EXTENSION FORM

(Long Term, X, Entry, PIO, Tourist, M & MX Visa)

( PLEASE FILL THE FORM IN CAPITAL LETTERS ONLY. INCOMPLETE FORM WILL NOT BE ACCEPTED) Name of Foreigner

(Surname) (Name) (Father’s Name)

Residential Permit No. Nationality Date of last extension At present applied for Extension From To Late Fee (if applicable) Challan No. Date PASSPORT DETAILS VISA DETAILS

Passport Number* :- Visa Type & Number * :- Date of Issue * :- Date of Issue * :- Place of Issue * :- . Place of Issue * :- Valid till* :- Valid Till* Number of Entries*

VISA Endorsement, if any:-

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CONTACT DETAILS

Address in Pune- Flat No Building Name Landmark Area Name City PIN code At above address staying since Mobile No Land Line No Two wheeler Vehicle No Four wheeler Vehicle No E-mail ID- Contact Person Phone No. Bank Name Branch Name* Account No LANDLORD DETAILS

Name* Address*

Landline* / Mobile If on Lease Period From To Signature of the applicant

Date -

(P. T.O. for list of Documents required)

List of Documents

For Long Term, X Visa

1. One File

2. Two A-4 Size Green Plain Envelopes

3. Copy of Residential Permit

4. Copy of Passport

5. Copy of Visa page

6. Copy of Birth Certificate

7. Copy of Parents / Husband / Wife Residential Permit & Passport, Visa page 8. If Married to an Indian marriage certificate & proof of spouse Indian nationality 9. Notarized original Indemnity Bond on 100 Rs. Stamp sign by Indian person 10. Copy of Bank Statement

11. ‘C’ Form & Notarized Lease agreement

12. Verification Certificate

For PIO Card

1. Copy of Residential Permit

2. Copy of Passport

3. Copy of Visa page

4. Copy of Birth Certificate

5. Copy of Parents / Husband / Wife Residential Permit & Passport, Visa page (If Indian copy of passport) 6. Copy of Bank Statement

7. ‘C’ Form & Notarized Lease agreement (If owner of home – Index II/Electricity Bill/Property Tax Bill) 8. Verification Certificate

For Tourist Visa

1. One File

2. Copy of Residential Permit

3. Copy of Passport

4. Copy of Visa page

5. Copy of Parents / Husband / Wife Residential Permit & Passport, Visa page (If Indian copy of passport) 6. Copy of Bank Statement

7. ‘C’ Form & Notarized Lease agreement (If owner of home – Index II/Electricity Bill/Property Tax Bill) 8. Verification Certificate

STEPS TO BE FOLLOWED

Step 1. Show your completely filled form & documents at verification counter Step 2. Fill Extension application on KIOSKS (Computer) Step 3. Scan your all documents at Scanner

Step 4. Submit document at verification counter

Step 5. Collect Acknowledgement from verification officer Get the forwarding date of Extension of visa proposal to FRRO, Mumbai. After approval of extension of visa from FRRO, Mumbai, you will be communicated accordingly and then endorsement will be given on your Passport & Residential permit at FRO, Pune.

Note – If extension of R.P. applied for within visa validity extension will be granted by FRO, Pune city & you will get endorsement at FRO, Pune city.

Note –

1. Fill Passport Number carefully.

2. Write name, Registration Number, Nationality on File. 3. Incomplete form will not be accepted.

4. All above mentioned documents are compulsory.

Verification Certificate

(For extension)

(To be filled by foreigner)

1. Name

(Surname) (Name) (Father’s Name)

2. Passport No. Visa No. 3. Residential Permit No … Nationality 4. Address in Pune

Contact No

Date - Signature of Foreigner For Police Station use only

(To be filled by Police Station)

This is certified that, Mr. / Ms. / Mast. is staying at above mentioned address & it is under jurisdiction of .Police Station.

There is no offence/N.C./Application enquiry registered/ pending against said foreigner at this police station.

Date: Police Station seal Sr. Inspector of Police

Note: - This Report should be handed over to the foreigner in sealed envelope. For Office (FRO) use only

There is nothing adverse against the said foreigner in Pune city, as per computer data check.

Date Checked By

INDEMNITY BOND

To

The President of India,

Whereas (Name of Foreigner) Nationality entered to India and whereas the President of India (Which expression shall include his successor assigns) has at the request of the undersigned to the said (Name of Foreigner)

being permitted to extend their stay in India on such recommendations and Indemnity as in hereinafter contained. I/Mr./Mrs./Miss Address

find

(Name of Foreigner) as fit and proper persons to be permitted to stay here in India from up to And in the event of his being so permitted to extend here in India.

And in the consideration therefore we hereby jointly and severally agree to provide or cause to be provided to the Government of India, suitable maintenance for the said(Name of Foreigner)

And in event of our failing to provide or cause to be provided such maintenance as aforesaid, we hereby jointly and severally agree to pay to The Government of India the cost and expenses of maintenance of the said (Name of Foreigner) so long as he/she shall be resident of India such cost and expenses as may be incurred on his/her burial and further in the event of the said(Name of Foreigner) Being required by The Government of India to leave India to pay the Government of India the cost of passage and traveling expenses. AND IT is further hereby agreed:

1) That the authority to determine the cost in each shall rest with the Government of India and that it shall be binding upon us to pay such costs as may be determined without question. 2) That this indemnity shall be binding upon us :

Place: Pune

Date:

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