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Application Form

The document is an application form for visa and registration extension for Alnoor Ishag Adam Omar, a 28-year-old male student from Sudan. He is seeking an extension of his student visa and registration in India for an additional 5 months and 23 days to continue his studies in a B.Pharmacy course. His current registration is valid until March 8, 2026, and he intends to stay in Ludhiana, Punjab.

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0% found this document useful (0 votes)
4 views3 pages

Application Form

The document is an application form for visa and registration extension for Alnoor Ishag Adam Omar, a 28-year-old male student from Sudan. He is seeking an extension of his student visa and registration in India for an additional 5 months and 23 days to continue his studies in a B.Pharmacy course. His current registration is valid until March 8, 2026, and he intends to stay in Ludhiana, Punjab.

Uploaded by

pankajarora
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

APPLICATION FORM

( Visa Extension and


Registration Extension )

Application Id : 090226S9E06H Final Submission Date : 09/02/2026

Personal Details
Surname Given Name ALNOOR ISHAG ADAM OMAR
Sex Male Date of Birth 01/01/1998
Height 175 Age as on today Year(s) : 28, Month(s) : 1, day(s) : 8
Place of Birth ALDEAAN Father's Name ISHAG ADAM OMAR
Mother's Name HAJA ALNOOR ABDODALM Spouse's Name
Religion CHRISTIAN Identification NONE
Mark
Present SUDAN Previous
Nationality Nationality
Manner of Birth SII Student Id
acquiring present
nationality
Date of acquiring present nationality
Whether holding dual nationality? If yes, provide the following:- No
Name of the country of second nationality
Passport No. of second country
Date of Issue
Expiry Date
Whether travelled on this passport earlier to India No
Whether person of Indian Origin No

Address Details
Address of last residence (Outside India)
Address OMDURMAN
City OMDURMAN Country SUDAN

Address intended for longer stay in India (Registration)


Address H NO 66/D,NEAR AYALI CHOWNK,BABA NAND SINGH NAGAR,THREEKE, LUDHIANA
City/District LUDHIANA State PUNJAB
Phone Number Mobile Number 9781132291
Pin Code 141012

Any Other Address in India


Address
City/District State
Phone Number Mobile Number
Pin Code

Email/Occupation/Profession Details
E-Mail Id norishag300@[Link]
Profession/Occupation STUDENT
Passport and Visa Details
Passport Number P12727764 Place of Issue SUDAN, KHARTOUM
Date of Issue 12/10/2024 Expiry Date 11/10/2034

Visa Details
Visa Number VL4776542 Place of Issue SUDAN, KHARTOUM
Date of Issue 09/03/2025 Expiry Date 08/03/2026
Valid For Double Entry Visa Type STUDENT VISA
Special endorsement, if any

Organization/Company/Institute/Hospital Details
Name PCTE GROUP OF INSTITUTES
Address JHANDE FEROZEPUR ROAD
State PUNJAB City LUDHIANA
Telephone Number Email ID studentwelfare@[Link]
Employer EPFO ID Establishment ID

Arrival Details
Place of embarkation/boarding for India KHARTOUM INTERNATIONAL AIRPORT
Date of arrival in India 23/06/2022
Place of disembarkation/arrival in India DELHI
Mode of Journey Air Flight/ Ship/ Bus/ Train
No.
Purpose of visit to India Studies

Person to be contacted in Case of Emergency


Name Relationship
Address KHARTOUM
City Country
Phone Number
Category Others

Military service details


Organisation
Designation Rank
Place of Last Posting
Country of Last Posting

Previous Registration Details in India


Registration Place of Registration Visa Type Duration From To
Number
PB12RCFSDN4392022 LUDHIANA, PUNJAB STUDENT VISA 09/03/2025 08/03/2026

Details of family members/attendant/dependents, if any accompanying.


Name Nationality Passport Number Relationship
Current Registration Details
Are you registered in current locality Yes Current Registration No. PB12/RCF/SDN/439/2022
FRRO/FRO in the current visit?

Visa Extension
Whether previously in India? No
Whether permission to stay in India has been previously refused?
Whether permission to extend stay in India has been previously granted?
Period of Extension requried Year(s) 0 Month(s) 5 Day(s) 23
Reason for extension PURSUING STUDY IN [Link] COURSE
In case of Missionary - Nature Medical Certificate No.
of work

Registration Extension Details


Current Registration Valid 08/03/2026
Upto
Required for period of Year(s) 0 Month(s) 5 Day(s) 23
Reason of Delay PURSUING STUDY IN [Link] COURSE

Registration office address


Office Name : FRO LUDHIANA
Address : CP, LUDHIANA,Ph-2414943
OR SSP OFFICE LUDHIANA
RURAL,JAGRAON ,ph-224048
City/District : LUDHIANA
State : PUNJAB
Pin Code : 141001
Phone Number : 000000

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