Embassy of India
Copenhagen
     APPLICATION FORM FOR NRI/PIO REGISTRATION
(Note : All the date entries should be in the format Month/Day/Year.)
(Note : * indicates mandatory values)
1. * First Name :
2. Other Name :
3. *Father's/Spouse Name :
4. *Date of Birth :     5. Place of Birth :
6. Marital Status : 7. Sex : 8. Mother Tongue :
9. *Passport Number *Date of Expiry : *Date of Issue : *Place of Issue :
       
10. Occupation/Profession :
11. Nationality/Citizenship :
12. *E-mail Address :
13. PIO Card No. (if any) :
14. *First Arrival :     15. *Expected Departure :    
16. Address In Denmark 17. Address In India
State
Ph. # Fax Ph. # Fax
18. *Contact Person in emergency
Name Ph. # Fax
19. Membership of Association/Organizations
Association Name Address
20. Family Details
Name Address Relationship
21. Information Regarding your business or investments interests in India.