Form 'C'
Arrival Report of Foreigner in Individual House
Applicant ID : 170425IS21T6
170425IS21T6
Accomodation Details
Name surendra g
Address no 2A,2A Cross 1st main road4th blk hbr layout
City/District BENGALURU
State KARNATAKA
Star Rating
Phone no.
Mobile no. 7483850619
Personal Details
Surname OVIAWE
Given name CUTE OSOSE
Sex Male
Date of birth 26/04/2005 Special Category Others
Nationality NIGERIA
Address in country where residing permanently
Address BENIN
City BENIN
Country NIGERIA
Address/Reference in India
Address SLV COLIVING 2A CROSS 1ST MAIN ROAD 4TH BLK HBR LAYOUT
City/District BENGALURU
State KARNATAKA
Pincode 560043
Passport Details
Passport No. A12163385
Place of Issue BENIN, NIGERIA
Date of Issue 03/11/2021
Expiry Date 02/11/2026
Visa Details
Visa Number VL7358883 Date of Issue 29/03/2024
Valid Till 28/03/2025 Visa Type STUDENT VISA
Place of Issue BENIN, NIGERIA Visa Subtype
Arrival Details
Arrived From BENIN , BENIN , NIGERIA
Date of arrival in India 31/10/2023
Date of Arrival in 31/10/2023
Individual House
Time of Arrival in 12:00 Intended Duration of Stay in 330
Individual House Individual House
Whether Employed in India N
Other Details
Purpose of Visit Studies
Next Place BENGALURU
Destination City/District BENGALURU
State KARNATAKA
Contact No.(in India) 7483850619
Mobile No.(in India)
Contact No.(Permanently residing 7483850619
country)
Mobile No.(Permanently residing
country)
Remarks(If any)
Remark
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