FORM - XXIII
APPLICATION FOR REGISTRATION UNDER SECTION 6A OF THE ACT
[Rule 16D end 16F(1)]
To be filled in quadruplicate by the person seeking registration
PASSPORT SIZE PHOTOGRAPH
1. Name in full of applicant (Block capitals, surname first)
.
2. Fathers/Husbands name
.
3. Date and place of birth
.
4. Sex, height, colour of eyes
.
5. Whether of Indian origin-If so, how
.
6. Present nationality
.
7. Occupation or profession
.
8. Date and place of arrival in ----------------------------------
.
9. First address in ------------ after arrival
.
10. Present address in --------------------------
.
.
11. Date from which ordinarily resident in -----------------
.
12. Date and place of detection as a foreign
.
13. Name and address of the Tribunal declaring him/her as a foreigner; case number and date of order
.
14. Name of husband/wife and children
.
15. Physical identification marks of applicants
.
(1)
(2)
16. Signature or thumb impression of applicant
.
To be filled in
by the office of the Registering Authority.
.
1. Registered at
on
19
..
2. Registration No
3. Fingerprints of the registries.
SEAL
Date:
..
Place:
. Name and signature of Registering Authority
Note: A Certified copy of the Tribunal Order should be attached with the 1st, 3rd and 4th copy of this application.
1. Inserted by Notification No. GSR 25(E), dt. 15-1-1987.
