Embassy of India
Copenhagen
APPLICATION FORM FOR NRI/PIO REGISTRATION
(Note : All the date entries should be in the format Month/Day/Year (mm/dd/yyyy).)
Please enter the data as it is mentioned in your Passport.
(Note : * indicates mandatory fields)
1. * Given Names:
2. * Surname:
3. *Father's/Spouse Name :
4. *Date of Birth : 5. Place of Birth :
6. Marital Status : 7. Sex :
8. Mother Tongue :
9. *Passport Number : 10. *Place of Issue :
11. *Date of Issue : 12. *Date of Expiry :
13. Occupation/Profession :
14. Nationality/Citizenship :
15. *E-mail Address :
16. PIO Card No. (if any) :
17. *Date of First Arrival :
18. Address In Denmark : 19. Address In India :
State :
Phone : Phone :
20. *Contact Person in Emergency
Name : Phone :
21. Family Details
        Name Relationship
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