Registration for ECNR passport holders going to ECR countries for employment.

Personal Detail

Given Name(As on SIVA GANESAN ARN : ER190893

Passport) :

Gender : Male

Email ID : gsivaaneie@gmail.com
Passport Number : Z5059142

State of Residence : TAMIL NADU Educational Qualification : Graduate

Mobile Number : 9094220231 Professional Qualification : Bachelor of Engineering (B.E.)

District : TIRUCHIRAPPALLI

Visa and Travel Details

Destination Country : IRAQ Visa Type : Employment visa

Job profession for which I&C Commissioning Engineer Name of Registered Recruiting
going : Agent/Immigration Consultant/Agent :

Visa Number : 2050906 Travel Date : 15/02/2019

Emergency Contact Details(India)

SANGEETHA PRIYA SATHYASEELAN Contact Number : 91-9094220232
Name of Contact
Person :

Complete Address for 4/638-1,THENDRAL NAGAR,

Communication : THIRU NAGAR EXTN,
PONMALAI (PO),

Emergency Contact Details(Destination Country)

Name of Contact Person : MUSHTAQ SALIH Contact Number : 964-7827835072

Complete Address for GENERAL ELECTRIC COMPANY,HOUSE NO.39, ALLEY NO.11, AREA NO.601,AL AMERAT VILLA, BAGHDAD,
Communication : IRAQ
Contact Detail of Foreign Employer/Sponsor in the Destination Country
Name of the GENERAL ELECTRIC COMPANY Name of Contact Person : MUSHTAQ SALIH
Employer/Organisation :

Contact Number : 964-7827835072 Complete Mailing Address for GENERAL ELECTRIC COMPANY,HOUSE NO.39, ALLEY NO.11,
Communication : AREA NO.601,AL AMERAT VILLA, BAGHDAD, IRAQ

Email ID of Contact Person : mushtaq.salih@ge.com

I declare that to the best of my knowlege the information provided are correct
I am aware that in case of any information provided is found to be incorrect,I may not be permitted to travel abroad
by the Bureau of Immigration(BOI)/Ministry Of External Affairs

I am aware that the contact details furnised above are in my own interest and these details may be helpful in case
of any emergency faced by me during travel or my stay abroad .