To The Senior Superintendent of Police, cum- D.F.R.O., U.T., Chandigarh. Dear Sir, 1. Name in full __________________________________________________________________ Mr., Mrs., Miss ( Surname) (Other name) 2. Date of birth ______________________________________________________ 3. Place of birth _______________________________________________________ 4. Nationality _________________________________________________________ 5. Passport No. ___________________ Issued at ____________________________ dated ____________ Valid up to _______________________________________ 6. Visa No. _____________________ Issued at __________________________ dated _____________ Type of Visa ___________________ Duration ____________________ Valid up to _____________ 7. Father's/Husband's Name ____________________________________________________________ 8. Address in Country of domicile ________________________________________________________ 9. Occupation of the applicant ___________________________________________________________ 10. I have entered in India on ___________________________________ via ______________________ and reached Chandigarh on ___________________________________________________________ 11. I have come here for _____________________________ and stay at Chandigarh ___________________ (Purposes) (duration) 12. Address at Chandigarh House No. ___________________________________ Sector _______________ 13. I own the immovable property ________________________ Moveable property____________________ (Yes/No) (Yes/No) 14. In India if yes, attach the detail of the property owned, (immovable with value, moveable with value). (a) I will submit the necessary documents i.e. Eligibility Certificate of Bona fide Certificate etc. (b) I will submit the half-yearly property return on 31st December and on 30th June, without fail. (c) I will submit IN WRITING in case of any change in my residential address. (d) I will inform IN WRITING when ever I will leave Chandigarh to visit any other place (in India or abroad) I may kindly be registered in your office. Thanking you. Yours faithfully, Date ___________________ (Applicant's Signature)
