High Commission FOR Pakistan

No.53/6, Gregory’s Road, Colombo-7, Sri Lanka

Tel: 94-11-2696301-2 & 2697392, Fax: 94-11-2695780, Weblink: www.pakistanhc.lk

VISA APPLICATION

(NOTE:  If any of the particulars furnished below were found to be incorrect or if any information is found to have been withheld, the visa is liable to be cancelled at any time. Visa request will NOT be entertained unless each and every entry of the form is duly completed)

Name in full: Mr. / Mrs /Miss :

Surname at Birth (if Different)

Permanent Address with Telephone No:

Present Address with Telephone No:

Date of Birth:
    D/D        M/M        Y/Y

Place of Birth

Present nationality:

Nationality at Birth:

Occupation

Father's name

Father's nationality at birth

Applicant's Passport no

Date of issue
D       D     M     M    Y     Y                                                                                          

Place of issue of Passport                                                                                                                  

Passport valid until:    D/D       M/M       Y/Y

 

Whether previously in Pakistan? If so name the cities visited with dates
Whether previously permission to visit Pakistan or extended stay in Pakistan has been refused? Details.
Whether application for grant of visa has been submitted to any other Pakistan Visa issuing authority?	Yes       No
Period for Which Visa is required, WITH date of travel. (Note:Extension of transit visa, valid for a fortnight, will not generally be granted.)
Purpose of Journey (Give details; general expressions such as 'Visit', 'Business' etc are NOT sufficient. If visiting on behalf of an organization or a firm, its details should also be provided.
Destination in Pakistan
Port of landing in Pakistan
Names, Addresses and Telephone Nos of persons who could furnish information about the applicant. Also provide the financial guarantee for maintenance and repatriation, if applied for.	In the country of Applicant: 1-     2-     In Pakistan (if none known, say NONE) 1-     2-
Details of children traveling with the applicant's passport (with name and date of birth)

 

.................................................                                                     .................................................

Dated:                                                                                             Signature of Applicant

Remarks