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Visa Number: ..

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EMBASSY OF PAKISTAN, KABUL


VISA APPLICATION FORM


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1. Full Name: ____________QUDRATULLAH _____________________ ______________:

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2. Fathers / Husbands Name: _________FAZEL AHMAD____________________________________________

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3. Complete Reference , Address & Phone No. in Afghanistan :


WARDAK AFGHANISTAN

0093786046086

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4. Complete Reference, Address & Phone No. in Pakistan

GOMAL UNIVERSITY, DERA ISMAIL KHAN( KPK )PAKISTAN___________________________


5. Port of Landing / Point of Entry in Pakistan: _DERA ISMAIL KHAN__KPK_______________________ :
6. Date and Place of Birth:

8/12/1994_________

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WARDAK______________________________-_______________:

7. Nationality at Present: ____AFGHAN_________ Nationality at Birth _______AFGHAN__________________________

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8. Profession / Occupation: ___________________________STUDENT _____________________________________________________

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9. Name & Address of Employer:_________________________________________________________________________________ :

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Passport No._ST021798_______ Type of Passport____OFFICAL____ (Diplomatic / Official / Ordinary)

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Date and Place of Issue:_______________________7/12/2011


KABUL
Valid Uptil:_____________________________________18/11/2016
10. Visa Required

_____________
____________________

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:i)Stay

________________ ii) Validity _____________ 22/11/2015___iii) No. of entries ___________________


11. Countries visited with dates & Purpose: _____________________________________
____________________________________________________

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12. Purpose of Visit : Official / Business / Transit / Family Visit / Medical Treatment / Specify: _________ _______
_____________STUDY___________ : / /

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13. Accompanying persons:___________________________________________________________________


(ii)

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:( i) Name of Wife:______________________________________________________________________ :
Names of Children:______________________________________________________________
Date: _________________ Place: ________________________________Signature of Applicant: _____________

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For further instructions, please see overleaf

Following documents should be attached:





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*
*
*

Two photographs
Photocopy of passport
Photocopy of Tazkara

Proof of visit, invitation,etc (if any)


* Visa will not be issued on passports with validity of less than 6 months
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Note:
a)
b)
c)
d)

For Expatriates/ Diplomats/, please attach Introductory Letter from the relevant Firm or Embassy,
and a copy of work permit.
All Foreign passport holders will travel to Pakistan by air.
Personal presence of the applicant is must.
All foreigners must have valid Afghan multiple entry visa on their

e)

Visa will not be issued to those foreigners, having Afghan Tourist visa.

passport.

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