GOVT. OF ARUNACHAL PRADESH DEPARTMENT OF HOME ITANAGAR. REQUEST FOR SPECIAL PERMIT FOR PROTECTED/RESTRICTED AREAS 1). Name of the MR./MRS/MISS______________________ (In capital letters, surname Underlined) 2). Father's/Husband's Name MR./MRS___________________________ 3). Place & date of birth (Town & Country) ____________________________________ 4). Nationality 1. ____________________________________ 2. 5). Occupation (give also address Of place of work (employee) _________________________________ 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 ____________________________________ (2) 13). Route intended to be followed while entered/ Leaving the restricted/protected areas. 14). Likely date of Visit ____________________________________ 15). Purpose of Visit ____________________________________ 16). Likely duration of Visit ____________________________________ 17). If anyone accompanying the accommodation That has been made ____________________________________ 18). Arrangement for travel and accommodation That has been 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 sop give details + ____________________________________ 22). For Pakistani Nationals only: a). Parentage: ____________________________________ b). Place of Birth: ____________________________________ c). Date of Birth: ____________________________________ The information given above is correct a complete to the best of my knowledge. 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 me the application at least 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 Protected Area Permit.
