Form 'C'
Arrival Report of Foreigner in Institute
Applicant ID : 151121IP4VI6
151121IP4VI6
Accomodation Details
Name Jain University
Address 45th KM NH-209 Jakkasandra Post Kanakapura Taluk, City/District RAMNAGARA
State KARNATAKA
Star Rating Others
Phone no. 080********
Mobile no. 944-***-****
Personal Details
Surname RAHMAN
Given name MD HABIBUR
Sex Male
Date of birth 15/11/2000 Special Category Others
Nationality BANGLADESH
Address in country where residing permanently
Address SHALPA PENNAI, GOURIPUR, DAUDKANDI, C
City CUMILLA
Country BANGLADESH
Address/Reference in India
Address JAIN UNIVERSITY, JAIN GLOABAL CAMPUS, KANAKAPURA MAIN ROAD, JAKKASANDRA POST, City/District RAMNAGARA
State KARNATAKA
Pincode 562112
Passport Details
Passport No. EF0215067
Place of Issue DHAKA, BANGLADESH
Date of Issue 10/02/2020
Expiry Date 09/02/2025
Visa Details
Visa Number VL5450487 Date of Issue 23/02/2020
Valid Till 22/02/2023 Visa Type STUDENT VISA
Place of Issue dhaka, BANGLADESH Visa Subtype S-1
Arrival Details
Arrived From CUMILLA, SHALPA PENNAI, BANGLADESH
Date of arrival in India 29/02/2020
Date of Arrival in
Institute
29/02/2020
Time of Arrival in
Institute
10:00 Intended Duration of Stay in
Institute
999
Whether Employed in India N
Other Details
Purpose of Visit Studies
Next Place JAKKASNADRA
Destination City/District RAMNAGARA
State KARNATAKA
Contact No.(in India)
Mobile No.(in India) 917*********
Contact No.(Permanently residing
country)
Mobile No.(Permanently residing
country)
Remarks(If any)
Remark
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