GOVT. OF ARUNACHAL PRADESHDEPARTMENT OF HOMEITANAGAR REQUEST FOR SPECIAL PERMIT FOR PROTECTED / RESTRICTED ARESAS 1. Name of the Applicant (In capital Letter) 2. Father's / Husband's Name 3. Place and date of birth (Town & Country) 4. Nationality 1) 2) 5. Occupation ( give also address and place of work) 6. Mailing address in India ( if any ) 7. Present Address 8. Permanent Address 9. References : A) In the country of applicant B) In India 10. Passport Details : Number Issued By Valid Unto 11. Details of Visa for India, If any obtained: No. Issued by Valid Upto 12. Places proposed to be visited 13. Route intended to be followed while entering / leaving the restricted / protected areas. 14. Likely date of Visit 15. Purpose of Visit 16. Likely duration of visit 17. If any one accompanying the applicant that has to be made 18. Arrangement for travel and accommodation that has to be made 19. Details of previous visit to india, if any 20. Has He/She/They previously visited any restricted/ Protected area in india, if so give details. 21. Has any earlier request for permit been refused if so give details. 22. For Pakistani National only a) Parentage : b) Place of Birth c) Date of Birth The information given above is correct and complete to the best of my knowlege SIGNATURE OF THE APPLICANT ___________________________________________________________________________________________________________ Note : -1) This application is to be sent to the Home Commissioner. Govt. of Arunachal Pradesh.2) It is advisable to send the application atleast eight weeks before the proposed Visit.3) Applications outside India are excepted to route through the nearest Indian Missions.4) Photograph of the applicant must be enclosed in the case of request for Protedted Area Permit.
