Form 'C'
Arrival Report of Foreigner in Individual House
Applicant ID : 03092476YLRY
03092476YLRY
Accomodation Details
Name June Biswas
Address 903 B11, Margosa heights, Mohammadwadi
City/District PUNE
State MAHARASHTRA
Star Rating
Phone no.
Mobile no. 8698909762
Personal Details
Surname REHAEUSSER
Given name NILS PETRUS JOHANN
Sex Male
Date of birth 16/08/1997 Special Category Others
Nationality GERMANY
Address in country where residing permanently
Address AM SCHAEFERSGARTEN 9
City WACHENROTH
Country GERMANY
Address/Reference in India
Address 903 B11, MARGOSA HEIGHTS, MOHAMMADWADI
City/District PUNE
State MAHARASHTRA
Pincode 411060
Passport Details
Passport No. CHPKCZCZH
Place of Issue MARKT WACHENROTH, GERMANY
Date of Issue 05/07/2021
Expiry Date 04/07/2027
Visa Details
Visa Number 9015D49FO Date of Issue 21/06/2024
Valid Till 20/06/2025 Visa Type e-VISA
Place of Issue Bengaluru, INDIA Visa Subtype e-TV
Arrival Details
Arrived From PHUKET , PHUKET , THAILAND
Date of arrival in India 03/09/2024
Date of Arrival in 03/09/2024
Individual House
Time of Arrival in 16:00 Intended Duration of Stay in 13
Individual House Individual House
Whether Employed in India N
Other Details
Purpose of Visit Meeting friends/relatives
Next Place NEGOMBO
Destination City NEGOMBO
Country SRI LANKA
Contact No.(in India)
Mobile No.(in India) 8698909762
Contact No.(Permanently residing
country)
Mobile No.(Permanently residing 00491707026130
country)
Remarks(If any)
Remark
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