EMBASSY OF INDIA

BELGRADE

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Part A

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Zahtev za vizu / Visa Application Form

Popunjavaju svi podnosioci zahteva za vizu
( Zahtev popuniti itko, tampanim slovima, na latinici )

To be filled out by all applicants for visa

( Please complete the application in block letters )

1. (a) Ime i prezime / Mr./Mrs./Miss ______________________________________________________

Full Name & Surname

(b) Devojako prezime ______________________________________________________________

Maiden surname

(c) Oevo i muevljevo ime __________________________________________________________

Fathers and husbands name

2. Ukoliko sa vama putuju i deca koja su upisana u va paso, navedite njihove podatke.
Whether any children accompanying the applicant are included in his / her passport. If so, give the following details:

Ime
Name

Mesto i datum roenja

Place & date of birth

Pol
Sex

Srodstvo
Relationship

_____________________ _____________________ _____

_____________________ _____________________ _____
_____________________ _____________________ _____

___________
___________
___________

Osobeni fiziki znaci

Identification mark, if any

__________________
__________________
__________________

3. (a) Adresa stanovanja / Home address______________________________________________________

_____________________________________________________________________________________
(b)Trajna adresa / Permanent address_______________________________________________________
_____________________________________________________________________________________
Fiksni i mobilni broj telefona / Telephone numbers_______________________________________________
4. Datum roenja / Date of birth____________________________________________________________
5. Mesto roenja / Place of birth_____________________________________________________________
6. Sadanje dravljanstvo / Present nationality _________________________________________________
7. Ostala dravljanstva ( sadanja ili prethodna ) / Any other nationality ( previous or present with details )
_____________________________________________________________________________________
8. Zanimanje ( upisati na engleskom jeziku ) i naziv i adresa mesta zaposlenja
Profession occupation and name and address of workplace

__________________________________________________________________________________
9. Podaci o pasou / Passport details
(a) Broj pasoa_________________________
Passport No.

(c) Datum izdavanja_____________________

Date of issue

(b)Mesto izdavanja_________________________
Place of issue

(d)Rok vaenja ___________________________

Valid until

10. Da li ste do sada bili u Indiji? Ukoliko jeste, navedite mesta i datume.
Have you visited India previously? If so, indicate places and dates.

____________________________________________________________________________________
11. Da li ste i kada odbijeni za indijsku vizu odnosno produetak boravka u Indiji?
Whether permission to visit India or to extend stay in India has been refused previously. If so, when?

_____________________________________________________________________________________

12. (a) Datum za koji se trai viza _____________________________________________________

( Napomena: produenje tranzitne vize, koja vai samo 3 dana od ulaska u Indiju, u naelu nije mogue )
Period for which visa is required ( Note: Extension of Transit visa, which is valid for three days, will not generally be granted )

(b) Broj ulazaka koji se trai ( navesti 1, 2, 3 ili vie )

Whether SINGLE, DOUBLE, TRIPLE or MULTIPLE entry is required ________________________________________________

13. SVRHA PUTOVANJA VRSTA VIZE KOJA SE TRAI ( zaokruiti samo jednu vrstu )
OBJECT OF JOURNEY TYPE OF VISA WHICH IS REQUIRED ( specify only one type )

(a) Tranzitna viza ( navesti zemlju u koju dalje idete )_________________________________________

Transit visa ( state place / country to be visited further )

(b) Turistika viza ( navesti mesta, regione koje ete posetiti )__________________________________
Tourist visa ( state places / areas to be visited )
_________________________________________________________________________

(c) Poslovna viza ( opis poslovne posete na engleskom jeziku, kao i naziv i adresa poslovnog partnera)
Business visa ( Brief description of business, with details of business partner )
________________________________________________________________________________________________________________

_________________________________________________________________________________
(d) Obrazovanje Studentska viza ( Naziv i adresa obrazovne ustanove )
Education Student visa ( Name & Address of Institution )________________________________________________________________
________________________________________________________________________________________________________________

(e) Ostali razlozi putovanja _____________________________________________________________

Other objects of journey

Part B
1. Mesta koja poseujete / Places of visit_____________________________________________________
2. Mesto ulaska u Indiju / Port of Landing in India_______________________________________________
3. Imena i adrese dveju osoba koje mogu pruiti podatke o podnosiocu zahteva za vizu, kao i
finansijku garanciju za njegovo izdravanje i povratak u domovinu, u sluaju potrebe.
Name & Address of two persons who will furnish information as to applicant and also furnish financial guarantees for maintenance and repatriation,
if referred to.
GARANTI U ZEMLJI PODNOSIOCA ZAHTEVA / IN THE COUNTRY OF THE APPLICANT

(i)_______________________________________________________________________________
(ii)_______________________________________________________________________________
GARANTI U INDIJI / IN INDIA

(i)____ ___________________________________________________________________________

(ii)________________________________________________________________________
Ja, ___________________________________________________________ovim potvrujem da e
moja poseta Indiji biti iskljuivo iz razloga za koji sam dobio vizu, i da nakon svog dolaska u
Indiju neu pokuavati da traim zaposlenje, otvaram firmu ili produavam svoj boravak iz bilo
kog drugog razloga.
I ( name & surname ) hereby undertake that I shall utilize my visit to India for the purpose for which visa has been applied for and shall not, on
arrival in India, try to obtain employment or set up business or extend my stay for any other purpose.

Datum / Date

Potpis podnosioca zahteva / Applicants

Signature

Mesto / Place
Naplaena taksa za vizu nije povratna iz bilo kog razloga. Zahtevi za vizu sa nepotpunim podacima
bie odbijeni.
NO REFUNDS: Visa fee, once received, cannot be refunded in any case. Incomplete visa forms will be rejected.