Register

Name:*

Name of Father:

Mother:

Dependents living in China:

Residential address in China:

Business address in China:

Phone No. in China:*

Fax No. in China:

Email Id:

Passport No:

Passport Issue Place:

Passport Issue Date:

Date of Birth:

Birth Place:

Educational Qualification:

Permanent Address in India:

Name and address of the next of kin/person to be informed in case of emergency.

Contact Person Name:

Contact Person Address:

Date of arrival in China:

(Completed forms should be submitted online or to the Embassy in person, by post or E-mailed to the address given below)

Please also inform us when you are no longer resident in China

FOR OFFICIAL USE ONLY


Registration No.	Date:

Signature of Consular Officer

Embassy of India, Beijing Add: 1,Ri tan Dong Lu Tel: 65321908, 65321856 Fax: 65324684
Email: webmaster@indianembassy.org.cn Web site address: www.indianembassy.org.cn