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STUDENT / RESEARCH VISA EXTENSION FORM

( PLEASE FILL THE FORM IN CAPITAL LETTERS ONLY )

( IF FIELDS MARKED WITH *


Nationality* R. P. No.

ARE NOT FILLED PROPERLY, FORM WILL NOT BE ACCEPTED )


(Name) (Fathers Name)

Name of Foreigner* ..
(Surname)

...................................................... .

Arrival Date in India* Date of Registration*

..

Late Fee (if applicable) Challan No. Date . PASSPORT DETAILS Passport Number* Date of Issue * Place of Issue * Valid till* :- . :- .. :- . . :- .. VISA DETAILS Visa Number * Visa Type* Date of Issue * Place of Issue * Valid Till* Number of Entries* :- :- :- :- ... :-. :-.

CONTACT DETAILS Address* in Pune- Flat No...

VISA Endorsement if any.... Building Name*.....

Landmark*. Area Name*... City*. PIN code*. at above address staying since*... Mobile No*. Two wheeler Vehicle No.... Four wheeler Vehicle No..................... Email ID*-......Contact Person* Bank and Branch Name* . Account No* LANDLORD DETAILS Name* . Address* Landline* / Mobile. At Present Bonafide Student of Name of the Institute .. Academic Year Course Particulars From*. To*. (Please specify the correct Academic Year) To*. ..(Value is required) From*...

At Present applied for extension

Reason of extension to stay *.

Signature of the applicant Date -

For Dy. Commissioner of Police & F.R.O., Special Branch, Pune City.

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

List of Documents 1) Residential Permit Copy 2) Passport Copy 3) Visa Copy 4) Original Fresh Bonafide 5) Mark sheet all previous year & degree certificate 6) Registered / Notarized Lease Agreement 7) Bank Transaction Details / Statement 8) Verification Certificate 9) For Research Visa 1. Guiders Recommendation Letter 2. Six monthly progress report
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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. Verify all documents at verification counter Step 5. Collect Acknowledgement from verification officer

Take your Extension endorsement on date given on Acknowledgement at Distribution Counter. (Without acknowledgement, endorsement will not be given)
-----------------------------------------------------------------------------------------------------------------------------------------For Office Use Only
Acknowledgement Extension issue date & time: Date Time / / 2011 Reason : Rejection

Asst. Police Inspector / Police Sub Inspector FRO, Pune City

Asst. Police Inspector / Police Sub Inspector FRO, Pune City

Verification Certificate
(FOR EXTENSION)
(Filled by the foreigner)

1. Name.
(Surname) (Name) (Fathers Name)

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

Contact No Date - Signature of Foreigner ..

For use of Police Station only


(To be filled by Police Station)

This is certified that, Mr. / Ms. / Mast. is staying at abovementioned address which is under jurisdiction of Police Station. There is no offence/N.C./Application enquiry registered/ pending against the 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 a 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

BONAFIDE CERTIFICATE
This is to certify that Mr. / Ms. ( For Extension of Student Visa of Foreign National ) :

Is / was a Bonafide student of this college/University. His / Her particulars as per our record are as follows. 1. Name 2. Nationality : :

3. Students Address in Pune : 4. Contact No 5. R. P. No. : : Passport Details Passport No. Issued on Valid till 6. Date of First Admission & Course Name : Visa No. Visa Type Issued on Valid till Visa Details

7. Current Course & Academic : Year with specific month 8. Institute recognized by 9. Course recognized by 10. Regular / Backlog student : : :

11. Previous Year-wise academic record : Sr. No. Academic Year Course Overall Attendance (%) Result ( Pass / Fail / ATKT )

12. Examination Date 13. Result Declaration Date 14. Behavior of student

: : :

15. Recommended for extension : of visa till date Student Photograph Date Office Seal Sign. of Authority

*( Bonafide Certificate should be on College letterhead )

GUIDE LETTER
( For Extension of Research Visa of Foreign National ) This is to certify that Mr. / Ms. :

is a Bonafide student of .college. His / Her particulars as per our record are as follows. 1. Name 2. Nationality 3. Passport No. 4. R. P. No. 5. Date of First Admission for Ph.D. & Department 6. Subject of Research 7. Duration of Research 8. Progress of Research : : : : : : : :

9. Behavior of student

I strongly recommend for extension of visa of above mentioned research student till / / 20

Date

Office Seal

Sign. of Research Guide

*(Guides letter should be on Institute letterhead)

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