GOVERNMENT OF INDIA
MINISTRY OF EXTERNAL AFFAIRS
NEW DELHI
APPLICATION FORM FOR KNOW INDIA PROGRAMME (KIP)
Attach Recent
KIP edition No. 81ST Passport size photo
A. PERSONAL DETAILS
(i) Complete Name (as in Passport in BLOCK letters)
SINGH CHARRAN NIL
Last Name First Name Middle Name
(ii) Gender : Male/Female
(iii) Date of Birth: 1 4 1 0 1 9 9
(iv) Place of Birth S K E L D O N H O S P I T A L
(v) Nationality G U Y A N E S E
(vi) Place of 7 2 V I L L , B E R I C E
Residence
(vii) Passport
Number
Place of issue: G E O R G E T O W N
(City)
(Country)
Date of issue:
Date of Expiry:
(viii) Telephone Number:
(with country and city code)
Work
5 9 2 6 3 8 3 3 5 4
Residence 5 9 2 7 1 4 3 3 5 4
Mobile/Cell
Fax Number
1
Email: singhcharran14@gmail.com
(ix) Complete mailing address with ZIP Code: LOT 45 ‘A’, NO. 72 VILLAGE CORENTYNE
BERBICE, GUYANA
(x) Permanent home address with ZIP Code: LOT 45 ‘A’, NO. 72 VILLAGE CORENTYNE
BERBICE, GUYANA
(xi) Your or your parents place of origin in India : ___________NIL_______________
B. Proof of Indian Origin
Hold PIO/OCI Card - Yes/No
PIO Card No:_____________Date of Issue______________Place of issue______________
OCI Card No:_____________Date of issue______________Place of issue______________
Please write details of PIO or OCI Card of your Mother/Father/Grandfather______________
Name of PIO/OCI Card holder_________________________________
C. Details of Family/Relative(s) in India
(i) Name, address (if available) and your relationship with your nearest relative who
migrated from India:
(a) Complete Name
(b) Last Known address of your relative
(c) Your relationship with him/her
(d) Mobile number of your relative with city code
D. EDUCATION
Graduate Undergraduate
(i) Name/Location UNIVERSITY OF
College/University from where GUYANA
you graduated or are studying.
(ii) Subjects of study MANAGEMENT
(iii) Language of instruction in ENGLISH
college/university
(iv) Describe your English language EXCELLENT
skills
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E. Occupation/Employment:
S. No. Organization/Company Position Period
(Complete Name and From To
Location address)
1. GUYANA REVENUE TAX 2018-09-24 PRESENT
AUTHORITY AUDITOR
F. Any achievements professional/educational or other that you want to share with us:
STUDY OF SANSKRIT LEVELS BALBODHA, PRARAMBHA,PRAVESHA AND
PARICHAYE, HINDI, SHREEMAD BHAGWAD GITA RECITATION.
G. Your interests/hobbies: EXPLORING NEW CULTURE, PLACES, CRICKET,
READING, VOLUNTEERING.
H. International Medical and Travel Insurance Policy
Policy No. –
Name of the insurance company –
Valid from (Date) –
Valid until –
Annexure-A
I. OTHER DETAILS:
1. Have you participated in a previous
Know India Programme? If yes, provide details. Yes / No
2. Have you visited India earlier? If yes, Yes / No
please month and year of the visits, places
visited and purpose:
3. Has any sibling/ relative of yours attended KIP before Yes / No
4. Please describe, in not more than 250 words, why do
you want to take part in the Know India Programme?
I want to explore and get to visit the India which is consider my motherland too where my
ancestors came from and this is has always been my ultimate dream destination to visit
and explore the rich culture, food, people. Growing up I have always read stories from
the scriptures about India where most of God’s avatar took place which make it a holy
land for which I want to seek the blessings of touching the most sacred land of Bharat
Maata. Visiting India for me will not be just a journey but a meaningful and
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transformative experience of beauty, spirituality, reunion and adventure I will cherish
forever if allowed this opportunity.
Annexure-B
DECLARATION:
I, HEREBY, DECLARE THAT ALL THE INFORMATION GIVEN IN THIS Application
Form are true and correct to the best of my information and belief.
I also declare that I will abide by the regulations of the Know India Programme, would
offer my full cooperation in its smooth conduct, and would not leave it mid-way.
I understand that if I am found guilty of any misconduct or indiscipline during the course
of the Programme, I could be refused any further participation in the said programme or
participation in any future KIP and that I would not be eligible for reimbursement of the 90% of
the return international airfare from my country of residence to India. The said reimbursement
of 90% of the international airfare would also not be made to me if I leave the Programme mid-
way.
(Signature of the applicant)
Date:
Place:
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Annexure-C
DECLARATION
(For applicants who do not possess any documentary evidence of Indian Origin)
I __________________________________ (complete name) born on
__________________________(Date of birth), daughter/son of _____________________
(Complete name) do hereby state that I am of Indian origin because of the following reasons:
Signature of the Applicant:_________________________
Complete Name:___________________________________
Date:____________________
Place:____________________
Countersigned and stamped by
Head of Indian Mission or DCM/DHC/DCG
Complete Name:__________________________
Office Seal:_______________________________
Date:____________________
Place:____________________
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Annexure-D
COMMENTS OF THE CONCERNED INDIAN MISSION/POST
Name of Indian Mission/Post:
Recommendations of the Head of Mission/Post:
Signature of HOM/HOP _____________________
Name of the HOM/HOP_____________________
Office Seal
