Please Indicate Type of Visa requested + Diplomatic Visa ae + Official Visa 4-Ainployee/working permit Visa % Counesy vi + Transit visa ae % Tourist vi APPLICATION FOR VISA. Nonimmigrant visa Ministry of Foreign Affairs of New Zeatand MiMaMin_AZIMUDDIN MoHAMED ABDuL Kash ppber of entries Requested First Name Middle Name Family Name (in BLOCK leters) Former Name (awk ‘Countries for which any traveling document is valid Nationatity INDIANS Ho * Nationality at Binh_INDVA EDAVA, IKERALA M, ee Birth Pl Marital St JAR RIED = a a MowamMeo A@pur KADER /TaT WiMA — Name of your Pi pawn 07 -0e~ 198) Fe et OO A ar ae No. 4903386 jnue ay TEDDAN 2013 ate of Issue 262 apiry Date_ 25 = 12 - 2023 Occupation cspecth presen pasion and name of emplner) FATHIMA MANZIL EbAVA PO, “TRIVANDRUM KERALA /iNIDIA Tel/Fax. "hereby declare shat we request for my Visa fee paid if my applicatiogfis bopn ddclined 1 562500 00 740 Signature Los-2/ mail. Attention to Transit Visa Applicants Thereby declare that the purpose of my visit to New Zealand Permanent Address iitrngfown abore is for pleasure or transit only and that is no case shall i engage CUTM_ KOC Hi MAR myself in any profession gr Occupation while in the Country. uZHA ST, Signatures gq /- 05-03) FOR OFFICIAL USE ONLY Applicant References number. Visa No, Official Visa eoutesy Visa Hive yo yen in New Zealand bafore SSO fe = [Now-tmmigrant Visi Tourist Visa ‘Transit Visa Waecoaninnics'b your wife ad hikes sa Category of Vise: [Naber of entries: Single Double Mattiple auies Date of tone Fee. ling Please Mark any) Expiry Dine “Tourism DiplomaticrOfficial Business Transit Others (pease pees) Ne Authorized Signature and Seal‘4IRd ToRTSa REPUBLIC OF INDIA so err gt, ee unrdté Fa eri, xg we aren arn a eee tf he cari wa - ar d,at re a l er PASSPORT ott grasa a frat a raver @ht é Sad og hint ant rose wow TAY CONCERN 70 ALLOM,BHE DEARER 70 D488 FREELY WIIOUT 257 A HINDRANCE AND TO ARDORD HAC OR HER an oh é EYP. DOss JEYA IUMAR , ME ae Vice Consul | REPUBLIC OF INDIADOB : o7i0av1961 Male 2 169_5958, STE - at seat pr sia ‘Adress: ‘S10: Mohamed Abdulkader, AZIM MANZIL, SOUTH KOCHUMURI, OACHIRA P.O, ALAPPUZHA DISTRICT, KRISHNAPURAM VILLAGE, Oachira, Kollam, Ochire, ‘Kerala, 680528