Application For The Issue/ Extension Of A Residence Visa For Sri Lanka

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FORM A/ IM 35
(Regulations 6)
Department of Immigration & Emigration
APPLICATION FOR THE ISSUE/ EXTENSION OF A RESIDENCE VISA FOR SRI LANKA
To be completed in Block Letters
For office use only
BOI
Ex-SL
Relig.Work
SL Parents
NGO
RGS
Application No
CIT (5/2)
Official
Spouse
Affix a photograph
Clergy
Private.Sec
State.Sec
Visa Number
DPL
Reg IND
Student
Day
Month
Year
Dual
Int: Gov
SSRV
Date of Arrival/Expiry
Other :
Period granted
Years
Months
Date of Issue :
1. Details of Passport
i) Number
ii) Place of Issue
Day
Month
Year
Day
Month
Year
iii) Date of Issue
iv) Date of Expiry
2. Details of previous Passport held, if any
i) Number
ii) Place of Issue
Day
Month
Year
Day
Month
Year
iii) Date of Issue
iv) Date of Expiry
3. Name in Full as shown in Passport:
4. Nationality:
5. If naturalized,
Day
Month
Year
i) Date
ii) Place of naturalization
iii) Former Nationality
6. Gender *
i) Male
ii) Female
Day
Month
Year
7. Date of Birth
8 Country & Place of birth
i. Place
ii. Country
9. Civil Status *
i. Single
ii. Married
iii. Widowed
iv. Divorced
10. If Married
i) Full name of Spouse:
ii)Nationality:
iv) Postal Address:
iii) Passport No
Day
Month
Year
iv) Date of expiry
11. Applicants Height in centimetres
12. Any identification Marks of Peculiarities:
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