Form 'C'
Arrival Report of Foreigner in Guest House
Applicant ID : 300424DYZU54
300424DYZU54
Accomodation Details
Name Infinity Stays
Address plot no-183, sector 38
City/District GURGAON
State HARYANA
Star Rating Three Star
Phone no. 7065000979
Mobile no.
Personal Details
Surname UDDIN
Given name MD KAMAL
Sex Male
Date of birth 30/09/1958 Special Category Others
Nationality BANGLADESH
Address in country where residing permanently
Address HOUSE NO -1890,93 CHATTASHERI ROAD,KOTOWALI,DAMPARA-4000 CHATTOGRAM
City DIP/DHAKA
Country BANGLADESH
Address/Reference in India
Address INFINITY STAYS PLOT NO 183 P SEC 38 GURGAON HARYANA
City/District GURGAON
State HARYANA
Pincode 122001
Passport Details
Passport No. A04723631
Place of Issue DIP/DHAKA, BANGLADESH
Date of Issue 04/09/2022
Expiry Date 03/09/2032
Visa Details
Visa Number VL8755325 Date of Issue 08/11/2023
Valid Till 07/05/2024 Visa Type MEDICAL VISA
Place of Issue dip/dhaka, BANGLADESH Visa Subtype MED-1
Arrival Details
Arrived From DIP/DHAKA , DIP/DHAKA , BANGLADESH
Date of arrival in India 31/03/2024
Date of Arrival in Guest 28/04/2024
House
Time of Arrival in Guest 11:00 Intended Duration of Stay in 4
House Guest House
Whether Employed in India N
Other Details
Purpose of Visit Others
Next Place DHAKA
Destination City DIP/DHAKA
Country BANGLADESH
Contact No.(in India) 01244733356
Mobile No.(in India) 01244733356
Contact No.(Permanently residing
country)
Mobile No.(Permanently residing 8801819312066
country)
Remarks(If any)
Remark
Page 1 of 3
Form 'C'
Arrival Report of Foreigner in Guest House
Applicant ID : 300424IB14DA
300424IB14DA
Accomodation Details
Name Infinity Stays
Address plot no-183, sector 38
City/District GURGAON
State HARYANA
Star Rating Three Star
Phone no. 7065000979
Mobile no.
Personal Details
Surname SIKDER
Given name FATEMA
Sex Female
Date of birth 01/12/1959 Special Category Others
Nationality BANGLADESH
Address in country where residing permanently
Address H12 CHATTASWARI ROAD DAMPARA ,CHITTAGONG GPO KOTWALI CHATTOGRAM
City DIP/DHAKA
Country BANGLADESH
Address/Reference in India
Address INFINIY STAYS PLOT NO 183 P SEC 38 GURGAON HARYANA
City/District GURGAON
State HARYANA
Pincode 122001
Passport Details
Passport No. EK0921320
Place of Issue DIP/DHAKA, BANGLADESH
Date of Issue 26/09/2022
Expiry Date 25/09/2027
Visa Details
Visa Number VL8755324 Date of Issue 08/11/2023
Valid Till 07/05/2024 Visa Type MEDICAL VISA
Place of Issue dip/dhaka, BANGLADESH Visa Subtype MED-2
Arrival Details
Arrived From DIP/DHAKA , DIP/DHAKA , BANGLADESH
Date of arrival in India 28/04/2024
Date of Arrival in Guest 28/04/2024
House
Time of Arrival in Guest 11:00 Intended Duration of Stay in 4
House Guest House
Whether Employed in India N
Other Details
Purpose of Visit Others
Next Place DHAKA
Destination City DIP/DHAKA
Country BANGLADESH
Contact No.(in India) 01244700056
Mobile No.(in India) 01244700056
Contact No.(Permanently residing
country)
Mobile No.(Permanently residing 01819344352
country)
Remarks(If any)
Remark
Page 2 of 3
Form 'C'
Arrival Report of Foreigner in Guest House
Applicant ID : 300424JD6Q5B
300424JD6Q5B
Accomodation Details
Name Infinity Stays
Address plot no-183, sector 38
City/District GURGAON
State HARYANA
Star Rating Three Star
Phone no. 7065000979
Mobile no.
Personal Details
Surname KHAN
Given name MUHAMMED ABDULLAH AL SAYEM
Sex Male
Date of birth 25/02/1978 Special Category Others
Nationality BANGLADESH
Address in country where residing permanently
Address H26 26 NIKATON ROAD 14/2 BLOCK G GULSHAN GULSHAN
City DIP/DHAKA
Country BANGLADESH
Address/Reference in India
Address INFINIY STAYS PLOT NO 183 P SEC 38 GURGAON HARYANA
City/District GURGAON
State HARYANA
Pincode 122001
Passport Details
Passport No. EE0027479
Place of Issue DIP/DHAKA, BANGLADESH
Date of Issue 28/09/2019
Expiry Date 27/09/2024
Visa Details
Visa Number VL8755323 Date of Issue 08/11/2023
Valid Till 07/05/2024 Visa Type MEDICAL VISA
Place of Issue dip/dhaka, BANGLADESH Visa Subtype MED-2
Arrival Details
Arrived From DIP/DHAKA , DIP/DHAKA , BANGLADESH
Date of arrival in India 28/04/2024
Date of Arrival in Guest 28/04/2024
House
Time of Arrival in Guest 11:00 Intended Duration of Stay in 4
House Guest House
Whether Employed in India N
Other Details
Purpose of Visit Others
Next Place DHAKA
Destination City DIP/DHAKA
Country BANGLADESH
Contact No.(in India) 01244700056
Mobile No.(in India) 01244700056
Contact No.(Permanently residing
country)
Mobile No.(Permanently residing 01819344352
country)
Remarks(If any)
Remark
Page 3 of 3
