EMBASSY OF INDIA BELGRADE

DJORDJA RADOJLOVICA 7A
11040 BELGRADE

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Visa Application Form

Signature

SRBBV005FE15

A. Personal Particulars (As in Passport)

Surname (As in Passport)
JOVANOVIC
Given Nam e (As in Passport) ALEKSANDRA
Previous/other Name if any
Sex

Web Registration Date : 02-DEC-2015

Application Id :SRBBV005FE15

Date of birth
Place of Birth Town/City
Citizenship /National ID No
Visible identification marks
Current Nationality

Female
10-JUL-1992
LOZNICA
1007992778626
NONE
SERBIA

Marital Status
Religion
Country of Birth
Educational Qualification

Single
CHRISTIAN
SERBIA
GRADUATE

Nationality by Birth/ Naturalization

BY BIRTH

Date of issue ( dd/mm/yyyy )

20-JUL-2010
20-JUL-2020

Any Other Previous/Past Nationality

B. Passport Details

009218874
PU U SAPCU

Passport No.
Place of issue

Date of expiry (dd/mm/yyyy)

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. Applicants Contact Details
Present
address

NN / BRASINA
BRASINA/MALI ZVORNIK /MALI ZVORNIK
SERBIA, SERBIA 15318

Phone No

7796-365

064 45 88 631
Email address aleksandarat.madrid@gmail.com

Mobile /Cell No

Permanent NN / BRASINA
Address
BRASINA/MALI ZVORNIK /MALI ZVORNIK
SERBIA
D. Family Details
Relation

Name

Nationality

Prev. Nationality

Place/Country of Birth

Fathers

RADENKO

SERBIA

LOZNICI
SERBIA

Mothers

MIROSAVA

SERBIA

LOZNICA
SERBIA

Spouse
Were your Grandfather/Grandmother(Paternal/Maternal) Pakistan Nationals Or belong to Pakistan held area : NO
E. Details of Visa Sought

(Visa shall be valid from the Date of Issue and not from the Date of Journey)

EMPLOYMENT VISA
(Month) 12 Month
BANGALORE

Type Of Visa Required

Period of Visa
Port Of Arrival

ALEKSANDRA JOVANOVIC

No of Entries
Expected Date of Journey
Port of Exit

Single
05-DEC-2015

Required Detail of

EMPLOYMENT VISA

Qualifiaction/Emp.EPFO ID
Company Name
Address
Designation
Salary

NA

INDUSTRIAL PHARMACIST
VENKAT CHARAN ASSOCIATES
185,RAMKRISHNA NILAYAM BANGALORE

MODEL
2100

Cities in India Visited BANGALORE

Type of Visa EMPLOYMENT VISA
Visa Issued Place BELGRADE
Countries visited in last 10 years

3585473

Visa Number
Date of Issue

28-JAN-2015

Have you been refused an Indian Visa or extension of the same previously or deported from India ?
If yes above mention when and by whom with control
No/Date
G. Profession/Occupation Details
Present Occupation WORKER
Designation/Rank
STEVAN SREMCA
Employer name/business DEMONS MODEL MENAGAMENT
Employer Address 37/11 BELGRADE
Phone Number
Past occupation if any
Are/have you worked with Armed forces/ Police/ Para Military forces ? NO
Organization
Designation
Place of Posting
Rank
H. Address of Place of Stay / Hotel
Place/Hotel Name
Address of Place / Hotel

I. Details of Two Reference

In India
Nam e VENKAT CHARAN SHETTY
Address 185,RAMKRISHNA NILAYAM BANGALORE
Phone
9845467638
Number

In
MIROSAVA JOVANOVIC

State

Phone No.

SERBIA

15 317 BRASINA,MALI ZVORNIK

064 4163759

J. DECLARATION:
a.
b.
c.
d.

I do not hold any other passport(s) other than those detailed above.
I have read and understood all the conditions for the visit to India and I am willing and able to abide fully by them.
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.
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.

02-DEC-2015
Date :.

Biometric Enrollment is not required till 26/01/2020.

..
Applicants signature (as in Passport)

Application Id :SRBBV005FE15

Purpose of Visit : EMPLOYMENT

F. Previous Visit Details
Have You Ever visited India ? YES
Address where You stayed in 456 DOLLAR
India