This document is an e-Visa application form containing personal details of the applicant such as name, date of birth, passport information, contact details, family details, and purpose of visit. The applicant, Anastasiia Kulikova, is applying for an eTourist visa to visit Goa, India for 1 year for purposes of recreation and sightseeing in Goa Mormugao. She declares that the information provided is complete and correct.
(The Collected Courses of The Academy of European Law 13,1) Christian Tomuschat - Human Rights - Between Idealism and Realism-Oxford University Press (2009)
This document is an e-Visa application form containing personal details of the applicant such as name, date of birth, passport information, contact details, family details, and purpose of visit. The applicant, Anastasiia Kulikova, is applying for an eTourist visa to visit Goa, India for 1 year for purposes of recreation and sightseeing in Goa Mormugao. She declares that the information provided is complete and correct.
This document is an e-Visa application form containing personal details of the applicant such as name, date of birth, passport information, contact details, family details, and purpose of visit. The applicant, Anastasiia Kulikova, is applying for an eTourist visa to visit Goa, India for 1 year for purposes of recreation and sightseeing in Goa Mormugao. She declares that the information provided is complete and correct.
This document is an e-Visa application form containing personal details of the applicant such as name, date of birth, passport information, contact details, family details, and purpose of visit. The applicant, Anastasiia Kulikova, is applying for an eTourist visa to visit Goa, India for 1 year for purposes of recreation and sightseeing in Goa Mormugao. She declares that the information provided is complete and correct.
recent color photograph. ENABLED BY ETA Size: 2" X 2"
e-Visa Application Form
Signature
I033V00B2123
A. Personal Particulars (As in Passport)
Surname KULIKOVA Given Name ANASTASIIA Previous Name Gender FEMALE Marital Status SINGLE Date of Birth 30/03/1987 Religion CHRISTIAN Place of Birth KAPCHAGAY Country of Birth KAZAKHSTAN File Ref No : I033V00B2123
Nationality RUSSIAN FEDERATION
Identification marks NONE B. Passport Details Passport No. 757725385 Date of Issue 04/05/2018 Place of Issue MVD48001 Date of Expiry 04/05/2028 Any other Passport/Identity Certificate held (if yes ,please fill in the following) NO Country of Issue Place of Issue Passport/IC No. Place of Issue C. Applicant's Contact Details Present Address ZASHCHITNIKOV KAVKAZA 126 KRASNAYA POLYANA KRASNODARSKIY KRAY YASTASYABERG@YANDEX.CO Mobile Email M D. Family Details Relation Name Nationality Prev. Nationality Place of birth Father's PETR KULIKOV RUSSIAN FEDERATION RUSSIAN FEDERATION KURSK Mother's ANNA KULIKOVA RUSSIAN FEDERATION UKRAINE IVANO-FRANKOVSK Spouse's Were your Parents/Grandparents (paternal/maternal) Pakistan Nationals or Belong to Pakistan held area. NO E. Visa Details Visa Service eTourist Visa(for 1 Year) Period of visa 365 days No. of entries Multiple Journey Date 11/01/2023 Port of Exit GOA AIRPORT F. Purpose Details Purpose of Visit RECREATION/SIGHT-SEEING 1) Places to be visited1 GOA MORMUGAO 2) Places to be visited2 3) Have you booked any room in Hotel/Resort etc. through any Tour Operator? NO 4) Name of the tour operator 5) Address of the tour operator 6) Name of Hotel/Resort etc 7) Place/City of Hotel/Resort etc 8) Have you ever been arrested/ prosecuted/ convicted by Court of Law of any country? NO 9) Have you ever been refused entry / deported by any country including India? NO 10) Have you ever been engaged in Human trafficking/ Drug trafficking/ Child abuse/ Crime against women/ Economic File Ref No : I033V00B2123 :: Registration Date :06/JAN/2023
offense / Financial fraud? NO
11) Have you ever been engaged in Cyber crime/ Terrorist activities/ Sabotage/ Espionage/ Genocide/ Political killing/ other act of violence? NO 12) Have you ever by any means or medium, expressed views that justify or glorify terrorist violence or that may encourage others to terrorist acts or other serious criminal acts? NO 13) Have you sought asylum (political or otherwise)in any country? NO 14) evisa_fee 40 G. Profession/Occupation Details Present Occupation RESTAURANT MANAGER Designation/Rank Employer name/business OOO MAGNUM KRASNAYA POLYANA GTZ Employer Address GAZPROM Employer Phone H. Details of Two Reference In India In RUSSIAN FEDERATION Name MARAT FARKHI ANDREY KULIKOV WADDEM NEW WADDEM MORMUGAO 403802 ZHELEZNOGORSK KURSKAYA ST Address SOUTH GOA SOUTH GOA GOA MIRA 8K3 179 Phone 08322521252 +79207155647 I. DECLARATION a. I do not hold any other passport(s) other than those detailed above. b. I have read and understood all the conditions for the visit to India and I am willing and able to abide fully by them. c. I declare that the information given in the form is complete and correct and the visit to India will be undertaken for the purpose indicated in the application. d. I understand that in case the information provided in the form is found to be incorrect, I will be liable for denial of visit/ entry or deportation and/ or other penalties during the visit as provided by Indian law.
(The Collected Courses of The Academy of European Law 13,1) Christian Tomuschat - Human Rights - Between Idealism and Realism-Oxford University Press (2009)