ADEL SALEH MOHAMMED AMRAN
E. Details of Visa Sought (Visa shall be valid from the Date of Issue and not from the Date of Journey) Type Of Visa Required STUDENT VISA No of Entries DOUBLE Period of Visa ( Month) 12 Month Expected Date of Journey 08-JAN-2023 Port Of Arrival MUMBAI Port of Exit
Required Detail of STUDENT VISA
Application Id : YEMS01839222
Institution LOVELY PROFESSIONAL UNIVERSITY
Address PUNJAB
Phone 009***********
Course Detail INFORMATION TECHNOLOGY
Duration 4 YEARS
Purpose of Visit : FOR HIGHER EDUCATION (INCLUDING IN SOUTH ASIAN UNIVERSITY AND NALANDA UNIVERSITY), PROVISIONAL STUDENT VISA, FOR SHORT TERM COURSES AND FOR THOSE COMING UNDER STUDENT EXCHANGE PROGRAMME
F. Previous Visit Details
Have You Ever visited India ? NO
Address where You stayed in
India,
Cities in India Visited
Type of Visa Visa Number
Visa Issued Place Date of Issue
Countries visited in last 10 years NA
Have you been refused an Indian Visa or extension of the same previously or deported from India ? NO G. Profession/Occupation Details :
Present Occupation LABORER Designation/Rank
Employer name/business SAEED ABDO MOHAMMED
Employer Address
Phone Number SANAA
Past occupation if any
Are/have you worked with Armed forces/ Police/ Para Military forces ? NO Organization Designation
Place of Posting Rank
H. Details of Two Reference
In India In YEMEN
Name
LOVELY PROFESSIONAL
UNIVERSITY AMEEN ADEL SALEH MOHAMMED AMRAN
Address PUNJAB SANAA
NOT KNOWN PUNJAB
Phone Number 009*********** 770695496
J. DECLARATION
a. I do not hold any other passport(s) other than those detailed above. b. I have read and understood all the conditions for the visit to India and I am willing and able to abide fully by them. c. I declare that the information given in the form is complete and correct and the visit to India will be undertaken for the purpose indicated in the application.
d. I understand that in case the information provided in the form is found to be incorrect, I will be liable for denial of visit/ entry or deportation and/ or other penalties during the visit as provided by Indian law. e. I will also submit hard-copy all the uploaded documents along with the print of application to submit to the concerning Indian Mission or Agency for processing of visa application. 08-DEC-2022
Date : Applicant's signature (as in Passport)
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