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(*) - Mandatory fields

Applicant's Name and Surname*
[Name & surname should be exactly as in passport]
Applicant's Passport Number*
[For new born, enter passport number of mother or father]
Place of Issue*
[Mentioned in Passport]
Date of Issue*
[Mentioned in Passport]
Place of Birth*
[Mentioned in Passport]
Applicant's Gender*
Applicant's Date of Birth*
Applicant's father’s name
[Mentioned in Passport]
Applicant’s mother’s name
[Mentioned in Passport]
Are you married?
Educational Qualifications
Occupation & Profession*
Company’s Name & Address
Details of Work Permit, if any
Email-ID*
[Email should be in abc@example.com format]
Mauritian Mobile Number*
[Your permanent contact number]
Photo
[Max Size: 100kb Format should be .jpg,jpeg]
Permanent Indian Address*
Mauritian Address*
In case of emergency,
Name of Contact person in India
In case of emergency,
Mobile no. of Contact person in India
In case of emergency,
Name of Contact person in Mauritius
In case of emergency,
Mobile no. of Contact person in Mauritius

 

 
 
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