Online Registration

Online Registration

Application Form for Registration of Indian Citizens

HIGH COMMISSION OF INDIA WINDHOEK

Father's Name: *
Mother's Name: *
Full Name: *

Details of Passport

Passport No.: *
Passport Issued at: *
Passport Expires on: *
Passport Issued on: *

Address in India

Street Address: *
Note : Street Address should be alphanumeric character only, No special charecter are allowed
Street Address Line 2:
Note : Street Address Line 2 should be alphanumeric character only, No special charecter are allowed
City: *
State / Province: *
Postal / Zip Code: *
Country: *

Present address in Namibia

Street Address: *
Note : Street Address should be alphanumeric character only, No special charecter are allowed
Street Address Line 2:
Note : Street Address Line 2 should be alphanumeric character only, No special charecter are allowed
City: *
State / Province: *
Postal / Zip Code: *
Country: *

Phone No.: *
Fax:
E-mail: *

Reason for stay in Namibia: *
Note : Reason for stay in Namibia should be alphanumeric character only, No special charecter are allowed
Name and Address of the Employer/Institute:
Note : Name and Address of the Employer/Institute should be alphanumeric character only, No special charecter are allowed
Occupation: *
Period of expected stay in Namibia: *

Details of Family/ other members staying in Namibia :

Name: *
Age: *
Passport No: *

Occupation/Where employed:

Present Address

Street Address: *
Street Address Line 2:
City: *
State / Province: *
Postal / Zip Code: *
Country: *

Whether would you like to subcribe to Monthly Publicity Magazines meant for Indians Abroad/Foreigners Abroad

Yes. I would like to subscribe
No. I am not interested

Attach a 35X35 mm photograph: *

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