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Form for Indian National Registration

First Name
Last Name
Father Name
Mother Name
Gender
Date of Birth
Marital Status (If Married, Spouse's name and Passport details)
Location
State
Phone Number
Mobile Number
Profession
Email Id
Passport Number
Address in Sri Lanka
Address Line 1
Address Line 2
State
Phone Number
Contact Person In Sri Lanka
Name
Address
Mobile Number
Phone Number
Email Id
Date of Arrival in Sri Lanka
Expected duration of stay (in Days)

(in numbers)
 
Address in India
Address Line 1
Address Line 2
State
Phone Number
Contact Person In India
Name
Address
Mobile Number
Phone Number
Email Id
Purpose of Visit
Current Location/city/town

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