Embassy of India, Beijing
5, Liangmaqiao Beijie, Chaoyang Dist. Paste your unsigned
recent color photograph.
Beijing 100600, Size: 2" X 2"
[Link]
+8610-85312500
Visa Application Form
Signature
CHNB00213622
A. Personal Particulars (As in Passport)
Surname (As in Passport) ZHANG
Application Id : CHNB00213622
Given Name (As in Passport) HUA
Previous/other Name if any Not Applicable
Gender MALE Marital Status DIVORCEE
Date of Birth 12-SEP-1984 Religion NO
Place of Birth Town/City HUBEI Country of Birth CHINA-CHINA
Citizenship /National ID No 421126198409123239 Educational Qualification GRADUATE
Visible identification marks NO
Current Nationality Nationality by Birth/
CHINA-CHINA Naturalization BY BIRTH
Any Other Previous/Past Nationality Not Applicable
B. Passport Details
Passport No. PE2191849 Date of Issue ( dd/mm/yyyy ) 13-JUN-2022
Place of Issue BEIJING Date of Expiry ( dd/mm/yyyy ) 13-JUN-2027
Any other Passport/Identity Certificate held (if yes ,please fill in the following) NO
Web Registration Date : 20-JUL-2022
Country of Issue Place of Issue
Passport/IC No. Date of issue (dd/mm/yyyy)
Nationality/Status
C. Applicant's Contact Details
Present NO1 XIYUAN ROAD Phone No 037964872311
Address LUOYANG Mobile /Cell No 8613598460132
HENAN, CHINA-CHINA 471039 Email address 254075050@[Link]
Permanent NO1 XIYUAN ROAD
Address LUOYANG
HENAN
D. Family Details
Relation Name Nationality Prev. Nationality Place/Country of Birth
HUBEI
Father's ZHANGSHANHE CHINA-CHINA CHINA-CHINA CHINA-CHINA
HUBEI
Mother's CHENCHUNXIANG CHINA-CHINA CHINA-CHINA CHINA-CHINA
Marital
Status Single
Were your Grandfather/Grandmother(Paternal/Maternal) Pakistan Nationals Or belong to Pakistan held area : NO
HUA ZHANG
E. Details of Visa Sought (Visa shall be valid from the Date of Issue and not from the Date of Journey)
Type Of Visa Required BUSINESS VISA No of Entries MULTIPLE
Period of Visa ( Month) 6 Month Expected Date of Journey 04-SEP-2022
Port Of Arrival DELHI Port of Exit DELHI
Required Detail of BUSINESS VISA
Company Name BHARAT ALUMNIUM COMPANY LIMITED
Address BALCO KORBA CHHATTISGARH-495684
Phone 919755000960
Email
Purpose of Visit : FOR ALL OTHER BUSINESS ACTIVITIES (OTHER THAN THOSE COVERED UNDER B-1 AND
SPORTS PERSONS
F. Previous Visit Details
Have You Ever visited India ? NO
Address where You stayed in
India ,
Cities in India Visited
Type of Visa Visa Number
Application Id : CHNB00213622
Visa Issued Place Date of Issue
Countries visited in last 10
years NO
Have you been refused an Indian Visa or extension of the same previously or deported
from India ? NO
G. Profession/Occupation Details :
Present Occupation ENGINEER Designation/Rank COST ENGINEER
Employer name/business CHINA NONFERROUS METALS PROCESSING TECHNOLOGY CO
Employer Address NO1 XIYUAN ROAD LUOYANG CHINA
Phone Number 037964872311
Past occupation if any
Are/have you worked with Armed forces/ Police/ Para Military forces ? NO
Organization Designation
Place of Posting Rank
H. Details of Two Reference
In India In CHINA-CHINA
BHARAT ALUMNIUM CHINA NONFERROUS METALS PROCESSING TECHNOLOGY
Name COMPANY LIMITED CO
BALCO KORBA
Address CHHATTISGARH-495684 NO1 XIYUAN ROAD LUOYANG CHINA
KORBA CHHATTISGARH
Phone Number 919755000960 8613598460132
J. DECLARATION
a. I do not hold any other passport(s) other than those detailed above.
b. I have read and understood all the conditions for the visit to India and I am willing and able to abide fully by them.
c. I declare that the information given in the form is complete and correct and the visit to India will be undertaken for the purpose
indicated in the application.
d. I understand that in case the information provided in the form is found to be incorrect, I will be liable for denial of visit/ entry or
deportation and/ or other penalties during the visit as provided by Indian law.
e. I will also submit hard-copy all the uploaded documents along with the print of application to submit to the concerning Indian
Mission or Agency for processing of visa application.
20-JUL-2022 ................................
Date : ...................... Applicant's signature (as in Passport)
