APPLICATION FORM
( Registration )
110619VC7OYV
Application ID No. 110619VC7OYV Final Submission Date Tue Jun 11 12:47:47 IST 2019
FOR OFFICE USE ONLY
Reg. No. B 0 0 1 E S P 2 0 1 9
Personal Details
Surname SUREDA MORA
Given Name JOAN SUREDA MORA Paste your
Sex Male Date of Birth 30/05/1975 Height (in cm) 5 Recent passport size
Age as on today Year(s) 44 Month(s) 0 Day(s) 12 photograph here
Place of Birth MANACOR,ILLES BALEARS,SPAIN
Father's Name MARTIN
Mother's Name CATALINA
Spouse's Name NO
Religion CHRISTIAN Any Identification mark(s) preferably NO
visible
Present nationality SPAIN Previous nationality
Manner of acquiring present nationality Birth
Date of acquiring present nationality 30/05/1975
Whether holding dual NO
nationality? If yes, Name of the country of second nationality
provide the following:- Passport No. of second country
Date of Issue
Date of Expiry
Whether travelled on this passport earlier to
India
Whether person of Indian Origin NO
Address of last residence (Outside India)
Address C/MARIETTA TASCO S/N, PORTO CRISTO,
City MANACOR Country SPAIN
Address intended for longer stay in India (Registration)
Address T-15, 2ND FLOOR GREEN PARK MAIN NEW DELHI
City/ District DELHI State DELHI
Pin Code 110016
Phone Number 01126547500 Mobile Number 9999887829
Any Other Address in India
Address T-15, 2ND FLOOR GREEN PARK MAIN NEW DELHI
City/ District DELHI State DELHI
Pin Code 110016
Phone Number 01126547500 Mobile Number 9999887829
Email/Occupation/Profession Details
E-Mail Id permits@aviationindia.com
Profession/Occupation ENGINEER
Passport Details
Passport Number PAC469946 Place of Issue SPAIN, MANACOR
Date of Issue 17/05/2016 Expiry Date 17/05/2026
Visa Details
Visa Number VK8707991 Place of Issue INDIA, SPAIN
Date of Issue 08/05/2019 Expiry Date 07/05/2020
Valid For Multiple Entry Visa Type EMPLOYMENT VISA
Special endorsement, if any NO
Organization/Company/Institute/Hospital Details
Name SHAURYA AERONAUTICS PVT LTD
Address T-15, 2ND FLOOR GREEN PARK MAIN NEW
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110619VC7OYV
Application ID No. 110619VC7OYV
State DELHI City DELHI
Telephone Number 011-26547500 Email ID saviaav@gmail.com
Employer EPFO ID NA Establishment ID NA
Arrival Details
Place of embarkation/boarding for India MADRID,MADRID,SPAIN
Date of arrival in India 05/06/2019
Place of disembarkation/arrival in India DELHI
Mode of Journey Air Flight/ Ship/ Bus/ Train No. 0982118480417
Purpose of visit to India Employment
Previous Registration Details in India
Registration Number Place of Registration Visa Type Duration From To
Details of family members/attendant/dependents, if any accompanying.
Name Nationality Passport Number Relationship
Person to be contacted in Case of Emergency
Name VIKASH NAGAR Relationship MANAGER
Address T-15, 2ND FLOOR GREEN PARK MAIN NEW DELHI City DELHI
Country INDIA Phone Number 9999887829
Category Missionaries-Technician
Military service details
Organisation Designation
Rank Place of Last Posting
Country of Last Posting
Signature of the Applicant
Date_ _ _ _ _ _ _ _ _ _ _ _ _
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110619VC7OYV
Application ID No. 110619VC7OYV
List of mandatory and non mandatory documents
Mandatory Documents.
1. Residence proof : Updated Form ‘C’ generated by Hotel or Lodge or Registered/Notarized Lease Deed, Utility Bill, Copy of photo-ID of the landlord along with declaration and Tenant
Police Verification
2. Contract paper : Employment Contract mentioning Designation, Duration of Employment Period, Salary Break-Up in Indian Rupee
3. Photo : Applicant's Photo
4. Visa : Indian Visa
5. Passport : Bio-Data page of Passport along with page bearing last Indian Immigration arrival stamp
6. Request letter : Request Letter addressed to FRRO/ FRO for visa related service
7. Undertaking letter : Undertaking Letter duly signed by an Indian Host or an Indian authorized signatory with name, phone no., designation and copy of a photo-ID ensuring repatriation, if
anything adverse comes to notice
Registration office address
Office Name : FRRO NEW DELHI
Address : EAST BLOCK 8, SECTOR 1 , R.K. PURAM, NEW DELHI
City/District : DELHI
State : DELHI
Pin Code : 0
Phone Number : 01126711443
Office opening time: 9.30 closing time: 18.00
There is no need to submit hard copy to concerned
FRRO/FRO
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