Formulário de Solicitação de Visto indiano

Visa and identification exactly as it appears on your passport

Tourist visa duration * 1 month / US$ 25 fee 1 year / US$ 40 fee 5 years / US$ 80 fee

Email *

Nationality on your passport *

Date of birth *

Surname as it appears on your passport *

First name as it appears on your passport *

Have you changed your name? * No Yes

Gender * Male Female

City of birth *

Country of birth *

Identity number *Letters and numbers, no spaces.

Religion *

Visible tattoo *Describe it, or write "no".

Educational qualification *

Your nationality was acquired by * Birth Naturalisation

Passport

Passport number *Letters and numbers, no spaces. For example AB123456

Place of issue *

Date of issue *

Expiry date *

Do you hold another valid passport? * Yes No

Country that issued the other passport

Address and contact

Postcode *

Street *

Number

Address line 2

District

City *

State *

Country *

Mobile number *Include the country code, for example +1 415 555 0123.

Parents the consulate asks for both parents' details

Father's name *

Father's nationality *

Father's previous nationality *Repeat the current one if there is none.

Father's city of birth *

Father's country of birth *

Mother's name *

Mother's nationality *

Mother's previous nationality *Repeat the current one if there is none.

Mother's city of birth *

Mother's country of birth *

Marital status

Marital status * Single Married Divorced

Spouse's country of birth

Occupation and travel history

Current occupation *

Employer / business name

Role

Employer's address

Have you visited India before? Yes No

Countries visited in the last 10 years

Name of an emergency contact in Brazil *

Contact's address *

Contact's phone *Include the country code, for example +1 415 555 0123.

I confirm that the details above match my passport and authorize Govinda to use them to request my Indian visa. I understand that, if there is any error in the information, the fee paid to the Indian government is not refundable.

Before sending, read your first name, surname and passport number again. That is what the consulate checks first.