Personal Particulars : |
Name : |
First Name : *
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Middle Name : |
Last / Surname : * |
Sex : * |
Male Female |
Passport Details : |
Passport No. : *
(Format : A1234567) |
Date of Issue : *
(Format : dd/mm/yyyy) |
Place of Issue : *
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Date of Birth : * |
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Place of Birth : |
City / Village: *
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State (if born in India) :
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Country: *
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Marital Status : * |
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Father's / Spouse's Name : * |
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Permanent Address in India : |
Address : *
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City :
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State : *
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Contact / Next of Kin in India : |
Name : * |
Address : * |
Tel. No. : *
(Format : +91-XX-XXXXXXXX) |
Profession : |
Sector : *
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Designation : * |
Salary Range : *
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Family Details (if in Nicosia) : |
Number of dependents (including spouse if married) : |
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Particulars in Nicosia : |
Residential Address : |
Flat :
Building :
Road :
Block :
Area :
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Contact Details. : |
Mobile. : *
(Ex : 00-357-22351741 ) |
Email : *
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Sponsor / Employer Details : |
Name : *
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Company Details : |
Name of Company : *
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P.O. Box :
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Telephone Number : *
(Ex : 00-357-22351741 ) |
Enter security key : * |
a42ffd72 |
Reminders: * Before submitting the form, please ensure that all information is valid and correct.
* Please make sure that all fields marked with an asterisk (*) are filled. |
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