Application Form of the Innerline Pass To Visit Arunachal Pradesh 1) Full Name of Applicant :___________________________________ (in block Letters) 2) Accompanied by :___________________________________ ____________________________________ 3) Father's/Husband Name :___________________________________ 4) Permanent Home Address :___________________________________ ____________________________________ ____________________________________ ____________________________________ 5) Present Address alongwith Name of PS/PO/State ____________________________________ ____________________________________ ____________________________________ ____________________________________ 6) Nationality (with Proof) ____________________________________ 7) Present Occupation (also In case of Govt. Servants) ____________________________________ ____________________________________ ____________________________________ 8) Particular Place(s) in A.P. intended to be visited ____________________________________ 9) Proposed duration of stay (w.e.f..) ____________________________________ ____________________________________ 10) Purpose of visit ____________________________________ 11) Whether you hold any Inner line permit issued ____________________________________ By any District/Liaison ____________________________________ Officer. If so, mention ____________________________________ Number and date and Name of issuing authority ____________________________________ 12) Do you hold any business License to do business in ____________________________________ A.P. if so, give details ____________________________________ And name of the place ____________________________________ You have your business ____________________________________ PLACE DATE (Signature of Applicant) Note :- 1) Please apply in Advance 2) I.L.P. will not be issued same day. 3) Please attach photocopy of residential, proof such as Ration Card/Electricity, Water Bill Telephone Bill or Identity Card Issued by the Election Commission of India. 4) This application form is not applicable in case the visitor(s) is a Foreign National. 5) Application form for Foreign National is available with Ministry of Home Affairs (Foreigners Divn.) Lok Nayak Bhawan, Khan Market, New Delhi.
