APPLICATION FORM
( Registration Extension )
26072271RL2V
Application ID No. 26072271RL2V Final Submission Date Tue Jul 26 01:23:10 IST 2022
FOR OFFICE USE ONLY
Reg. No. S 0 3 6 M M R 2 0 2 2
Personal Details
Surname ZAW
Given Name HEIN HTET ZAW Paste your
Sex Male Date of Birth 16/02/1996 Height (in cm) 172 Recent passport size
Age as on today Year(s) 26 Month(s) 5 Day(s) 10 photograph here
Place of Birth KUT KHAING,KUT KHAING,MYANMAR (BURMA)
Father's Name MR KYAW SWAR WIN
Mother's Name MRS NANN AYE AYE KHINE
Spouse's Name
Religion BUDDHISM Any Identification mark(s) preferably A MOLE ON LEFT FACE
visible
Present nationality MYANMAR (BURMA) Previous nationality
Manner of acquiring present nationality Birth
Date of acquiring present nationality 16/02/1996
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 APMHQ
City MEIKHTILA Country MYANMAR (BURMA)
Address intended for longer stay in India (Registration)
Address IIT ROORKEE
City/ District HARIDWAR State UTTARAKHAND
Pin Code 247667
Phone Number 8265858718 Mobile Number
Any Other Address in India
Address
City/ District State
Pin Code
Phone Number Mobile Number
Email/Occupation/Profession Details
E-Mail Id hh_zaw@ece.iitr.ac.in
Profession/Occupation STUDENT
Passport Details
Passport Number OM077904 Place of Issue MYANMAR (BURMA), NAY PYI TAW
Date of Issue 19/08/2020 Expiry Date 18/08/2025
Visa Details
Visa Number VL5614335 Place of Issue MYANMAR (BURMA), YANGON
Date of Issue 05/05/2021 Expiry Date 04/05/2023
Valid For Double Entry Visa Type STUDENT VISA
Special endorsement, if any
Organization/Company/Institute/Hospital Details
Name IIT ROORKEE
Address IIT ROORKEE
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26072271RL2V
Application ID No. 26072271RL2V
State UTTARAKHAND City HARIDWAR
Telephone Number Email ID
Employer EPFO ID Establishment ID
Arrival Details
Place of embarkation/boarding for India YANGON SEAPORT,YANGON,MYANMAR (BURMA)
Date of arrival in India 01/07/2021
Place of disembarkation/arrival in India VISAKHAPATNAM SEAPORT
Mode of Journey Ship Flight/ Ship/ Bus/ Train No.
Purpose of visit to India Studies
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 YE MIN THEIN Relationship FRIEND
Address IIT ROORKEE City HARIDWAR
Country INDIA Phone Number 8439430454
Category Missionaries-Student
Military service details
Organisation Designation
Rank Place of Last Posting
Country of Last Posting
Current Registration Details
Are you registered in current locality FRRO/FRO in the current visit? YES Current UK1100034521
Registration No.
Registration Extension Details
Current Registration Valid Upto 30/09/2022 Required for period of Year(s) 0 Month(s) 3 Day(s) 0
Reason Of Extension need time for final dissertation
Signature of the Applicant
Date_ _ _ _ _ _ _ _ _ _ _ _ _
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26072271RL2V
Application ID No. 26072271RL2V
List of mandatory and non mandatory documents
Mandatory Documents.
1. Photo : Applicant's Photo
2. Visa : Indian Visa
3. Residence proof : Residence Certificate from Hostel/Updated Form 'C' generated by Hotel/Lodge or Registered/Notarized Lease Deed, Utility Bill, Copy of photo-ID of the landlord along
with declaration and Tenant Police Verification
4. Passport : Bio-Data page of Passport along with page bearing last Indian Immigration arrival stamp
5. Financial resource proof : NRO account details and Scholarship letter (if any)
6. Bonafide certificate : Bonafide Certificate to be obtained from a UGC or AICTE recognized Institute/College/University mentioning Foreign Students’ Information System (FSIS) No.,
course undertaken, duration of course and e-mail ID of the Institute/College/University
7. Registration Certificate : FRRO/FRO Registration Certificate/Residential Permit of the Student (S-1) Visa holder
Registration office address
Office Name : FRO HARIDWAR
Address : police office roshnabad,haridwar
City/District : HARIDWAR
State : UTTARAKHAND
Pin Code : 249401
Phone Number : 01334221222
Office opening time: 10.00 closing time: 17.00
There is no need to submit hard copy to concerned
FRRO/FRO
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