uimnisrAN BA$KoNSoL o sr,ueu isr,tNgur,

CONST]LATE GENERAL OF INDIA ISTANBTIL

Affix
2 passpori size photographs

VISA APPLICATION FORM

(TO BE F'ILLED IN ENGLISH BLOCKLETTERS ONLB

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BA$vrrRU FORMU
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DoIJURULACAKTTR)

iwcir-izcr oLARAK

(YAr-NTZCA StnruK HARFLE

2 adet vesikalft

fotogafimz ekleyiniz

PART-A

ffo MriBayi

be fitred by applicants for

\tsa)

\liddle

lvfrs./Bayan/

;fdiss/Evli

Oknayan Bayan/

First name/ilk
name

Ad/

ikinci -\dr

Surname,lSoradr

Prerious narne (if anl i Daba once herhaagi bagka bir adt varsa/
Father,&Iusband' s name Baba ve Koca

Ad/

Date of BirthlDoSum Tarihi

Place of Bir-th,4Doium Yeri/

State-province/Eyalet-ill

Date of Issue/Verili

Valid upto/Geeerlilik bitis tarihi/

Place of Issue/Verilen yerl Issued bylVeren makam/ Present nationality I gu
andaki mi]xtyetiniz/

Any other nationality /oiger miiliy etiniz/

-:2of4of iournsy/Se Transit/

Journalist//G azeteci/

Amaal
Tourist/TurisV
Student/Oerenci/ Business/is/
Conferenc eA(onferans/

other/Di
Places proposed to be visited in India/ttindistan'da ayarettndiigtniildiiliiyerler/

Period for which visa is requiredAstenilen vize

No. of entries/Girig

Sayrs/ f-lnglelteV i--louble/ikilii

flriple-multiple/u9lu'9oklu

Daha once vize reddedilmig mi? Oyleyse aynntrlanm

Whether Visa has been refused previously? Ifyes, give details yaztilz Profession fDetails of present emplolmrent)/Ir{esleli($u andaki iginiz haklancia deta11ar.lr

Place from where entrv into Indiawill be made/ Hindistan'a nereden Aprox. date of enky into India/

Port of entrv into India/ Hindistana a Limam Approx. date of deparhre from Ifidial Port ofdeparture from India/ Hindistandan grkrg yaprlacak $ehir/I{ava Limam

Telephone No.lTelefon No./

Children included in applicant's passport (to be filled only when children accompanying applicant)/
Bagvuran kiqinin pasaportuna dahil olan Eocuklar( Sadece gocuklar bagvuran kigiyle seyahat edecefi zaman doldurulrnahdr)/

Name-Ad
Sex

Place

& Date ofBirth-Doium yeri ve tarihi

Relationship-Yakrnirk derecesi

-Cinsiyet

Details of previous visits to India, if anylE$er varsa Onceki Hindistan ziyaretlertnun detaylartl

Whether holding valid "no objection to return to India" endorsement? Ifyes, give details
Elet''Hindistan'a ddniig[ salancah de[ildir" geklinde gegerli bir lasdik mevcut ise, aynntrlanru belirtiniz

-:3 of 4 :hereby undertake that I shall utilise my visit to India for the purpose for which Visa has been applied and shall not on arrival in India, try to obtain employment or set up business or extend my stcy for sny other purpose. I -f"ny understand that if arry of the particulars furnished obove are found to be incorrect or tf arry of the information is found to be withheld, the Visa is liable to be cancelled at any time. isbu belges'-le,ben.hangi amaglavize verilmisse Hindistan'a yapacafim ziyareti o gekilde de{erlendirecepme ve Hindistan'a vordzban sonra ig aramo veya ig kurma giriqiminde bulunmayaca{rma vqta Imlryrmt herhongi baqko bir amagla uzatmcyacafimt taahhiit ederim.E{er yukanda belirtilen ayrtntilmda yonlry tespit edilirse re\:a bu bilgilerden herhangi birihi vermekten kngmildt{t tespit edilirse,buvizenin herhangi bir ,amanda iptal edilmete tabi tutulabilece{ini tamamen knbul ediyorum.

Signature ofapplicant Baqvuranrn imzasr

B Iitsltr {Turist'l-izesi iqin bas-r-uranlar tarafindan doldurulrnal,acaktu)i Name & address of 2 references rl-ho rr-ill fumish information about applicant and also furnish financial guarantes for maintenance and repatriation, if referred to : Baryuran hakkrnda bilgi verecek ve a),.nca gerektilinde bagrruranrn geri ddniiqiine ve bakrmrna finansal garanti v_srecek iki referansrn adlan ve adresleri:

PART-B (5ot to be filled by applicants for Tourist Visa)

In country ofapplicanV Bulundu!"u iilkede

In India/ Hindistan'da
Declaration to be made by applicants seekine to stav in India for more than one )'eax: "I hereby undertake that I shall subject myself to a medical test including AIDS within one month of mrival in India, in case, arn found p ositive for AID S, I w ill leave India. "
Hindistan'da bir ]rrldm daha fazla kalr,nak icin baqrmran kisiler tarafindan onaylanacak acrklama: "iSbu ifadeyle Hindistan'a giris yaptrfuan sonra bir ay igerisinde I-IDS testini de iqeren fibbi bir muayeneden geEece{imi taahhiit edertm-4-IDS testinin pozitif olmast duntmundaHindistan't terk edecefrm ".

Signature of applicant Bagvuramn imzast

(For office use only)(Sadece yetkili makam tarafindan doldurulacak/ No.,lDateltype of visa issued: Verilen vizenin numarasl tarihi ve tipi/ Amount ofvisa fee received: Ahnan vize iicreti/ Date when passport returned to applicant: Ba$vuran ki$iye pasaportun iade edilis tarihi/

-:4of4:Instructions for filling up this application form and related visa conditions:

r . r . r . r . o . c o o r : . o r . . r .

Form to be filled in English block letters only A1l columns ofthe form must be complete Form to be signed by the applicant himself in ink 2 identieal recent passport size photographs to be atLached with the Form Form to be accompanied by valid original international passport and photocopy thereof. Any supporting documents to your visa request as required by the Visa Officer must be provided at the time of submission of the application Requisite fee in US Dollars to be paid at the time of applying It is the prerogative of this office to grant or refuse Visa without providing any explanation. No porson other than the Yisa Ofticer ofthis Consulate is authorised to receive application formslvisa fee or to issue visas This office will not take any responsibilify for damage/loss of passport in case it is not collected on the date of delivery as notified b1'the Visa section. IMPORTANT: Fee will not be refunded, whether visa is granted or refused

Vize forrnunu vevize ile iiiqkili evraklan doldunnak igin talimatname

Fortn bti)'iik harflerle ve ingilizce olarak doldurulacaktr Tiim satrlar doldurulmak zorundadr Form bagruran kiginin kendisi tarafindan tiikenmez kalemle imzalanacaktn 2 adetvesikalft foto$raf forma ekienecektir Formla birlikte pasaporlun orijinali ve gerekli krsrmlann fotokopileri de verilecektir V,tze gd'revlisi tarafindan istenen fdm dttkiimanlar baqvuru srasrnda hazr bulundurulacaktrr Ba$vuru srasrnda,gerekli iicret Amerikan dolan oiarak ddenecektir Konsolosluk higbir agrklama yapmaksrzrn vueye red yada onay verme hakkma sahiptir Konsoloslukta Vize gorevlisinden bagka higkimse baql'uru formlanm/bail'uru iicretini almayaya da vize vermeye yetkili degildir Vize bdliimii tarafindan verilen vize alma-twihinde ahnmal'an pasaportlann zarara u$amasr.vada kaybolrnasrnda konsolo sluk hi gbir sorum-luluk sahibi delildir ONElttli: Vize onaylanmry yo da reddedilmiq olsun, iidenen ikret ltiqbir gekilde geri altnomaz