EMBASSY OF INDIA
EMBASSY OF INDIA
Additional Form to be filled in for Business Visa
1. Name: _____________________________________________________
2. Company: __________________________________________________
3. Address: ___________________________________________________
4. Tel nº: _______________________ Fax: _________________________
E-mail: ______________________ Website: ______________________
5. CNPJ nº: _____________________ IE: __________________________
6. Manufacturer/ Importer/ Exporter/ Agent: ________________________
7. Annual turnover in US$ millions: _______________________________
8. Executive/ Responsible manager for actual negotiations:
Name: ____________________________________________________
Phone: ________________________Fax: ________________________
E-mail: ____________________________________________________
9. Reason for the visit:__________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
10.Historical and frequency of business with India: ____________________
___________________________________________________________
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11.Indian company that is keeping business and its turnover: ____________
___________________________________________________________
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12. Comments: ________________________________________________
__________________________________________________________
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__________________________________________________________
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13. I, _________________________________________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 to extend my stay for any other purpose.
Declarations to be done for requesters that intend to stay in India for more than one year.
I declare that I can make medical examination including for AIDS, in one-month arrival in India. In case of positive for AIDS, I’ll leave India.
I also declare that I have a vaccination certificate against yellow fever for the purpose for my India visit.
Date ___/___/___
Signature: ______________________________
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