Apply for India eVisa

eMedical attendant visa application

Passport Type *

ORDINARY PASSPORT

OFFICIAL PASSPORT

DIPLOMATIC PASSPORT

SERVICE PASSPORT

SPECIAL PASSPORT

Nationality/Region *
Port Of Arrival *
Date of Birth * (DD/MM/YYYY)
Email ID *
Re-enter Email ID *
Expected Date of Arrival * (DD/MM/YYYY)
Visa Service *

eMEDICAL VISA

 SHORT TERM MEDICAL TREATMENT OF SELF

eBUSINESS VISA

 TO SET UP INDUSTRIAL/BUSINESS VENTURE

 SALE/PURCHASE/TRADE

  ATTEND TECHNICAL/BUSINESS MEETINGS

 TO RECRUIT MANPOWER

 PARTICIPATION IN EXHIBITIONS,BUSINESS/TRADE FAIRS

 EXPERT/SPECIALIST IN CONNECTION WITH AN ONGOING PROJECT

 CONDUCTING TOURS

 TO DELIVER LECTURE/S UNDER GLOBAL INITIATIVE FOR ACADEMIC NETWORKS (GIAN)

eCONFERENCE Visa

 O ATTEND A CONFERENCE/SEMINAR/WORKSHOP ORGANIZED BY A MINISTRY OR DEPARTMENT OF THE GOVERNMENT OF INDIA,STATE GOVERNMENTS OR UT ADMINISTRATIONS AND THEIR SUBORDINATE/ ATTACHED ORGANIZATIONS AND PSUS AND PRIVATE CONFERENCES ORGANIZED BY PRIVATE PERSONS/COMPANIES/ORGANIZATIONS.

eMEDICAL ATTENDANT VISA

 TO ACCOMPANY PATIENT TRAVELLING TO INDIA ON EMEDICAL VISA

I have read the instructions ,I have all the required documents in scanned pdf format and photograph in jpg/jpeg format.

While entering India, Covid related measures shall be applicable as per guidelines issued by Govt of India from time to time.


Medical attendant e-visa application

Note: Following documents are required to be submitted

1) Applicant's recent colored photograph (dimensions 2in X 2in) size less than 1MB

2) Copy of Passport page containing personal particulars

3) Invitation from organizer

4) Political clearance from Ministry of External Affairs (MEA), Government of India

5) Event clearance from Ministry of Home Affairs (MHA), Government of India


Applicant Details Form

Port of Arrival :

Data saved Successfully.Please note down the Temporary Application ID :


Applicant Details

Surname (exactly as in your Passport) Surname/Family Name (exactly as in Passport)
Given Name/s (exactly as in your Passport) * Given Name/s (exactly as in Passport).
Have you ever changed your name? If yes, click the box and give details. If You have ever changed your Name Please tell us.
Previous Surname * Previous Surname
Previous Name * Previous given name
Gender *

Male

Female

Transgender

Gender
Date of Birth * Date of Birth as in Passport in DD/MM/YYYY format
Town/City of birth * Province/Town/City of birth
Country/Region of birth * Country/Region of birth
Citizenship/National Id No. * If not applicable Please Type NA
Religion *

BAHAI

BUDDHISM

CHRISTIAN

HINDU

ISLAM

JAINISM

JUDAISM

OTHERS

PARSI

SIKH

ZOROASTRIAN

If Others .Please specify
Visible identification marks * Visible identification marks
Educational Qualification *

BELOW MATRICULATION

GRADUATE

HIGHER SECONDARY

ILLITERATE

MATRICULATION

NA BEING MINOR

OTHERS

POST GRADUATE

PROFESSIONAL

Educational Qualification
Nationality/Region * Nationality/Region
Did you acquire Nationality by birth or by naturalization? *

By birth

Naturalization

Did you acquire Nationality by birth or by naturalization?

Have you lived for at least two years in the country where you are applying visa?

Yes   No


Passport Details

Passport Number * Applicant's Passport Number
Place of Issue * Place of Issue
Date of Issue * In DD/MM/YYYY format
Date of Expiry * In DD/MM/YYYY format.Minimum Six Months Validity is Required from journey date.
Any other valid Passport/Identity Certificate(IC) held,

If  Yes

Country of Issue *

Passport/IC No. *

Date of Issue *

Place of Issue *

Nationality mentioned therein *

Yes   No
Medical Attendant Applicant details

Applicant's Address Details

House No./Street * Applicant's Present Address. Maximum 35 characters (Each Line)
Village/Town/City * Village/Town/City
Country * Country
State/Province/District * State/Province/District
Postal/Zip Code * Postal/Zip Code
Phone No. One Contact No is Mandatory
Mobile No. Mobile number.
Email Address

Permanent Address

House No./Street * Applicant's Permanent Address(with Postal/Zip Code)
Village/Town/City Village/Town/City
State/Province/District State/Province/District

Family Details

Father's Details

Name * Applicant's Father Name
Nationality/Region * Nationality/Region of Father
Previous Nationality/Region Previous Nationality/Region of Father
Place of birth * Place of birth
Country/Region of birth * Country/Region of birth

Mother’s Details

Name * Applicant's Father Name
Nationality/Region * Nationality/Region of Father
Previous Nationality/Region Previous Nationality/Region of Father
Place of birth * Place of birth
Country/Region of birth * Country/Region of birth
Applicant's Marital Status *

Single

Married

Applicant´s Maritial Status
Were your Parents/Grandparents (paternal/maternal) Pakistan Nationals or Belong to Pakistan held area. Were your Parents/Grandparents (paternal/maternal) Pakistan Nationals or belong to Pakistan held area? Yes / No
If Yes, give details If Yes, give details

Profession / Occupation Details of Applicant

Present Occupation * If Others,please specify
Employer Name/business * Employer Name / Business
Designation Designation
Address * Address
Phone Phone No
Past Occupation, if any Past Occupation, if any
Are/were you in a Military/Semi-Military/Police/Security. Organization?

Yes   No

If yes,give details
Organization * Organization
Designation * Designation
Rank * Rank
Place of Posting * Place of Posting

Address details

Visa Details Form

Details of Visa Sought
Type of Visa *
Visa Service *
Places to be visited * If you intend to visit Protected/Restricted/Cantonment areas, you would require prior permission from the Civil Authority.
Places to be visited line 2
Have you booked any room in Hotel/Resort etc. through any Tour Operator?

Yes   No

Name of the tour operator

Address of the tour operator

Name of Hotel/Resort etc

Place/City of Hotel/Resort etc

If Yes
Details of Purpose "TO ACCOMPANY PATIENT TRAVELLING TO INDIA ON EMEDICAL VISA"
Name of the Hospital where Medical treatment is to be carried out
Name of the principal e-Medical Visa holder (i.e. the patient)
Visa No. / Application id of principal e-Medical Visa holder
Visa No.
Application Id
Visa/Application number of principal e-Medical Visa holder
Passport number of principal e-Medical Visa holder
Date of birth of principal e-Medical Visa holder Please enter date of birth
Nationality of principal e-Medical Visa holder
Duration of Visa * Duration of visa is 60 days
No. of Entries * No. of Entries
Port of Arrival in India * Port of Arrival in India
Expected Port of Exit from India Expected Port of Exit from India
Previous Visa/Currently valid Visa Details
Have you ever visited India before? *

Yes   No

If Yes Please give Details
Address * Enter the address of stay during your last visit
Cities previously visited in India * Cities in India visited (comma separated)
Last Indian Visa No/Currently valid Indian Visa No. * Last Indian Visa no / Currently valid Visa no
Type of Visa *

BUSINESS VISA

CONFERENCE VISA

DIPLOMATIC VISA

DOUBLE ENTRY

EMPLOYMENT VISA

ENTRY VISA

e-Visa

FILM VISA

JOURNALIST VISA

MEDICAL VISA

MISSIONARY VISA

MOUNTAINEERING VISA

OFFICIAL VISA

PILGRIMES VISA

STUDENT VISA

TRANSIT VISA

UN DIPLOMAT

UN OFFICIAL

VISIT VISA

Place of Issue * Place of Issue
Date of Issue * Date of Issue in (DD/MM/YYYY) format
Has permission to visit or to extend stay in India previously been refused? *

Yes   No

Refuse Details Yes /No
If so, when and by whom (Mention Control No. and date also) * If so, when and by whom (mention Control no and date)
Other Information
Countries Visited in Last 10 years If information furnished is found to be incorrect at the time of entry or anytime during stay in India, you will be refused entry.
SAARC Country Visit Details
Have you visited SAARC countries (except your own country) during last 3 years?

Yes   No

Have you visited "South Asian Association for Regional Cooperation" (SAARC) countries (except your own country) during last 3 years? Yes /No
Reference
Reference Name in India * Reference Name and Address in India
Address *
Phone * Phone No.
Reference Name in ANDORRA * Please mention one contact details in Home Country to be contacted in case of emergency
Address *
Phone * Phone No.

Medical attendant details of visa sought

Additional Question Details

1. Have you ever been arrested/ prosecuted/ convicted by Court of Law of any country? *

  Yes   No

  If yes

  Please give details

2. Have you ever been refused entry / deported by any country including India? *

  If yes

  Please give details

3. Have you ever been engaged in Human trafficking/ Drug trafficking/ Child abuse/ Crime against women/ Economic offense / Financial fraud? *

  If yes

  Please give details

4. Have you ever been engaged in Cyber crime/ Terrorist activities/ Sabotage/ Espionage/ Genocide/ Political killing/ other act of violence? *

  If yes

  Please give details

5. Have you ever by any means or medium, expressed views that justify or glorify terrorist violence or that may encourage others to terrorist acts or other serious criminal acts? *

  If yes

  Please give details

6. Have you sought asylum (political or otherwise)in any country? *

  If yes

  Please give details

IUAJU, hereby declare that the information furnished above is correct to the best of my knowledge and belief. in case the information is found false at any stage, I am liable for legal action/deportation/blacklisting or any other action as deemed fit by the Government of India.


Medical Attendant Question Details

Upload Photograph

Choose the Photo To Upload

Temporary Application Id:-AX22A7297W8C3WC

Kindly ensure that the photo is as per specifications mentioned below.

In case you are not ready for photo upload you can do it later, Please note down the Temporary Application Id ,close the window and Press Save and Exit .

You can complete your application later using Complete Partially Filled Form option on home page.

Photo Specifications

  • Format JPEG
  • Size Minimum 10 KB , Maximum 1 MB
  • The minimum dimensions are 350 pixels (width) x 350 pixels (height).
  • Recent front facing photograph with white background to be uploaded by the applicant.
  • Do not crop the Passport Image to use it as your recent photograph. Upload clear front facing photograph with preferable white/light coloured background.
  • The application is liable to be rejected if the uploaded photograph are not clear and as per specification.

Medical attendant Upload Photo

Document Upload

Document to be uploaded for Temporary Application Id:-AX22A7297W8C3WC

Document description

 1) Copy of Passport page containing personal particular

 2) Copy of Letter from the Hospital concerned in India on its letterhead

Kindly ensure that the document is as per specifications mentioned below.

  • All documents uploaded by the applicant including business cards,invitation letters etc. must be in English language, failing which e-Visa application would be liable for rejection.
  • Format PDF
  • Size Minimum 10 KB
  • Maximum 300 KB
  • Passport Upload- Photo page of Passport containing personal details like name,date of birth, nationality , expiry date etc. to be uploaded by the applicant.
  • Photo page of Passport uploaded should be of the same passport whose details are provided in Passport Details section.
  • The application is liable to be rejected if the uploaded document is not clear and as per specification.

I have verified that all the documents are uploaded as per the requirement.

Visa Details Form

Places to be Visited

Select State


Address of Relatives/business associates/ contact persons at places of visit

Name of Relatives /Business/ Sponsor contact person

Relation

H.No./Street/Mohallah

/Post Office

Village/ Town/City

State

District

Pin Code

phone No.


Address at Place of Stay

Place of Stay

Name and Address of Stay/Hotel

State

District

Telephone No.

Whether you intend to visit J&K Yes No

Do you or your parents by birth belong to any part of Jammu & Kashmir,Yes Yes No

Have you migrated from India to Pakistan on or after 1st March 1947,Yes Yes No

(i) Approximate Date of Migration

(DD/MM/YYYY)

(ii) Address in India before Migration:

Decision on Visa granting would be dependant on the accuracy of the information provided.


Medical attendant document upload

Confirm Details

The applicant is requested to verify the particulars filled in the application Form.The applicant may face legal action(including refusal to enter India or deportation) in case of provision of wrong information.

Please verify your Registration Details. If all details are correct please Press "Verified and Continue".

For any corrections press "Modify/Edit"

Please note down the Temporary Application ID: AX22A7297W8C3WC


Medical Attendant Confirm Details