HIGH C OMMISSION O F I NDIA
LILONGWE(MALAWI)
P ASTE
PLEASE
A
P lot N o.55, A rea-9,
RECENTLY T AKEN
L ilongwe
PASSPORT S IZE
COLOUR
PHOTOGRAPH
HERE
VISA A PPLICATION F ORM
FOR O FFICIAL U SE O NLY
Visa N o.
Visa T ype
Date o f I ssue
Date o f E xpiry
No. o f e ntries
Receipt N o.
FOR A PPLICANTS
( Please f ill u p a ll t he c olumns a nd i n C APITAL L ETTERS)
INCOMPLETE/FALSE I NFORMATION: A PPLICATION F ORMS, N OT F ILLED I N F ULLY, L EGIBLY A ND/OR
ACCURATELY A RE S UBJECT T O R EJECTION
Surname_______________________________________________________________________
1
Given N ame____________________________________________________________________
Date o f B irth__________________________________________________________________
2
M / F
3
Sex
Place o f B irth
5 Current N ationality
4
Full N ame o f F ather
N ationality o f F ather
6
7
Full N ame o f M other
Nationality o f M other
Full N ame o f S pouse
Nationality o f S pouse
8
9
Are y ou a p ermanent/long t erm r esident i n M alawi? ( If y es, p lease a ttach a c opy o f y our
YES/NO
Resident P ermit, E mployment P ermit, e tc.)
10
Nationality a t b irth
11
Any o ther n ationality h eld a t
YES/NO
present o r i n t he p ast. I f y es,
give d etails
12
Passport N o.
Date o f I ssue