Telex Form |
FAX NO.00975-5-252992 TELEX FORM (TO BE FILLED-IN CAPITAL LETTERS WITH BLACK INK) Fax Message No.____________ Dated:__________________ From: CONGENDIA,PHUENTSHOLING, BHUTAN TO: INDEMBASSY / HICOMMIND / CONGENDIA ________________________________ The Following person has applied for Visa:- 1. Name in Full : _____________________________________________________ (M/F) 2. Fathers/Husbands name : _____________________________________________________ 3. Nationality : _____________________________________________________ 4. Date of Birth : ______________________________________________________ 5. Place of Birth : ______________________________________________________ 6. Occupation / Job : ______________________________________________________ 7. Passport No. : ______________________________________________________ 8. Date of Issue of Passport: _____________________________________________________ 9. Full Home address of applicant: ___________________________________________________ In his/her country ___________________________________________________ _____________________________________________________ 10. Full address & Tel No. of: ______________________________________________________ applicant in Bhutan ____________________________________________________ ______________________________________________________ Please convey your clearance by return FAX. |
Consulate General of India Phuentsholing, Bhutan |