Embassy of India Berne ( Switzerland )
SPECIAL APPLICATION FORM LONG TERM VISA

( If any of the particulars furnished below are found to be incorrect or if any information is found to have been withheld, the visa it granted, is liable to be cancelled at any time. )

PART-I
1. Full name ( in Block letters). _________________________________________________
     Maiden name in case of married      ladies _________________________________________________
2. Whether any children accompanying the applicant are included in his / her passport. If so, give details _________________________________________________
Name of Child Place and Date of Birth Sex Identification mark if any
__________________________________________________________________________________________
__________________________________________________________________________________________
 
3. Full Postal Address:
        a) Permanent address &
            Telephone No.		 _________________________________________________
_________________________________________________

       b) Present address &
           Telephone No.

 _________________________________________________
_________________________________________________
4.Date of Birth : _________________________________________________
5.Place of Birth : _________________________________________________
6.Present Nationality : _________________________________________________
7.Any other nationality,previous or present : _________________________________________________
8.Profession /Occupation : _________________________________________________
9.Designation & Office address & Telephone No.: _________________________________________________

10.Particulars of passport
      a) Number
      b) Place of Issue
      c) Date of Issue
      d) Date of Expiry
_________________________________________________ _________________________________________________ _________________________________________________
_________________________________________________
11.Have you visited India previously ?
     If so please indicate :
     a) Visa number (s) & Date (s)
     b)Places visited
_________________________________________________ _________________________________________________
12.Whether permission to visit India or to extend      stay in India has been refused previously.If so      when ? _________________________________________________
13.Purpose of visit _________________________________________________
PART-II
1. FOR STUDENTS :  
a) Name of the Institution _________________________________________________
b) Please give details of study programme and      duration of course. _________________________________________________
( Please attach letter of admission from the Institution )  
c) How do you propose to finance your studies in     India ? Kindly enclose financial guarantee from a     Bank in Switzerland. _________________________________________________
d ) Period for which visa is required. _________________________________________________
e) Names and addresses of persons who will furnish     information as to the application and also furnish     financial guarantee for maintenance and     repatriation,if need be. _________________________________________________
2. FOR EXPERTS / SPECIALISTS / ENGINEERS / TECHNICIANS FOR BILATERAL AGREEMENTS /    COLLABORATIONS :
a) Please specify area of your Expertise /     Specialisation _________________________________________________
b) Please enclose copies of correspondence leading to     present stage of negotiations for agreement /         collaboration.  
c) Indicate whether the agreement / collaboration has been approved by the Government of India. if yes please supply copies of approval. _________________________________________________
_________________________________________________
d) If for erection / maintenance of machinery , please indicate,Type and location of machinery. _________________________________________________
_________________________________________________
e) Duration for which visa is required. _________________________________________________
3. FOR BUSINESSMEN wanting to establish Industrial / business ventures or to explore possibilities to set    up industrial ventures :
a) Please specify type of business activity _________________________________________________
b) Name & address of Indian counterparts ( Please supply copies of correspondence with Indian counterparts) _________________________________________________
_________________________________________________
c) Duration for which visa is required _________________________________________________
PART - III
FOR FOREIGNERS OF INDIAN ORIGIN  
A) Where long-tern visa is required for a continuos stay of over six months at a time     
                                OR		 _________________________________________________
b) For a period less than six months at a time _________________________________________________
c) Names of first degree relative in India and their addresses : _________________________________________________
_________________________________________________
d) Names and address of other relatives _________________________________________________
e) Date from which present nationality obtained _________________________________________________
f) Detail of Indian Passport held previously No. _________________________________________________
Date of Issue
 _________________________________________________
Place of Issue
 _________________________________________________
g) Whether the previous Indian Passport has been cancelled ? If yes , please enclose a photocopy of the first 5 page of the passport. _________________________________________________
h) If the previous Indian Passport has not been cancelled , Kindly send the same to the Embassy for cancellation and return. _________________________________________________
PART - IV  
FOR FOREIGN SPOUSES OF INDIAN NATIONAL AND THEIR CHILDREN :
Please give following details about your Indian spouse.  
a) Name _________________________________________________
b) Place and date of birth _________________________________________________
c) Number of his / her Indian passport _________________________________________________
d) Date of Issue _________________________________________________
e) Place of Issue _________________________________________________
f) Residential address in India _________________________________________________
_________________________________________________
Please send your Indian spouse's current passport along with your passport.
Please also send a copy of your marriage certificate.
Note : You will be called for a personal interview in the Embassy and you will be intimated of the same very soon.

Place : _______________

Date : _______________
                               
Note : Kindly make payment of visa fee only after confirmation by the Embassy by the Embassy. Payment is to made through postal Slip only. (Post A\c No. 30-4418-9). No cash payment or any other mode of payment will be accepted . Original Counterfoil of the Postal Slip should be sent to us.